Which procedures would be best for my body after a 100 lb weight loss? (photos)

Question

Im 5'7" acurrently 156 lbs (working on getting to 140 145 by eating macros lifting weights 3x and walking 10k steps qd) I used to be 250 lbs in 2018. Thn lost 100 in 2019 2020 and then gained back 30 in 2023 which im working to get off the last 10-15lb. I know i want a BA with implants. I do have saggy skin on my underarms and stomach maybe butt snd back too that i want gone. Do i need a TT and arm lift too or lipo 360? What would get the best result? I want more figure less skin

Christine Fisher, MD, FACS · Answer

First of all, congratulations on your weight loss! Losing 100 pounds is a tremendous accomplishment and a major investment in your long-term health and well-being. As a board-certified plastic surgeon, the next step is to align your surgical plan precisely with your anatomy and aesthetic goals as safely and efficiently as possible.

From your photos and description, a breast augmentation, tummy tuck, and liposuction form a reasonable foundation for comprehensive contouring after massive weight loss. For lipo 360, the procedure typically begins in the prone (face-down) position to thoroughly address the back and flanks, followed by repositioning supine for the remainder.

Given your favorable skin quality, liposuction alone to the arms may achieve the desired contour without requiring a formal arm lift. Liposuction of the outer breast and upper armpit area is also recommended to create a harmonious transition with the breast and upper torso. For the breast component, augmentation would restore the volume you desire while helping correct any asymmetries.

Liposuction of the flanks with upper abdominal contouring refines the waistline and smooths the torso-to-hip transition. The abdominoplasty removes excess skin and fat while plicating the rectus muscles, which commonly separate after pregnancy or significant weight changes.

I strongly recommend to meet with a board-certified plastic surgeon specializing in post-weight-loss breast and body contouring, so your anatomy, medical history, and priorities can be fully evaluated and an individualized plan can be developed for safe, predictable results.  Best of luck in your journey!

Chet Mays, MD · Answer

Thank you for your inquiry!  We would love to sit down with you and discuss your concerns.  If you are considering multiple areas, the first step is to prioritize the areas that is most important to you.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Steven H. Wiener, MD · Answer

Thank you for your question and photos. After 100 Lb weight loss you will have excess or loss skin in several areas of your body. The most common areas that are treated are the breasts, which may require a lift with or without an implant. The second most common areas is the abdomen. You appear to have loose skin with minimal fat. A tummy tuck would be the optimal procedure for you. This would remove excess skin and tighten your abdominal wall. These procedures can be combined into one surgery. Liposuction removes excess fat, with minimal skin tightening. An arm lift or brachioplasty may be an option for you but is difficult to evaluate your skin laxity from only of photo. Visit with a Board Certified Plastic Surgeon to find out what your options are.

Gregory Lakin, MD · Answer

"Congratulations on your significant weight loss! If you're looking to refine your body contours further, especially after such a major change, a consultation with a board-certified plastic surgeon would be the best next step. They can assess your skin elasticity and the locations of excess skin to provide a tailored surgical plan. You might be a candidate for lipo 360, arm lipo, with a Brazilian Butt Lift followed by a breast augmentation with tummy tuck. Though for optimal recommendations, you would need to do a virtual or in person consultation to confirm because is difficult to accurately asses skin laxity and excess fat based on the limited photos submitted on this platform. Good luck!
"

M. Scott Haydon, MD · Answer

Congratulations on your amazing accomplishment! Breast augmentation will help restore the lost volume. Can't tell if one side is really that much lower, or if just b/c your arm is out. I don't think you need a lift, but would need to see you in person. In my hands, I would do a standard tummy tuck and combine that with BodyTite and Morpheus along with SAFElipo for contouring. Same thing with the arms. I don't believe there is enough skin to warrant excision (brachioplasty). Liposuction alone will remove fat but it won't tighten the skin. The only other unknown is the amount of skin excess in the flank area. With that much weight loss, an extended or circumferential abdominoplasty might be suggested to address the posterior skin excess. Best of Luck!

Daniel Barrett, MD · Answer

Dear Creative634497,
congratulations on your weight loss. Based on your photos, it looks like you don't have much loose skin so you might be a candidate for liposuction. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Bora Ok, MD · Answer

Congratulations on your impressive weight loss journey. Given your history, for the best aesthetic results, consider a combination of liposuction for your arms and abdomen, along with a mini tummy tuck to achieve a flatter stomach. Breast augmentation with implants can enhance the upper body. Best of luck on your journey!

J. Timothy Katzen, MD, FACS · Answer

Hi creative634497,

Thank you for reaching out and sharing your pictures and history regarding your impressive 100-pound weight loss. Given the extent of your weight loss, there has naturally been a significant reduction in fat. Coupled with age and genetic factors, your skin has shown good elasticity in response. However, elasticity has its limits.

For reconstructive measures, I wouldn't recommend Liposuction 360. This procedure primarily targets fat removal and, in your case, may exacerbate skin sagging. Your situation, characterized by substantial skin sagging and a modest amount of remaining fat, necessitates either an extended tummy tuck or a 360 circumferential lower body lift. This comprehensive lift addresses the abdomen, hips, and buttocks in a single procedure. In my assessment, it would offer the most transformative results.

Moving to your arms, I believe an arm lift (brachioplasty) will be more beneficial than arm liposuction. This procedure can be harmoniously paired with a breast augmentation. My recommendation is to prioritize the 360 circumferential lower body lift, followed by the arm lift and breast augmentation about a month or two afterward. It's imperative to ensure your arms heal post the body lift, as you'll need them for mobility and care during the recovery phase. Thus, I'd advise against proceeding with the arm and breast procedures before the body lift.

To summarize, for someone who has undergone a 100-pound weight loss and faces challenges with excess skin on the abdomen and arms, my recommendation is as follows:

Start with a 360 circumferential lower body lift.
After a healing period, move on to a brachioplasty and breast augmentation.
I hope this guidance gives you a clear roadmap for your post weight-loss body transformation journey. Wishing you all the best.

Sincerely,
Dr. J. Timothy Katzen, MD, FACS, FICS
Board Certified Plastic Surgeon

Leila Kasrai, MD, FRCSC · Answer

Congratulations on your weight loss! Based on your photos, it doesn’t appear that you have enough saggy skin on your upper arms to warrant an arm lift, however an in person assessment would better determine this. A tummy tuck and additional lipo to enhance your results performed at the same time may be suitable for you. It is difficult to say where your nipples are located in relation to your breast fold. However, if they are located at or below your breast fold, then a lift may be recommended. The lift can be done at the same time as your breast augmentation.

Luis A. Mejia, MD · Answer

Dear Creative634497, thanks for sharing your pictures and concerns, after evaluate your case you lokk like a great candidate for Vaser Liposuction from back, arms and flanks, tummy tuck with muscle repair, Ultrasound guided BBL and also we can perform a breast treatment like breast augmentation with implants to provide a beautiful, delicate, gorgeous frame.  Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Which procedures would be best for my body after a 100 lb weight loss? (photos)

Answers (17)

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