25F, 5’4, 198lbs - What procedures are recommended and in what order? (photos)

It is wonderful what you have achieved after loosing weight!! Congratulations!!
Based on your photos you will be candidate to stage Lower Body lift and Then 6 months later the Upper Body Lift. All because of safety.
1rst stage 7 procedures Lower Body Lift: 360 skin resection, muscle repair to achieve a flatter abdomen and smaller waistline, mons pubic lift and reduction, lovehandles tightening, real buttocks lift, liposuction to waist and lovehandles and mild Fat grafting to buttocks and hip dents to add shape. 6 hours surgery and Difficult recovery for that reason abd because of safety I would not recommend to add any other procedure.
2nd Next stage: arm lift and liposuction 360 of arms, Back lift and liposuction to back, possibly a reverse Tummy tuck to get rid of the fold underneath your breast, Breast lift/tuberous breast correction and augmentation, Lateral Torsoplasty (sides of breast) to tighten the skin on lateral chest.
Be encouraged!!!
Dr. Cárdenas

Deciding on which body contouring operations to do and in what order depends on your priority list and physical exam. Your photos suggest you would derive the most benefit from a circumferential body lift and gluteal fat transfer. You would also benefit from breast augmentation with mastopexy. Which operation you do first is up to you.
Arms and thighs require in in person exam to assess.

Thank you for your question regarding what you should do about your tummy, upper back, breasts, upper arms, inner thighs, mons, and uneven butt. First, congratulations on losing weight. It would be wonderful if you could get to down 175 lbs. You would need to maintain that weight for three months before getting skin removal surgery. It doesn’t make sense to get skin removal surgery while your weight is still fluctuating. That being said, once you’ve hit your weight goal, I recommend getting a lower body lift first. This would address the tummy, hips, buttocks, and mons region. We start on the back side, and an incision is made from one hip over the buttock to the other hip and resect a butterfly-shaped area of skin and fat. Once that’s done, the patient is flipped over and we begin on the tummy. We make an incision from one hip to the other, direct upwards and plicate the six pack muscle. The incision will then connect over your hip (with the incision over your buttocks). Please visit my website to see this for yourself. This can be combined with an inner medial thigh lift where in incision is made from the groin to above the knee (on the inseam of where your pants would be).

4 to 6 weeks after your lower body lift and thigh lift, I would recommend an upper body lift. You could choose between vertical or horizontal torosoplasty. A vertical torsoplasty incision would be from your armpit, down the side of your body, giving you an hourglass figure and getting rid of any excess skin over the side of your tummy, back, and love handles. Your tubular breasts can also be corrected during this procedure with breast implants. You could potentially do fat transfer to the breast, but it doesn’t look like you have too much fat. Breast implants might be the best way to go if you want significant results.

I hope this helps answer your question about what procedures you can get done and in what order. Good luck on your journey to get to 175 pounds. You got this.

I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Dear arianagg,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from tummy tuck and breast lift. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Most patients choose to address their torso first. Your goal of 175 lbs is very reasonable. You will need an examination at that time because you will look different once you lose more weight. Right now, you are a candidate for a no-drain extended incision tummy tuck and 360 lipo of your torso and back like a lipotuck. The arms, breasts, and inner thighs can be addressed 1-2 months later.

Before considering surgery you will first want to complete your weight loss journey. This will allow your surgeon to optimize your results. A few of the procedures can be combined, but you will likely need to stage the procedures in order to complete them all. Patients often start with the breasts and tummy as they are often mentioned as most concerning to the patient. I encourage you to visit with a board certified plastic surgeon near you to discuss your concerns. Together you can customize a surgical plan that is best for you.

Hello and thank you for your questions and your pictures. Although an in-person examination will help gather much more specific information about your body and quality of your tissues, based on your photos and your areas of concern, you would benefit from a tummy tuck and a breast lift. There is also the possibility of a hip lift and buttock lift that can be done at the same time as the tummy tuck. You may need liposuction and or skin and fat excision from your arms and inner thighs as well. As for the weight, being within 10-15 lbs of your goal weight is preferable. Consult with a board certified plastic surgeon who specializes in body contouring and together you can develop an appropriate treatment plan for your body transformation.