Tummy tuck before or after BBL? (Photo)

You have a beautiful body frame and that will be a wonderful foundation for a great result.
You have developed saggy skin on your abdomen, mons pubic area, front and outer thighs, abd definitely buttocks plus your lovehandles are very thick and after liposuction those will be one very saggy.
So as expert on After Weight Loss surgery you will be a great candidate for a Lower body lift which means a Circumferential TT and implies a Mons lift, front thigh lift, buttocks lift and tightening of lovehandles. You are not getting any younger (as any of us) so your tissues will only become saggier over the years so thus would be a great time to Lift all that is saggy. If you consider LBL is too much, a great option would be an Extended Tummy Tuck with muscle but no lifting of buttocks, thighs and either lovehandles tightening.
Definitely only liposuction is not a good alternative because you have a severe degree of saggy skin and also lipo before TT or LBL is not a good idea because it will leave a lot of scar tissue which will ruin the possibility of a safe Tummy Tuck in the future.
Be encouraged.
Dr. Cárdenas

Thank you for your question regarding how you should stage your breast, bbl, and tummy tuck procedures.

I recommend you first do your BBL; this way you can get optimal fat from the tummy (and the rest of your body). Return for a tummy tuck and breast augmentation two to three months later. This will give you optimal results. With your tummy tuck, make sure your surgeon performs muscle plication. This will bring in your waistline by an additional 2-5 inches and give you an hourglass figure.

Congratulations on your weight loss of over 100 pounds. That's incredible! Best of luck to you.

Hi, thank you for sharing your question. You are a good candidate for 360 Lipo and BBL. You may require a mini tummy tuck at the same time or at a later stage to achieve the tightest result.

Polite546372, it is difficult to say what you would benefit from the most without an in-person evaluation. Typical a patient with a significant weight loss history would be a good candidate for a circumferential body lift, which would lift excess outer thigh skin as well as lift the butocks. In a circumferential lift fat can be rotated into the buttocks, so to answer your question the BBL can be done at the same time as a circumferential lift. An BBL can also be done with an extended abdominoplasty, with the difference mainly being you will not get the outer thigh lift and the BBL is done with fat grafting from the abdomen rather than with a flap of tissue from the flanks.

Hello and thank you for your question.
Based on your photos, you appear to be a good candidate for 360 liposuction and BBL which will help create a beautiful hourglass shape for you. It can be combined with breast surgery at the same time. It does't appear that you have enough excess skin for a full tummy tuck, however, it's difficult to tell based only on the photos.
I would recommend to obtain an in person consultation with a Board-Certified Plastic Surgeon to further discuss your options and expectations.
I hope this helps.
Best,Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Based on your photographs, you have excess skin, mainly of the lower abdomen, with stretch marks. The amount of excess skin you have will not go away with J-Plasma. You would need a tummy tuck or extended tummy tuck to remove the extra skin. You would not need an incision that goes all the way around. In terms of how to best address your tummy, breasts and buttocks, there is no right answer. Each surgeon has their preferences on how many procedures can safely be performed at one time and how to pair them to optimize your aesthetic results. There are pros and cons when considering the order of tummy tuck and BBL. Liposuction for BBL may create loose skin, if the skin does not contract afterwards. So, if the tummy tuck is performed before the BBL, your tummy may not be as tight and smooth. If the tummy tuck is performed after the BBL, the excess skin and fat of the lower tummy is thrown away. The fat could have been used to add to your BBL. I would recommend consultation with a board-certified plastic surgeon to come up with the best plan for you.

I recommend a lift using The Bellesoma Method and a tummy tuck at the same time which will flatten your abdomen and will change your silhouette and may change the requirements at the time of BBL. Also, since you have lost 100 lbs, you may benefit from a circumferential lift and I would do this before the BBL.

Best Wishes,

Gary Horndeski, M.D.

Wait! Stop right there! There is no way you need a circumferential tummy tuck. Maybe an extended tt….. depending on how you define ‘’extended’’. Your problem is excess skin and J Plasma is great for loose skin, not excess skin. So Lipo with J Plasma would help tighten the skin, but it will never compare with a tt. Especially not in extreme to moderate weight lose patients. A TT is the only procedure that truly gets rid of excess skin.

A traditional TT with a little extension to the sides and a mons lift is more then enough for you! In patients that are open to dividing procedures, I like to give them two options of two rounds each.
-Option 1.
First Round: Full TT and Liposuction plus BBL.
Second Round: Breast lift with implants plus additional lipo and BBL if needed.

-Option 2.
First Round: Full TT and waist Lipo with fat transfer to hip dips plus Breast Lift with Implants.
Second Round: 360 Lipo plus BBL.

Best of luck,
Dr. Miguel Mota

You need a standard tummy yel snd some liposuction of hip. Don’t need a circular tummy tuck and don’t even consider bbl. Look up complications of bbl

Dear Polite546372,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery