There is a lot of information on my website about Plastic Surgery after weight loss with a whole section dedicated to post-bariatric procedures and many before and after photos.  You may find the information helpful.  You can also download a copy of my patient guide to body contouring.

All the best,

It seems that you had selected the right Plastic Surgeon and he he had done his best;  considering a difficult and challanging cir****tance.   

The LBL and the vertical thighplasty procedures are rarely influenced by one another.  That means you can do one or the other first or combine them in one setting.  I sometimes do the vertical thighplasty first with another procedure.  I then perform a LBL with a Spiral Thigh Lift during the subsequent procedure. 

The vertical thighplasty is a reductive procedure.  It reduces the circumferance of ur thigh only.  The Spiral thigh lift is a complete lift.  Together with a LBL, it lifts the outer, front, inner, and back of ur thigh.  All weight loss patients will need a thigh lift.  Some will benefit from a reductive vertical thighplasty in addition. 

To learn more about Post-bariatric Plastic Surgery Procedures, you may download my complimentary booklet at www.plasticsurgerybodycontouring.com/b/  or visit my website at www.plasticsurgeycal.com

The decision to have TT or LBL really depends on what you want and the shape that you are trying to achieve.  If you have a moderate degree on waist tissue laxity, you really will need a LBL to get outer thigh lift and an hour-glass look.  To learn more, you can downlaod a complimentary copy of my guide to post-bariatric surgery at:

www.plasticsurgerybodycontouring.com/b/




 

There is a whole section of my website allocated to different post-bariatric plastic surgery procedures, including the newer techniques specific to weight loss patients.  Also, you can read about recovery after Body Lift under patient resources, and preparation for surgery and nutritional optimization under learning section....

See www.plasticsurgerycal.com

You can also download a copy of my patient guide to post-bariatric body contouring at www.plasticsurgerybodycontouring.com/b/

Regarding your choose for plastic surgeon, look for
- Board certification in Plastic Surgery
- Specilization in Post-bariatric Plastic Surgery
- Publications in the field of Post-bariatric Plastic Surgery
- But most importantly, look at his/her gallery- look for experience and results.  This is the most important assessemnt since what you see is what you get...

To see my gallery, view:

http://www.plasticsurgerybodycontouring.com/index.php/gallery/post-bariatric/

I start all my patients on ProCare nutritional supplementation.   This is because most patient will have deficiency of protein, amino acids, vitamin A, C, B1, B6, B12, folate, iron, zinc, selenium and a few other vitamins that are not so important.  I reviewed this topic in a recent publication for Plastic Surgery Journal titled: Nutritional Deficiencies of Post-bariatric Body Contouring Patients: what every plastic Surgeon must know.  You can read the abstract on my site: http://www.plasticsurgerybodycontouring.com/index.php/learning-center/articles-booklets/

All the mentioned vitamins are important in boosting your immue response and for optimal healing.  See: http://www.plasticsurgerybodycontouring.com/index.php/plastic-surgery/post-bariatric-body-contouring/consultation/

This is the subject of my follow up publication in Plastic Surgery Journal that came out in December.  The reality is that the doses needed for optimal healing are much higher than a standard multi-vitamin.  The doses needed can be up to 10 X higher.  In my pratice, I have been able to reduce my patient's complication rate by 1/2, using ProCare nutritional supplement.  This product is specifically formulated for the post-bariatric body contouring patient.  See http://www.plasticsurgerybodycontouring.com/index.php/learning-center/enhanced-recovery-after-surgery/



Best wishes,


www.plasticsurgerybodycontouring.com

Is this a Board Certified Plastic Surgeon?

If so I would try to talk to him on the phone and email him pictures.

If you do not succeed, you can always report him to the medical board and also American Society of Plastic Surgeons?

Various procedures including bra-line upper body lift are covered in my Patient Guide to Post-bariatric Plastic Surgery.

You can download it at:

www.plasticsurgerybodycontouring.com/b/

Yes.  Most PSs completely miss the point.  The point being that the female body has many curves that need to be restored after a Body Lift.  A LBL will flatten your butt no matter how big your butt is?  Also in many cases the butt. is large as a result of a lower back/hip roll not that it is large itself.  The butt becomes flat and wide after weight loss.

See my gallery to view some of the patients who appear to have a large butt pre-operatively.  After buttock recoutouring, the butt width is decreased and projection is enhanced.

http://www.plasticsurgerybodycontouring.com/index.php/gallery/post-bariatric/

There is really not much of a choice.  If you are post-bariatric, your mammary fold and skin will not keep an implant in place for a long time.  The best option is internal reconstruction of the mammary fold to reinforce it and then implant placement under the muscle. Most people will require a breast lift and the best one designed for post-bariatric patients is the "Dermal Suspension Mastopexy" pioneered by Peter Rubin and myself. 

For more information on various post-bariatric procedures and photos, see:

www.plasticsurgerybodycontouring.com/b/


 

The medial or inner thigh litf is the standard thigh lift procedure that is performed by most Plastic Surgeons.  However, in my opinion, it underserves the post-weight loss patient.  Thus I do my signature Spiral Thigh Lift procedure  for the post-bariatric patient.  This procedure lifts the back, inner, front and outer aspect of the thigh. The procedure starts at the back of the thigh in the butt crease under your butt and extends at the groin crease.  The butt crease and the groin crease are then meticulously reconstructed (extremely important since otherwise you will see the scars through underwears.  To look at a reconstructed groin crease after thigh lift, see:

http://www.plasticsurgerybodycontouring.com/index.php/plastic-surgery/post-bariatric-body-contouring/thigh-lift/

Look at my post bariatric gallery.  Every patient has had the Spiral thigh lift.  If you do not see the scar, it is beacuse it is well placed and reconstructed.

Finaly look at the pictures that were just put up by one of my patients.  She had a lower body lift, buttock augmentation and Spiral thigh lift. 

http://www.obesityhelp.com/member/totalfreedom/

You will notice her scars under her new butt., but the inner thigh scars are well covered in an underwear.  The way it should be.   I can tell you that her groin incisions also look very good.  Plz ask her.

You have to understand that a LBL and thigh lift is a lot of work.  Most Plastic Surgeons are not trained to do these procedures well, especially the tight lift.  Thus they would sell you A BA and TT instead.  Only the one who is offering you the LBL and thigh lift is being completely upfront with you.  That is eaxactly what all my patients want and get + Buttock augmentation with their own tissue.  Understand that the female physique embodies the true sense of a 3-D form.  If you want to get the best results, an hour glass look with curves in front, sides and back, then you really have to get the buttock augmentation, LBL, and thigh lift.  All the rest is just a half ass job....

Again, pictures say a thousand words...

If you send me an email, I can email you a copy of my High-Definition Body Lift publication.  You can reach me at [email protected]. 

Good luck,