All at opnce or one at a time?

 

 

I have multiple areas that need fixing after losing 245 pounds. 

1: Thighplasty with lipo ( this is the part of my body I dislike the most)

2. brachioplasty

3 mastopexy with augmentation (I have no fat tissue in my breasts anymore, only a small amount of glandular tissue consistent with my age and hormonal status (11 years post-menopausal, non-surgical early menopause)

I don't know if you'll find a surgeon that will do those all together. They tend to stick to one half of the body upper/lower so you're not completely incapacitated.

Dr.Sauceda in Mexico

I strongly suggest not to do these together. I would question any surgeon who would. 

1. Thighplasty, I assume you mean a medial thigh lift, is a very complicated procedure that often doesn't go off without complications (according to surgeons' comments on Real Self). It is a painful procedure for most patients.

2. You need either your thighs or your arms for mobility, so combining these operations may not be a good idea.

3. Breast implants and lift are often combined but there is an increased risk for nipple-aereola complex (losing the nipple) in post bariatric patients. The problem is that mastopexy and augmentation with implants are two completely different operations that do different things, have their own set of complexities, and tend to work against each other when done at the same time. It is much harder to predict/control the result and balance all the complexities to avoid the need for a revision if the two procedures are done at the same time. Many surgeons will perform the lift first and the implants later.

 

My guess is that you can stage this as two surgeries - thighplasty and mastopexy, followed by brachioplasty and augmentation... of course I'm not a surgeon nor do I play one on the Internet.

Congrats on your weight loss!!!!!!!! I got your PM but cannot reply to it until an issue with my PM is resolved. 

Yes, I'm talking about medial thighplasty, since that's the worst part of my skin/fat deposit area. The lowest I can go weightwise is 170 pre-op.  I'm at 182 today, and I bounce around between 175 and 185, depending on fluid intake, which is quite a lot on a daily basis - about two gallons.

There is absolutely no fat  in my breasts.  They look like tube socks with tennis balls in them, and that's just the glandular tissue, which has shrunk, since I'm post- menopausal. My upper arms are truly "wing flaps"!

I was planning on checking into a nursing/rehab center for wound care and rehab in walking, reaching, etc.

 

I have been researching the medial thigh lift - OMG mine are the worst - and several women responded that they had to have this procedure stages or revised. So two surgeries not one... 

Curious does the increased fluid intake put you higher or lower on the scale?

As for boobs, I swear by Victoria Secret Very Sexy Extreme Lift Bras - well worth the $50 - my boobs look spectacular ****il I take my bra off)... my surgeon even confirmed that. That is not to say those were his words of course, but I told him you would never know that I need breast lift/implants when I have my bra on and he emphatically agreed. Then he apologized for telling me that I have ptosis... ugh! Moment of pride gone in a flash, hahahaha!

Oh Lord won't you buy me a new pair of boobs... I picked out some really hot ones from my surgeon's website and sent to him, "This is exactly the look I want to achieve." Fingers crossed!

Don't overlook areola reduction when you get your lift. 

Congratulations on your weight loss!  I would definitely break these surgeries down if it were me.  I like to have something functioning without pain either up or down.  Also, I think that you get a better repair doing them separately so that the PS can concentrate on one area at a time without being all over the place.

I can see how that would yield a better repair, since the surgeon would not be racing against the clock to get it all done, and I would need to move some!

Thanks for the advice!

I am in the same boat as you are... I need exactly what you are talking about! I am trying to get legs and arms together and have found 3 so far that will but most say no. The only one who will do all that work together that I know of is Dr.S from Mexico.... I am tempted but the whole in Mexico scares me

Yeah...I'm pretty scared of  Mexico, too,  since I speak no Spanish, and my one relative who does, (Cuban) has moved to Florida to be with my cousin!

I would not be a cash patient, since this is part of my disability, and insurance would be paying.  I would have to change insurances for this surgeon, since he doesn't work with mine.

I guess I just have to use what's available, and pray a lot!