I'm turning 40 this year and have lost 170lbs after RNY 8 years ago and maintained the loss. I had an ETT 3 years ago and am looking to have a few procedures done this year. The surgeon I saw a month back said he coule combine an extended arm lift (to remove side breast skin), a revision to FDL, and a thigh lift in one go. He said it would be a rough recovery but doable and would take 6 hours. My ETT took 6 hours alone. I don't have an apron belly, I mainly wanted to torso skin addressed so maybe that part isn't as "big" as it sounds, like a typical "full" FDL if that makes sense? I have a good deal of bicep and thigh skin as ny starting weight was 393 and I am 230 as of now, 5'10". I keep wondering if I should tell him I'd rather break it up and maybe do like, the FDL and arms, then a few months later do the thighs and maybe the bra line since I'd be booking a second surgery? Or should I run for the hills? Is this a red flag? Just curious! Thank you so, so much in advance, any advice is greatly appreciated!
Answers (5)
From board-certified doctors and trusted medical professionals
Further photos of your arms away from your body are needed for the best recommendation. Liposuction would remove some of the "bulk" fat from the arms. If the skin laxity is mild then J-Plasma should help. If it is more severe where it is loose or hanging then an arm lift may be a better...
I would suggest first doing some liposuction to help smooth out the fuller areas, then, once healed, consider a scar revision and release the band. After the revision, start micro-needling about 4 weeks later to help improve the scar.
An in person evaluation is best but based on the submitted photos it does appear that a revision would be helpful. Fat grafting can be done to improve contours. Depending on the degree of skin laxity either a brachioplasty or skin tightening may be suggested. Visit with a board certified...
