30 pound weight loss has caused volume loss - next best steps for butt, abdomen and chest? (Photos)

Question

I am 31 year old male, current weight 180lbs and I have lost 30lbs recently and prior weight loss of 50lbs about 10 Years ago. I’ve lost volume in my butt and it’s become somewhat loose and squishy, I have been thinking about surgery for my abdomen and chest for many years but now I am considering this also. I’m not looking for a major change but I’m thinking a little more volume is what I’m looking for. Would this be recommended doing with some abdomen and chest work? What would be the best route for my abdomen and chest? I am in Arizona and have not had any consultations.

Ozge Ergun, MD · Answer

Dear Thrifty451685,

Thank you for sharing your concerns and photos. Following significant weight loss, it is important to evaluate both excess fat and skin laxity when planning body contouring.
For your abdomen and waist, I would consider VASER liposuction to remove stubborn fat and improve definition. Depending on the amount of loose skin, an abdominoplasty may also be necessary.
For your chest, gynecomastia surgery could help achieve a flatter and more masculine contour.
Regarding your buttocks, fat transfer may be a good option to restore some of the lost volume and improve the shape while maintaining a natural, masculine appearance.
Combining these procedures may be possible, depending on your anatomy, available fat for transfer and overall surgical safety.
I would recommend an online consultation first, followed by an in-person examination, so we can evaluate your concerns and determine the most appropriate surgical plan.

Kind regards,
Ozge Ergun, MD

Gregory Lakin, MD · Answer

Thank you for your question. Your abdomen may benefit from liposuction if the main issue is fat and your skin has good elasticity. But if you have significant loose skin, a tummy tuck may be more appropriate. For the chest, if you have excess fat, liposuction may help; if you have loose skin or enlarged glandular tissue, you may need gynecomastia surgery. For the buttocks, if you mainly want a modest increase in volume, fat grafting may be an option. If you have significant loose skin, however, adding volume alone may not address the laxity; a buttock lift or lower-body lift may be considered. However, you should first aim to maintain a stable weight, then consult a board-certified surgeon who can assess all three areas together. A consultation is the best next step to determine what would give you a natural result based on an examination without doing more surgery than you need.

Daniel Barrett, MD · Answer

Dear Thrifty451685,

it is hard to tell for sure without an examination. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

George Marosan, MD · Answer

Thank you for your question and photos.

In this limited view photos, it seems that you do have moderately large gynecomastia, excess fat on your abdomen, lateral chest wall, waist, hips and full back.

The buttocks can be reshaped to create more of a muscular male buttock as opposed to a rounder feminine shape.

You might have some intraabdominal fat, but that only be detected via an in person examination. If that is the case, your abdomen will not be completely flat and abdominal etching needs to be limited (having a six pack on a round abdomen, will look fake).

Based on these photos only, you would get good improvement with VASER Hi Def Lipo 360 degrees, gynecomastia removal and chest wall reshaping and possible fat transfer to the buttocks. All these are done in one surgery.

See a board certified plastic surgeon with extensive experience in advanced body sculpting techniques for an in pers consultation/evaluation. Good luck.

Zoran Potparic, MD · Answer

Based on these photos you should consider aggressive liposuction of torso, breasts (gynecomastia) and small augmentation of buttocks with fat grafts. In person consultation or teleconference with a board certified plastic surgeon with experience in these procedures should be your next step. Good luck.

Mustafa Aydinol, MD · Answer

Looking at your photos it is visible that you had some volume loss at your buttocks. If you want some volumization and reshaping, fat grafting will be the best solution. Please note that buttock fat grafting in men is slightly different than women, regarding the hip dips.

Michael B. Tantillo, MD · Answer

Based on your photos, you would likely be a candidate for liposuction of the chest and abdomen (+/- abdominoplasty) with fat transfer to the buttocks. I would recommend consultation with a plastic surgeon for a more thorough evaluation.

Manuel Diaz, MD · Answer

Hi. Based on your photo and your history of significant weight loss, an in-person evaluation would be necessary to determine the best surgical approach for your case.
For your abdomen, you may be a candidate for liposuction or a tummy tuck, depending on the amount of excess skin and fat present.
Regarding your chest, gynecomastia surgery would likely be the most appropriate option to improve its contour.
For your buttocks, liposuction combined with a BBL could also be considered to restore some of the lost volume while maintaining a natural, masculine appearance.
It may be possible to combine some of these procedures. However, I would first need to evaluate your overall health, the amount of fat available for transfer, and the total surgical time to determine the safest approach for you.

30 pound weight loss has caused volume loss - next best steps for butt, abdomen and chest? (Photos)

Answers (8)

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