When it comes to weight loss trunk contouring, one of the most common questions patients ask is whether it’s better to perform the procedure in one stage as a circumferential body lift or break it up into two stages: an extended abdominoplasty with a pubic lift followed by a posterior lower body lift. With over 20 years of experience in this field, Dr. Douglas Forman, a leading plastic surgeon at the Plastic Surgery Institute of Washington, performs these procedures weekly and provides valuable insights on both approaches to help guide patients toward the most suitable option.
The Single-Stage Approach: The Circumferential Body Lift
In the past, when patients had the option to stay in the hospital overnight, a circumferential body lift was often performed in one stage. This technique allows for a continuous line of contouring, addressing both the abdominal area and the lower body in one procedure. The benefits of this method include quicker recovery and a more unified result, which many patients find appealing.
However, in an outpatient setting, where patients typically don’t stay overnight, the single-stage circumferential body lift comes with its challenges. The main concern is the potential difficulty with postoperative positioning. After such an extensive procedure, patients may struggle to find a comfortable position during recovery, which can affect the overall outcome. Additionally, the tightness and contouring achieved may not last as long as desired, as the body can sometimes compensate in ways that diminish the final result.
The Two-Stage Approach: Extended Abdominoplasty and Posterior Lower Body Lift
Today, due to advances in medical care, safety concerns, and financial considerations, most massive weight loss trunk contouring procedures are performed in two stages. This approach not only enhances safety but also maximizes the chances for a more satisfying long-term result.
The first stage typically involves an extended abdominoplasty with a pubic lift, targeting the front of the body. The second stage focuses on a posterior lower body lift, addressing the back and lower sides. By splitting the procedure into two stages, patients can recover more comfortably and manage the stress placed on their bodies more effectively. It’s also a more affordable option for patients, as the cost of hospitalization for a one-stage procedure can be prohibitively expensive.
Achieving a Continuous, Balanced Result
One of the main goals in both approaches is to create a continuous, smooth line of contouring. Even when the procedure is performed in two stages, the goal is to achieve the same seamless result that would occur in one stage. If there are any contour irregularities or scar issues after the first stage, they can be addressed in the second stage, ensuring the final result meets the patient’s aesthetic goals.
The Bottom Line: Safety and Satisfaction First
While both approaches have their merits, safety and long-term results should always be the primary consideration. By opting for two stages, the risks associated with massive weight loss trunk contouring are minimized, while still achieving beautiful, lasting results. As with all cosmetic surgeries, the best decision will depend on the patient’s unique body, goals, and circumstances, and Dr. Forman is available to guide patients every step of the way.
To learn more about the options available for body contouring after weight loss, patients are encouraged to schedule a consultation at the Plastic Surgery Institute of Washington. With over two decades of experience in performing these procedures, Dr. Forman provides personalized advice to help achieve the best possible outcome.
Contact the Plastic Surgery Institute of Washington today to learn more about weight loss trunk contouring.
