It would help to have a little more information about what you want to achieve and what bothers you. You need to have skin excess in the abdominal area to have a circumferential lower body lift after a tummy tuck. This is possible if you've had large weight fluctuations or pregnancies after your tummy tuck. However, your body would need to be seen and evaluated prior to scheduling this surgery. Often after a tummy tuck, people are bothered by the loose skin on the sides and back. If this is what is bothering you, then a posterior belt lipectomy can be performed which removes the excess skin from your sides and back and connects to your tummy tuck scar.
This is a difficult question to answer because it mainly boils down to what you have left after the first procedure, namely the full tummy tuck. If the patient, after the full tummy tuck, still has a lot of skin laxity, this may be due to either an inadequate first procedure or continued weight loss after the first procedure, resulting in new skin laxity that wasn't present when the first procedure was performed.The way we define a lower body lift can vary from physician to physician. I like to use the term circumferential body lift, to clarify that we are definitely going circumferentially (all the way around the body). Regardless of the definition, however, Yes, it is possible to perform additional procedures, such as a lower body lift, to the area after the full tummy tuck. The surgeon must take a bit more caution not to disrupt the remaining blood supply to the abdominal skin, otherwise complications can occur. If there is simply not enough skin of the anterior abdomen after the full abdominoplasty, then no more surgery can be done to the front and the completion body lift is used to address the flanks and lower back areas only.It is best to have this type of revisionary procedure performed by a surgeon who is very comfortable handling this case, which will undoubtedly be more difficult that the original tummy tuck, due to excess scar tissue, compromised blood supply, and more lengthy surgery and recovery. Trust only an experienced plastic surgeon that handles a large number of bariatric patients with massive weight loss.
