Plastics to remove back wrinkles after weight loss with a condition of full leg Lymphedema? (Photos)
Doctor Answers 5
Body lifting after major weight loss
Thank you for asking about your body lift.
- Congratulations on your weight loss!
- I agree with your assessment - a 360 lower body lift will probably be a needed for a good result.
- And an upper body lift as well, to improve the back.
- At the time of the lower body lift, the excess skin can be preserved and used to add bulk to the buttocks.
- An examination is needed to see what effect the lymphedema will have on your surgical plans.
- The cause of the lymphedema - if known - may also be a factor.
- A consultation with a plastic surgeon will help you make a definite plan!
Always see a Board Certified Plastic Surgeon. Best wishes - Elizabeth Morgan MD PHD FACS
Prioritize you options
Congratulations on making such an impressive change. You definitely seem ready to begin the next stage with body contouring. Your abdomen should be the central focus of you contouring. An abdominopasty would be the ideal option for you. However, this is the procedure that would be more of an issue relating to your lymphedema. A complete evaluation with a plastic surgeon is the best way to see if this is a safe option for you.
In my opinion, your back would obtain the best tightening with a circumferential upper body lift, that is often combined with a breast lift or arm lift(brachioplasty) . A buttock lift with a full 360 scar across the lower back/upper buttock may be of some help to lift the buttocks, but will not improve the back itself much.
I would prioritize these procedures, and do some of them together. If your insurance plan can cover some of the abdominal surgery, that may also be helpful.
Best regards, Prashant Soni M.D.
Hello and thank you for your question. Based on your
photograph, you are a great candidate for several body contouring procedures. Given your history of lymphedema, it is highly advisable that you schedule an in-person consultation to receive the best advice. Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results. The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
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There are two types of lifts that would solve your problem: one involves making a circumferential incision around your bra line, and the the other involves a circumferential incision around your waist. Based on your photos and my experience, I would recommend the total body lift around the waist to accomplish all of your goals. I do not believe the lymphedema will be a significant factor in either surgery since none of them will be close to the drainage areas in the groin to worsen your problem. That being said, only an in-office consultation can really determine that, as well as a discussion of all the pros and cons.
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.