Breast Lift with implants after massive weight loss

This 38 year-old woman lost 56 lbs with diet and exercise over a two year period. Her weight on initial consultation was 156 lbs. She was 5 ft. 2 in. tall with a BMI of 29. Her primary areas of concern were the trunk area (abdomen and hips), breasts, and inner thighs. Since her abdominal musculature seemed to be in good condition, we opted to have an abdominal dermatolipectomy (skin removal). She had a circumareolar mastopexy (a breast lift using an incision around the areola) with augmentation. The implants had 425cc of saline placed in them. Liposuction was performed on the abdomen, hips, and inner thighs. There was about 1.5 liters of fat removed. All of these procedures were performed during the same operation. She had no complications.

This 53 year-old woman was 2 years out from a laparoscopic gastric bypass. She had lost 105 lbs over that time period. Her presenting weight was 179 lbs, a BMI of 30. She had several areas she wished to address including her facial sagging, legs and thighs, the abdomen, and her lack of breast volume and shape. Given the multiple areas involved, we addressed this in a staged process. She had an abdominoplasty and medial thigh lift for the initial procedure. Eight days later (I would now suggest waiting longer between stages), she had bilateral brachioplasty and a breast lift with augmentation(enlargement). Then implants were 350 cc for each side. We completed the “makeover” with a facelift, browlift, and upper and lower eyelid blepharoplasty (eyelid lift). Her only complication was from her inner thigh lift. She had a small fluid collection drained in the operating room (during her facelift procedure) and it did require local wound care to heal. No scar revision would be needed.

Massive Weight Loss Patient: This is a 42 year-old school teacher who lost 100 lbs. with diet and exercise. Her present weight is 158 lbs. and a BMI of 30. Her initial procedure was an abdominoplasty and bilateral breast lift. About 11 months later, she completed the lower body lift and also had an inner thigh lift. She had no complications from any of her surgeries.

This 38 year-old woman lost 56 lbs with diet and exercise over a two year period. Her weight on initial consultation was 156 lbs. She was 5 ft. 2 in. tall with a BMI of 29. Her primary areas of concern were the trunk area (abdomen and hips), breasts, and inner thighs. Since her abdominal musculature seemed to be in good condition, we opted to have an abdominal dermatolipectomy (skin removal). She had a circumareolar mastopexy (a breast lift using an incision around the areola) with augmentation. The implants had 425cc of saline placed in them. Liposuction was performed on the abdomen, hips, and inner thighs. There was about 1.5 liters of fat removed. All of these procedures were performed during the same operation. She had no complications.

This 38 year-old woman lost 56 lbs with diet and exercise over a two year period. Her weight on initial consultation was 156 lbs. She was 5 ft. 2 in. tall with a BMI of 29. Her primary areas of concern were the trunk area (abdomen and hips), breasts, and inner thighs. Since her abdominal musculature seemed to be in good condition, we opted to have an abdominal dermatolipectomy (skin removal). She had a circumareolar mastopexy (a breast lift using an incision around the areola) with augmentation. The implants had 425cc of saline placed in them. Liposuction was performed on the abdomen, hips, and inner thighs. There was about 1.5 liters of fat removed. All of these procedures were performed during the same operation. She had no complications.

This 53 year-old woman was 2 years out from a laparoscopic gastric bypass. She had lost 105 lbs over that time period. Her presenting weight was 179 lbs, a BMI of 30. She had several areas she wished to address including her facial sagging, legs and thighs, the abdomen, and her lack of breast volume and shape. Given the multiple areas involved, we addressed this in a staged process. She had an abdominoplasty and medial thigh lift for the initial procedure. Eight days later (I would now suggest waiting longer between stages), she had bilateral brachioplasty and a breast lift with augmentation(enlargement). Then implants were 350 cc for each side. We completed the “makeover” with a facelift, browlift, and upper and lower eyelid blepharoplasty (eyelid lift). Her only complication was from her inner thigh lift. She had a small fluid collection drained in the operating room (during her facelift procedure) and it did require local wound care to heal. No scar revision would be needed.

This is a 35 year-old woman who had lost 70 lbs with diet and exercise. Her weight was 135 lbs and her BMI was 22. She was mainly concerned with the sagging breast tissue and the loose abdominal skin. I advised that she have a lift procedure in order to optimize her breast shape. The patient preferred to avoid the scars and proceeded with an augmentation alone. She had an abdominoplasty and breast augmentation. In order to attempt to compensate for the skin laxity, we used large implants which were filled to 650cc and 675cc. Six weeks following surgery, it was clear that the breast tissue would continue to sag. A vertical mastopexy (breast lift) was performed to correct the sagging breast tissue. She required an additional revision 18 months later because of asymmetry. The left breast implant was higher than the left. She returned to the operating room to lower the left implant and revise the scar on the same side.

