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250 pound weight loss and part 2 of her extreme makeover journey 🔥💪🏼
Stage 1 focused on her trunk transformation with a lower body lift, FDL, upper back lift, upper body lift, and breast lift. Now she returns for the next stage… arm lift extending into the forearms, thigh lift extending toward the calves, reverse tummy tuck, and breast augmentation 👙✨
One of the biggest mistakes in massive weight loss surgery is making scars too short just to “hide” them while leaving behind loose skin. In patients like this, customization matters. Every incision is designed around where the excess actually exists — not around arbitrary scar lengths.
We routinely see revision patients who had an “arm lift” where the scar stopped in the armpit despite significant forearm skin excess… or thigh lifts where the scar never extended past the knee even though loose skin continued far below it. Unfortunately, those patients often end up needing the entire surgery redone because the problem was never fully addressed the first time.
That’s why her arm lift extends into the forearms and her thigh lift continues much farther than standard techniques. Extreme weight loss requires a completely different level of planning, experience, and understanding of body contouring 🔥
These complex multi-stage transformations are something we routinely perform in our practice. Massive weight loss patients deserve more than a standard operation. They deserve a surgical plan built specifically for them 🙌🏼
Info in bio. Scheduling consultations in 2026 ✨
#MassiveWeightLoss #BodyContouring #ExtremeMakeover #PlasticSurgery
🔥 65 years old… and an incredible result 🔥
This is exactly why I say age alone doesn’t determine outcomes—execution does.
After significant weight loss, her goal was to feel like herself again—more lifted, more defined, and balanced. We performed a drainless mommy makeover including:
✨ Breast lift (no implant)
✨ Tummy tuck with high-definition contouring
✨ Fat transfer to the hip dips
✔️ No drains
✔️ No complications
✔️ Smooth recovery
She did extremely well—and that’s not by accident. Patients in their 60s can do very well in the right hands with the right plan. It’s about patient selection, surgical technique, and doing things the right way.
Now she’s back to living her life with a result that matches how she feels 💫💪
Info in bio. Scheduling consultations in 2026.
#mommymakeover #bodycontouring #plasticsurgery #breastlift
🔥 Bespoke breast augmentation… it’s the details 🔥
She already had a good shape—just wanted about +2 cup sizes while keeping it natural.
I performed a subfascial augmentation, but just as important was addressing the bra roll with liposuction. It’s one of the most overlooked areas and can completely distract from the result if not treated. I see it all the time in prior surgeries.
Not just bigger—better, more balanced. 💫
Info in bio. Scheduling consultations in 2026.
#breastaugmentation #plasticsurgery #bodycontouring #breastsurgery
Thinking about arm liposuction? Be careful.
This patient came to me after aggressive lipo caused contour deformities and loose, unsupported skin.
Once this happens, it’s irreversible.
We can improve it—but often only ~50% better, not perfect.
At this point, it requires an arm lift ± fat grafting just to restore shape.
Arm liposuction should almost never be done alone.
If it’s part of an arm lift plan, it has to be done correctly—or it can create permanent deformity.
Same principle everywhere in the body—
we need a layer of fat. Removing too much can be a catastrophic mistake.
Choose carefully.
💪🔥
Scheduling consultations in 2026. Info in bio.
#ArmLift #LipoRevision #BodyContouring #PlasticSurgery
Why the Front Needs a Plan
Most patients come in asking for a tummy tuck…
But not every abdomen should be treated the same.
One of the biggest reasons we see so many revisions is because the wrong operation was done the first time.
So we built an objective system to decide what each patient actually needs — based on real measurements, not guesswork 📏
We’re looking at vertical and horizontal skin excess, tissue quality, and how the entire abdomen will contour — not just how it looks lying flat.
That’s how we determine whether someone truly needs:
👉 a standard tummy tuck
👉 or a more advanced approach like a vertical component
Because if you ignore those factors, you end up with:
❌ persistent upper abdominal fullness
❌ poor contour
❌ results that never quite look right
That’s where a lot of our revision patients come from.
This is the front side of the transformation — precise, planned, and tailored to the patient 🔬
Done right, this is where you get:
🔥 a flat, defined abdomen
⭐️ smooth contour from top to bottom
💪 results that actually last
No guessing. Just the right operation for the right patient.
Scheduling consultations in 2026. Info in bio.
#TummyTuck #BodyContouring #PlasticSurgery #360approach
Why the Backside Matters
Most people think they need a tummy tuck…
But what they actually need is a lower body lift.
