I prefer to do these operations in stages to keep the wound complications to a minimum. These are the operations we do on patients who have succeeded in losing large amounts of weight.
For the lower body lift, my preferred technique is to do an extended tummy tuck and then at a second sitting do a buttock lift (if the patient wants the full effect). This interrupts the circulation less than the full “around the body incision” that is required when the operation is done all at once.
These are very cool operations, but take time and frequently need “touch ups.” They are becoming a larger part of my practice.