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Gwen M.
on 11/27/18 6:19 am
VSG on 03/13/14
Topic: RE: What PS would you (or did you) have first?

I think the two key factors in deciding order and combinations are a) what your surgeon will do and b) what annoys you the most. :) My surgeon was the same as Erin's, so the same concerns of time and suture direction pull.

In your case, it seems like doing the LBL (which, yes, tends to include diastasis recti repair and mons lift, but ask your surgeon to be sure!!) and breast lift first would make sense for you - would you be doing lift only or lift + implants?

I did LBL + brachioplasty; UBL + mastopexy; medial leg lift. Five procedures in three surgeries.

In terms of mobility, from most mobile to least mobile, I'd rank the procedures like this: mastopexy, UBL, brachioplasty, LBL, medial leg lift.

In terms of pain, from least painful to most painful, I'd rank them like this: mastopexy, UBL, brachioplasty, medial leg lift, LBL.

When you're planning combinations with your surgeon, keep in mind that the three things you use most to move, especially for transitions (prone to sitting to standing), are your arms, your core, and your legs. Taking more than one of them out of commission at any one time can be challenging. :)

I, personally, had no problem doing LBL and arms at the same time, but there's no way I'd combine legs with LBL or arms!

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

sonnieN
on 11/27/18 5:53 am - grand rapids, MI
Topic: RE: What PS would you (or did you) have first?

I had the LBL and arms done at the same time. 2nd was thighs and BL w/ implants. My surgeon wouldn't do the thighs and LBL together or the BL w/ the LBL. So he kind of dictated the combination. I probably would do the LBL first and see what your surgeon recommends to go along with that.

Erin T.
on 11/27/18 3:00 am
VSG on 01/17/17
Topic: RE: What PS would you (or did you) have first?

If you talk to a surgeon they will tell you which procedures can be safely combined. I know my surgeon took into account both the duration of surgery (he wouldn't operate more than ~11 hours) and also the way the incisions pull on the body (ie: you wouldn't want them pulling opposite directions, as you're more likely to have issues with openings).

I had my LBL and BL during the same surgery. In my case, I did not have any other surgeries. I know other people have combined the arm lift with the upper body/BL before. I also personally think that combining the thighs with pretty much anything else is insane since that seems to be the hardest procedure to recover from.

VSG: 1/17/17

5'7" HW: 283 SW: 229 CW: 135-140 GW: 145

Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9-M13: 15-ish

LBL/BL w/ Fat Transfer 1/29/18

Au_Contraire
on 11/26/18 8:43 pm
Topic: What PS would you (or did you) have first?

Hi all! I am within 7 pounds of transitioning to maintenance. I feel and look sooooo much better than before my RnY! What a tremendous gift to myself that surgery has been!

However, the reality is that as of today I've lost 218 pounds (yay!), and that simply doesn't happen without leaving behind extra skin. I would like to have a LBL, a thigh lift, a tummy tuck/mons lift (though I think that's part of a LBL, right?), a breast lift, an arm lift, and a face lift.

I've been trying to figure out which of these areas bothers me the mosta. Since my arms can be easily covered and my thighs can be too, those are ok for me to not have first. I don't have a horrible degree of abdominal sag, considering how much I've lost, but some does exist, and it's visible in slacks as a bit of poochiness between crotch and waistline; I want that gone and flat, flat, flat. I also really, really want a breast lift and more fullness to be restored to them. Fat or thin, I always had a pretty amazing bust. Not now though, and I miss the girls! So I'm leaning towards having those two procedures done first.

I know that in some cases multiple procedures can be safely done at the same time, depending on a variety of factors.

For those like me who are or were considering having multiple surgeries, what did you decide to have done first, and why?

Kelly M.
on 11/25/18 5:32 pm - TX
Topic: RE: Lower face/Neck lift- Before/ After

Oh Thank you so much.

Kelly in Texas   Gastric Bypass   Oct 15 2012  

MarinaGirl
on 11/25/18 5:22 pm
Topic: RE: Lower face/Neck lift- Before/ After

You look GREAT! What a wonderful result!

Kelly M.
on 11/25/18 10:45 am - TX
Topic: RE: Lower face/Neck lift- Before/ After

Thank you so much!

Kelly in Texas   Gastric Bypass   Oct 15 2012  

Laura in Texas
on 11/25/18 10:44 am
RNY on 09/17/08 with
Topic: RE: Lower face/Neck lift- Before/ After

You look fabulous! Thanks for sharing.

I hope to get a facelift/neck lift someday.

Laura in Texas

53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)

RNY: 09-17-08 Dr. Garth Davis

brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco

"May your choices reflect your hopes and not your fears."

Kelly M.
on 11/25/18 7:41 am - TX
Topic: RE: Update

Thank you.

Kelly in Texas   Gastric Bypass   Oct 15 2012  

Kelly M.
on 11/25/18 7:15 am - TX
Topic: RE: Lower face/Neck lift- Before/ After

Thank you!I feel so much better about myself. My surgeon is Dr Standefer! I would do it all over again.

Kelly in Texas   Gastric Bypass   Oct 15 2012  

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