Can I get total body lift at once, lower body, abdomen, breasts, arms? How much would that cost?

I had gastric sleeve 14 months ago. Now am 160 pounds. Would like thighs and butt lifted, tummy tuck, breast lift, upper arms.

Doctor Answers 11

Combining a Mommy Makeover with Additional Surgery Sites

It's difficult to suggest without a in-person one-on-one consultation. The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  

#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.
In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures.  We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures.  MWL (massive weight loss patients of  75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity. 

Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Combining cosmetic surgery procedures

Breast reductions/lifts/augmentations can absolutely be combined with a tummy tuck/mini tummy tuck/body lift. As long as you're cleared by your internist for surgery and you're a good candidate for the procedures then it should be okay. Also, combining procedures greatly reduces the anesthesia, facility, and professional fees. Even more, breast reductions are usualy covered by insurance and this can save you more money on the anesthesia and facility fees as well. Thanks for your question!

Weight loss contouring

Congratulations on your weight loss. A common first line of attack for patients who have lost weight is a body lift procedure. Most plastic surgeons refer to a body lift as a circumferential body lift = belt lipectomy = lower body lift. This procedure is essentially 3 procedures in one: extended tummy tuck + waist/lateral thigh lift + buttock lift (with the option of buttock augmentation). A physical exam would be needed to make any recommendations. Please visit with a plastic surgeon certified by the American Board of Plastic Surgery to learn more about your options.
Best wishes,
Dr. Basu
Houston, TX

Mommy makeover after massive weight loss is usually stage.

Most plastic surgeons would stage the procedures that you have suggested. Some of it has to do with recovery logistics and some of it was patient safety.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 32 reviews

Weight loss make-over

Thank you for your mommy make-over and weight loss make-over question.
  • Your weight should be stable x 6 months before surgery.
  • Have the tummy tuck, breast surgery and maybe the arm lift in one session.
  • Have the body lift in a second session and arm lift - if it was done done the first time.
  • Have the thigh lift last.
  • You cannot have all these operations done at your weight without far too much risk. Stay healthy, pace the surgery. Best wishes.

Can I get total body lift at once, lower body, abdomen, breasts, arms? How much would that cost?

Rome was not built in one did not gain and lose the weight overnight. The process of reconstructing a patient following weight loss surgery should be done in stages. What you are requesting requires a long time in the OR with substantial risks  that I am not wiling to expose my patients to.

There are combinations that can be done together safely.Tummy and breasts.........breasts and thighs.........arms and tummy..etc. The combos re to be decide with your surgeon going over the risks and complications associated with each and every procedure proposed. 

Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in tummy tucks. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits?

How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.

How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.

In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.

Give yourself the highest percentage of a sucssesful operation. Good luck

Can I get total body lift at once, lower body, abdomen, breasts, arms? How much would that cost?

Thank you for your question. 

All these procedure will not go above 6 - 10k. 
Please put your front, side pictures. These pictures are easier to see if they are taking by someone else not close to the camera of the area you are interested only to give you a better answer.

Many surgeons, including myself, offer online virtual consultations where you send us your photos and we can estimate the cost. I, like many surgeons, also offer free consultations so that you can be examined and given the most accurate quote.

Choose a board certified plastic surgeon who has done a ton of Brazilian Butt Lifts and has privileges to do this surgery at a local university hospital. This says his credentials have been checked out by fellow Drs. All surgeries carry risk, talk to your plastic surgeon and choose one wisely.

Can I get total body lift at once, lower body, abdomen, breasts, arms? How much would that cost?

If you feel like you are ready for surgery, find a plastic surgeon who performs hundreds of these procedures each year, has great reviews, and has great before and after pictures.

Kenneth Hughes, MD

Los Angeles, CA

Can I get total body lift at once, lower body, abdomen, breasts, ars? How much would that cost?

From your history of significant weight loss and the fact that you are now down to 160 lbs., you may be a good candidate for a total body lift, including abdomen, breasts, arms, etc.  In most cases, it may be necessary to perform the surgery in two or more stages, depending on your specific health and situation.  Costs can vary depending on the exact procedures necessary in your case.  Seek out a board certified plastic surgeon with extensive experience with post bariatric surgery patients.  Best wishes, Dr. Lepore.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.9 out of 5 stars 49 reviews

Can I get total body lift at once, lower body, abdomen, breasts, arms? How much would that cost?

Congratulations on your significant weight loss; you should be very proud of this accomplishment! When it comes to costs of surgery there may be many “variables” involved. The specific surgeon's credentials/experience level (or lack thereof), the specific geographic area you are looking at, the different operations available, the location of the procedure ( quality of surgery facility), type/quality of anesthesia provider… are some of the potential variables involved.  Keep in mind, that in your case, multiple operations may be necessary to accomplish your goals. Remember that both you and your plastic surgeon should emphasize safety first.

In regards to outcome of the planned procedure, more important than costs of the procedures will be careful selection of your plastic surgeon. I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.

Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.

Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.

Again, I would also suggest that you do not base your selection of plastic surgeon primarily on costs of surgery; keep in mind that revisionary surgery may be more costly in many ways.

Since you considering undergoing major operations which often involving significant physical and emotional recovery ( often underestimated by surgeons and patients alike), a few words of advice may be helpful:

1. Make sure you are doing the procedures for the right reasons (for yourself) and that you have realistic expectations. Be aware that an improvement in the “problem area” may not translate to an overall improvement in your life situation. You are bound to be disappointed with results of the procedure if your motivation for doing the surgery is not internally driven.
2. Time your surgery carefully; generally, it is not a good idea to have surgery done during or immediately after a stressful period in life (for example divorce or death of a loved one). The additional stress of surgery will undoubtedly be more challenging to deal with if a patient's emotional reserves our already exhausted. Remember, that an improvement in your physical appearance will not translate to an improvement in your life situation.
3. If possible speak to patients who have undergone similar procedures and query them about the toughest times of their recovery period. Any practical hints previous patients can provide may be very helpful.
4. Make sure you are aware of potential complications that may arise how to reach your surgeon if necessary.

5. Make sure you have a strong and patient support system (several people if possible) in place who have time/patience to take care of you. Arrange for professional nursing if any doubt exists regarding the availability and/or stamina of your caretakers.
6. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. It may also take many months/year to see the end results of your surgery.
7. Be prepared to distract your mind with things of interest such as books, magazines, and movies.
8. Expect less of yourself; do not go back to work, school or chores too early and let others take care of you (for a change).
9. Pick your surgeon carefully (a well experienced board-certified plastic surgeon) and trust in his/her advice. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience.
10. Resume all medications that you were using preoperatively when cleared by your plastic surgeon and stop the use of narcotics and sedatives as soon as feasible after surgery.
11. Keep in mind the end results as you go through the tougher emotional times after your surgery.

I hope this, and the attached link (dedicated to patients who have had significant weight loss), helps.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.