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

Question

My weight has ranged from 320 to 160 back up to 260.. I’m currently working on losing my Covid weight and maintain a healthy lifestyle. My goal is 150- would I be a candidate for multiple procedures at 175? My main concerns are my tummy, upper back, tuberous breasts, upper arms, inner thighs, mons, and uneven butt. What procedures are recommended and in what order? My upper back still has a lot of loose skin at a lower weight, so I assume the skin would need to be excised instead of just lipo.

Carmina Cardenas, MD · Answer

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

Derek Fletcher, MD · Answer

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.

J. Timothy Katzen, MD, FACS · Answer

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.)

Camille Cash, MD · Answer

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.

Daniel Barrett, MD · Answer

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

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

Answers (7)

Answer: Considering options

Answer: Considering options

Answer: Body lift

Answer: Body lift

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

Answers (7)

Answer: Considering options

Answer: Considering options

Answer: Body lift

Answer: Body lift

Browse related questions

Recommended reading

Everything you need to know about Body Lift

Our mission is to create a world where every investment in modern beauty is Worth It.