Multiple Surgeries Following Weight Loss

After dropping 50+kg, I am needing a few surgeries. Tummy Tuck Thigh Lift Arm Lift Breast Lift with some fill Some lipo possible also. I have had 1 appointment with a surgeon who agrees with what I want done. Time is my issue. I am wanting to speak with a surgeon who will perform all of the surgeries over a few days, or use 2 surgeons during the same theatre time (I have a friend who is having this done in WA, but I don't really want to travel). Full private health, and some (fingers crossed) will be Medicare applicable due to the weight loss issues. I have a period of time where my business pretty much stops for 4 weeks, so to be able to do it all then is ideal.

Honey Summer May 10th, 2016 NSW

  • Answer
     Pouria Moradi

    Pouria Moradi

    13 answers

    Plastic Surgeon
    New South Wales, Australia


    Thanks for sharing your story.Generally speaking most plastic surgeons are happy to perform 3 body parts in 1 operation with the help of an assistant.Should you want 4 body parts, i.e. breast, body, arms and thigh, then it is a good idea to have 2 plastic surgeons and 1 assistant.This is the safest and most cost effective approach.Dr Phoon and I do these together at East Sydney Private Hospital, here is a video of one we did last year for the show "Changing Faces"
    http://www.changingfacestv.com/episode-3/
    I hope this helps and good luck.
  • Answer
    Mr Dean Trotter

    Dean Trotter

    9 answers

    Plastic Surgeon
    Victoria, Australia

    Thanks very much for your question and well done on your weight loss.
    It seems like the issue for you is not so much what operations you want, but what is the safest way to do them.  That being said, if you've lost more than 50kg there may well be other operations that might be a good option for you and could change your plans.
    Body contouring procedures following massive weight loss are time consuming and there are limits to what the body can safely undergo.  Problems the may occur due to long operations, particularly hypothermia, bleeding, infection and deep vein thrombosis.
    Generally following massive weight loss achieving best results will require multiple surgeries.  Some combinations of surgeries work well together and others can increase the chance of complication, or mean that each procedure is compromised in order to try to reduce the risk of complications.  For example, a tummy tuck or body lift can increase tension on the upper thigh, potentially increasing the risk of healing problems if a thigh lift is performed at the same time.  Having 2 plastic surgeons performing your surgery won't change this risk so it is not really a question a time, more of what what the body is able to heal.
    Many patients elect to stage their surgery.  A common initial procedure is a body lift or tummy tuck plus a brachioplasty and/or breast reduction/mastopexy.  A secondary procedure may be thigh lift plus any revisional procedures that are necessary.   
    Staging the surgery several months apart allows everything to heal and scars and results to settle - making it more clear what revisions (if any) are necessary.  Whilst is technically possible to have the surgery staged over a few days, I believe that you are better to have two bigger operations separated by several months to allow the soft tissues to settle and full recovery after each procedure.
    My suggestion would be that you need to decide what parts of your body bother you the most.  Hopefully you can then plan a strategy to address as many of these issues in as few surgeries as possible, with the least risk of complications.
    Kind regards,
    Dean
  • Answer
     Gavin Sandercoe

    Gavin Sandercoe

    30 answers

    Plastic Surgeon
    New South Wales, Australia

    Hi Honey Summer
    Congratulations on your weight loss - good work. Your request is very reasonable if you have two surgeons working at the same time. Most plastic surgeons can arrange a colleague to help them out for a big case. Mak sure that you have your operation in a real hospital with a Specialist Anaesthetist who will look after you. Consider if one or two days in a proper Intensive Care Unit is important to you - it will help you choose a good hospital.If everything goes great, it would be fine to go to a normal ward. If anything went sideways during the operation, some time in ICU might be a safer option (I would want an ICU available as back up if I did everything in one day for you).
    Good luck on your transformation - it will be worth it in the long run!!
    Dr Gavin Sandercoe 
  • Answer
    Dr. Alex Phoon

    Alex Phoon

    26 answers

    Plastic Surgeon
    New South Wales, Australia

    Hi Honey,
    Firstly, congratulations on your weight loss. It is a massive effort to lose that kind of weight and real credit to you and your determination. From a medical point of view it is very common for abdominal and breast procedures to be performed at the same. Some people like to call these kind of procedures 'mummy makeovers' and the risks are really not that much worse than having those procedures in isolation.
    If you want to have thighs and arms done at the same time then studies have shown that the risks start to go up both with the operative time involved as well as the sheer number of areas being treated. Dr Moradi and myself like to reduce these risks by performing your surgery in a  2 team approach. This way the length of time is dramatically reduced and you also have the benefit of having 2 experienced surgeons looking after you.
    As Dr Moradi has stated below you can see a video of us performing this kind of surgery here http://www.changingfacestv.com/episode-3/. We also have multiple patients who have had this kind of journey that have offered to talk to other patients so that you have a patient's perspective on what to expect.

    Having 2 surgeons does help significantly but doesn't take away from the fact that it is still a big operation with both minor and major risks.  If you like you can call Christine our patient coordinator to make an appointment on 1300669488 and we can discuss it face to face.
    All the best,
    Alex 

  • Answer
    Dr. Raymond Goh

    Raymond Goh

    123 answers

    Plastic Surgeon
    Queensland, Australia

    Hi there. Thanks for posting your question.
    The main issues that patients need to realise when having multiple surgeries performed on different parts of their body simultaneously as part of body contouring after massive weight loss is the insult it has on the body and the time been under a general anaesthesia. The more procedures are combined, the greater the time of surgery and, similarly, the greater the degree of blood loss and risks of other potential complications, such as deep vein thrombosis, heart and lung issues, infection, and wound healing problems. Sometimes patients may even need to be admitted into the intensive care unit for the above reasons.
    Depending on your general health, it may be advisable to stage your procedures, focusing on the areas that bother you the most. Which operations are performed together will be a clinical decision that your surgeon will have to make after a thorough clinical assessment.
    All the very best.
    Dr Ray Goh



  • Answer
    Mr Kourosh Tavakoli

    Kourosh Tavakoli

    44 answers

    Plastic Surgeon
    New South Wales, Australia

    Dear Honey,

    Congratulations on your extravagant weight loss and thank you for posting.

    I perform many body transformation surgeries following weight loss however it is very important to consider safety before rushing into all procedures at once. Body contouring procedures can produce a lot of pain and swelling for the patient post surgery. All of these procedures require extensive cutting, and combined with the liposuction can put a lot of stress on the body during surgery and the recovery stages.

    To gain the best possible results and post operative skin tightening, sometimes it is necessary to do these procedures in stages to give the body and skin the best chance of healing and scarring without unnecessary complications.

    Kind Regards,

    Dr Kourosh Tavakoli
  • Answer
     Robert Drielsma

    Robert Drielsma

    191 answers

    Plastic Surgeon
    New South Wales, Australia

    Congratulations on your impressive weight loss.  Generally speaking, if you are in good health, its possible to combine multiple procedures.  In my practice, mummy makeover procedures typically include a tummy tuck and breast surgery in one procedure.  The more procedures that you have done at once, the longer the procedure and the longer you will be under a general anaesthetic.  The longer the procedure, the greater the risks and complications.  I would need to examine you to advise your best options but given your weight loss I would suspect Body lifting surgery is your best first option.   This procedure removes extensive loose skin from the tummy, side hips and buttock regions and takes around 7 hours.  I usually recommend bodylifting initially, followed by a combination of other procedures such as breast lifting and thigh/arm lifting at a second operation some 6 months later.