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I have lost 107 pounds in the last two years (naturally, by dieting). I now have very...

Q:

I have lost 107 pounds in the last two years (naturally, by dieting). I now have very serious loose skin especially in the abdominal area. My breasts are also still very heavy with a bra size of 36DDD. Would it be better to have a breast lift or reduction? Would a tummy tuck take care of the abdominal loose skin and can they liposuction the back in the love handle area? Can both the breasts and tummy be done at the same time?

A:

With a loss of 107 pounds, the abdominoplasty is most likely the procedure of choice. It can be combined with liposuction of the hips and back. It is possible to combine a breast reduction or lift with this operation, however, we have to evaluate and balance the risk of a longer and more extensive operation with the benefit of a one stage procedure. The choice of mastopexy versus a breast reduction depends on the size of the breasts desired by the patient. A consultation with a board certified plastic surgeon will answer all of your questions in a specific way. Every patient is unique and requires a specific tailored operation.

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