Massive Weight Loss Patient: This is a 42 year-old school teacher who lost 100 lbs. with diet and exercise. Her present weight is 158 lbs. and a BMI of 30. Her initial procedure was an abdominoplasty and bilateral breast lift. About 11 months later, she completed the lower body lift and also had an inner thigh lift. She had no complications from any of her surgerie

Massive Weight Loss Patient: This is a 42 year-old school teacher who lost 100 lbs. with diet and exercise. Her present weight is 158 lbs. and a BMI of 30. Her initial procedure was an abdominoplasty and bilateral breast lift. About 11 months later, she completed the lower body lift and also had an inner thigh lift. She had no complications from any of her surgerie

This 48 year-old woman had open Roux-en-Y gastric bypass in 2003. Her starting weight was 420 lbs. and she had lost 160 lbs. at presentation to my office. She weighed 262 lbs when she came to my office with a BMI of 39. Her main concern was her abdominal panniculus. She had an abdominal panniculectomy and had approximately 27 lbs. of tissue removed at that time. Multiple hernias were repaired at the same time. During her recovery, she had a minor complication when there was a small hematoma (blood collection) that was drained and managed with local wound care. She is scheduled to have a breast reduction and inner thigh lift. Her weight is now 240 lbs with a BMI of 36. We will also revise the abdominal area at the same time.

This 56 year-old secretary underwent a duodenal switch operation about a year and a half prior to consultation. She lost 169 lbs. and weighed 126 lbs. on presentation to my office. Her BMI is 25. Her only area of concern was her arms. She had a tremendous amount of skin laxity in the upper arm and forearm areas. The surgery was without any complications and she had an uneventful recovery.

This 35 year-old woman is a hair stylist. She had a laparoscopic gastric bypass13 months prior to having plastic surgery. She lost about 160 lbs. Her weight going into this surgery was about 215 lbs and a BMI of 35. Three weeks after having a lower body lift, her weight was 204 lbs. You will notice that she no longer has a belly button. This was discussed before the surgery and the difficulty in keeping it due to the excessive stretching. She preferred to simply remove it if there were any concerns. Six weeks later, she had an arm lift, breast lift, and resection of the excess skin along the lateral chest. This required a length-wise incision from her armpit to the waistline. Six weeks after this procedure, she had an inner thigh left. This surgery produced a minor complication when the incision separated slightly in the upper thigh area. This healed with local wound care. She also had some thickening of the scar along the lateral chest wall area. Nine months after initiating the surgical process, the patient weighed 178 lbs (BMI is now 28) and was in a size 12 clothes. Because of the additional weight loss, we are planning additional skin resection from the abdominal area.

This 46 year-old school teacher had laparoscopic gastric bypass. She lost 75 lbs after her surgery. Her weight on initial consultation was 180 lbs with a BMI of 33. She had several areas of concern so the approach was to be staged. Since she was a teacher, the procedures were done during the summer months. We did the brachioplasty in the first stage. She had no complications from this procedure. The following summer, she had an abdominoplasty and inner thigh lift. We also performed liposuction of the inner and outer thighs, and the abdomen. Approximately 2300cc of fat was removed during liposuction. Again, the patient had no complications. We did remove a sebaceous cyst along the incision of the groin 7 months following surgery.

This 53 year-old woman was 2 years out from a laparoscopic gastric bypass. She had lost 105 lbs over that time period. Her presenting weight was 179 lbs, a BMI of 30. She had several areas she wished to address including her facial sagging, legs and thighs, the abdomen, and her lack of breast volume and shape. Given the multiple areas involved, we addressed this in a staged process. She had an abdominoplasty and medial thigh lift for the initial procedure. Eight days later (I would now suggest waiting longer between stages), she had bilateral brachioplasty and a breast lift with augmentation(enlargement). Then implants were 350 cc for each side. We completed the “makeover” with a facelift, browlift, and upper and lower eyelid blepharoplasty (eyelid lift). Her only complication was from her inner thigh lift. She had a small fluid collection drained in the operating room (during her facelift procedure) and it did require local wound care to heal. No scar revision would be needed.

This 53 year-old woman was 2 years out from a laparoscopic gastric bypass. She had lost 105 lbs over that time period. Her presenting weight was 179 lbs, a BMI of 30. She had several areas she wished to address including her facial sagging, legs and thighs, the abdomen, and her lack of breast volume and shape. Given the multiple areas involved, we addressed this in a staged process. She had an abdominoplasty and medial thigh lift for the initial procedure. Eight days later (I would now suggest waiting longer between stages), she had bilateral brachioplasty and a breast lift with augmentation(enlargement). Then implants were 350 cc for each side. We completed the “makeover” with a facelift, browlift, and upper and lower eyelid blepharoplasty (eyelid lift). Her only complication was from her inner thigh lift. She had a small fluid collection drained in the operating room (during her facelift procedure) and it did require local wound care to heal. No scar revision would be needed.

This 53 year-old woman was 2 years out from a laparoscopic gastric bypass. She had lost 105 lbs over that time period. Her presenting weight was 179 lbs, a BMI of 30. She had several areas she wished to address including her facial sagging, legs and thighs, the abdomen, and her lack of breast volume and shape. Given the multiple areas involved, we addressed this in a staged process. She had an abdominoplasty and medial thigh lift for the initial procedure. Eight days later (I would now suggest waiting longer between stages), she had bilateral brachioplasty and a breast lift with augmentation(enlargement). Then implants were 350 cc for each side. We completed the “makeover” with a facelift, browlift, and upper and lower eyelid blepharoplasty (eyelid lift). Her only complication was from her inner thigh lift. She had a small fluid collection drained in the operating room (during her facelift procedure) and it did require local wound care to heal. No scar revision would be needed.

This 35 year-old woman is a hair stylist. She had a laparoscopic gastric bypass13 months prior to having plastic surgery. She lost about 160 lbs. Her weight going into this surgery was about 215 lbs and a BMI of 35. Three weeks after having a lower body lift, her weight was 204 lbs. You will notice that she no longer has a belly button. This was discussed before the surgery and the difficulty in keeping it due to the excessive stretching. She preferred to simply remove it if there were any concerns. Six weeks later, she had an arm lift, breast lift, and resection of the excess skin along the lateral chest. This required a length-wise incision from her armpit to the waistline. Six weeks after this procedure, she had an inner thigh left. This surgery produced a minor complication when the incision separated slightly in the upper thigh area. This healed with local wound care. She also had some thickening of the scar along the lateral chest wall area. Nine months after initiating the surgical process, the patient weighed 178 lbs (BMI is now 28) and was in a size 12 clothes. Because of the additional weight loss, we are planning additional skin resection from the abdominal area.

This 35 year-old woman is a hair stylist. She had a laparoscopic gastric bypass13 months prior to having plastic surgery. She lost about 160 lbs. Her weight going into this surgery was about 215 lbs and a BMI of 35. Three weeks after having a lower body lift, her weight was 204 lbs. You will notice that she no longer has a belly button. This was discussed before the surgery and the difficulty in keeping it due to the excessive stretching. She preferred to simply remove it if there were any concerns. Six weeks later, she had an arm lift, breast lift, and resection of the excess skin along the lateral chest. This required a length-wise incision from her armpit to the waistline. Six weeks after this procedure, she had an inner thigh left. This surgery produced a minor complication when the incision separated slightly in the upper thigh area. This healed with local wound care. She also had some thickening of the scar along the lateral chest wall area. Nine months after initiating the surgical process, the patient weighed 178 lbs (BMI is now 28) and was in a size 12 clothes. Because of the additional weight loss, we are planning additional skin resection from the abdominal area.

This 35 year-old woman is a hair stylist. She had a laparoscopic gastric bypass13 months prior to having plastic surgery. She lost about 160 lbs. Her weight going into this surgery was about 215 lbs and a BMI of 35. Three weeks after having a lower body lift, her weight was 204 lbs. You will notice that she no longer has a belly button. This was discussed before the surgery and the difficulty in keeping it due to the excessive stretching. She preferred to simply remove it if there were any concerns. Six weeks later, she had an arm lift, breast lift, and resection of the excess skin along the lateral chest. This required a length-wise incision from her armpit to the waistline. Six weeks after this procedure, she had an inner thigh left. This surgery produced a minor complication when the incision separated slightly in the upper thigh area. This healed with local wound care. She also had some thickening of the scar along the lateral chest wall area. Nine months after initiating the surgical process, the patient weighed 178 lbs (BMI is now 28) and was in a size 12 clothes. Because of the additional weight loss, we are planning additional skin resection from the abdominal area.

This 46 year-old school teacher had laparoscopic gastric bypass. She lost 75 lbs after her surgery. Her weight on initial consultation was 180 lbs with a BMI of 33. She had several areas of concern so the approach was to be staged. Since she was a teacher, the procedures were done during the summer months. We did the brachioplasty in the first stage. She had no complications from this procedure. The following summer, she had an abdominoplasty and inner thigh lift. We also performed liposuction of the inner and outer thighs, and the abdomen. Approximately 2300cc of fat was removed during liposuction. Again, the patient had no complications. We did remove a sebaceous cyst along the incision of the groin 7 months following surgery.

This 53 year-old woman was 2 years out from a laparoscopic gastric bypass. She had lost 105 lbs over that time period. Her presenting weight was 179 lbs, a BMI of 30. She had several areas she wished to address including her facial sagging, legs and thighs, the abdomen, and her lack of breast volume and shape. Given the multiple areas involved, we addressed this in a staged process. She had an abdominoplasty and medial thigh lift for the initial procedure. Eight days later (I would now suggest waiting longer between stages), she had bilateral brachioplasty and a breast lift with augmentation(enlargement). Then implants were 350 cc for each side. We completed the “makeover” with a facelift, browlift, and upper and lower eyelid blepharoplasty (eyelid lift). Her only complication was from her inner thigh lift. She had a small fluid collection drained in the operating room (during her facelift procedure) and it did require local wound care to heal. No scar revision would be needed.

Massive Weight Loss Patient: This is a 42 year-old school teacher who lost 100 lbs. with diet and exercise. Her present weight is 158 lbs. and a BMI of 30. Her initial procedure was an abdominoplasty and bilateral breast lift. About 11 months later, she completed the lower body lift and also had an inner thigh lift. She had no complications from any of her surgeries.