If you’re not addressing the backside — the buttocks, hips, and outer thighs — you’re missing a huge part of the result 👀
This is the modern lower body lift 🔥
A drainless, 360° approach that combines skin removal, liposuction, and contouring to lift and reshape the entire backside — not just flatten the abdomen 💪
We’re lifting the butt 🍑, tightening the outer thighs, reshaping the hips, and cleaning up the lower back — all at the same time 🔄
It’s the most powerful body contouring procedure we have… and honestly, a large percentage of patients I see benefit more from this than a tummy tuck alone 📊
Because treating the front without the back never gives you a complete result ❌➡️✅
🔥 360° reshaping
🍑 real lift
💪 complete contour
⭐️ balanced results
Scheduling consultations in 2026. Info in bio.
#LowerBodyLift #360Lipo #BodyContouring #plasticsurgery
🔥 Lift. Shape. Support. — Without Going Bigger 🔥
One of the most common requests we hear:
👉 “I want them lifted and reshaped… but not bigger.”
That’s exactly what we did here.
✔️ Breast lift + reduction FIRST to create symmetry and remove excess tissue
✔️ Bespoke subfascial augmentation to restore volume and refine shape — not oversize
✔️ Mesh internal bra for long-term support and stability 💪
✔️ Bra roll liposuction to refine the surrounding contour
💡 The key most patients don’t realize:
We often reduce before we augment — this allows us to reshape the breast and then use the implant to restore volume strategically, not just make them bigger.
This is how you get a lifted, balanced, long-lasting result… without oversizing.
📍It’s not about going bigger — it’s about getting it right.
Scheduling consultations and surgeries in 2026. Info in bio.
#BreastLift #SubfascialAugmentation #InternalBra #NaturalResults 🔥✨💪
Massive weight loss is only part of the story… this is how you actually finish it.
This was a 2-stage male transformation — not just removing excess, but rebuilding an athletic physique.
Stage 1:
➡️ Lower body lift
➡️ High-definition tummy tuck
➡️ 360 lipo + BBL
Stage 2:
➡️ Arm lift
➡️ Outer chest lift
➡️ Chest reshaping with free nipple grafts
The key with men is different.
You can’t rely on clothing to hide anything… so scar placement has to be precise. Clean, low, and intentional — because it’s all visible.
The goal here wasn’t just smaller… it was athletic:
💪 Defined waist
💪 Sharper chest contour
💪 Tight, clean arms
💪 Balanced from every angle
And all of this was done drainless using my lymphatic-sparing technique — which has completely changed recovery and complication rates in these bigger cases.
This is the difference between just removing skin… and actually reshaping the body the right way.
Scheduling consultations in 2026. Info in bio.
#MaleMakeover #BodyContouring #MassiveWeightLoss #Drainles
🔥 Dual Tuck™. Total Transformation. 🔥
This patient is just 3 months postop — and this is exactly why the details matter.
She started with a very square body shape, one of the most challenging body types to contour.
👉 Limited natural waist definition
👉 Upper + lower abdominal fullness
👉 Requires true reshaping — not just skin removal
💡 Why Dual Tuck™?
This is a great option for patients who:
➡️ Don’t have the typical amount of excess skin for a standard tummy tuck otherwise needing a vertical incision below the belly button
➡️ But still have looseness above the belly button — often seen as skin hanging over the top, creating that “frown” appearance
➡️ A mini tummy tuck simply won’t address this
That’s exactly where this approach fills the gap.
✔️ Full tummy tuck + true reverse tummy tuck
✔️ No incision around the belly button
✔️ No downward pull or distortion of the belly button
✔️ High-definition liposuction to sculpt and define the waist
✔️ Skin removal above and below for complete tightening
💡 The goal: create shape where it didn’t exist — not just make things flatter.
And we didn’t stop there…
✔️ Lower body lift for 360° contouring
✔️ BBL to build projection and curves 🍑
✔️ Breast reconstruction with fat grafting for natural balance
At just 3 months, you’re already seeing a dramatic shift from square → contoured — and this will continue to improve.
Scheduling consultations and surgeries in 2026. Info in bio.
#DualTuck #TummyTuck #BBL #BodyContouring 🔥✨💪
Quick golf trip with the guys ⛳️🔥
Still getting work done—but mixing in some competition, great conversations, and time with friends makes it worth it. Best kind of reset.
Already looking forward to the next one.
Choosing a plastic surgeon isn’t about convenience or price.
There are 2 things that actually matter:
👉 1. An expert in ALL areas
You want someone who truly understands breast and body — not just one or the other.
Why that matters:
Because the best results come from the right recommendations… not just doing what a patient asks for.
A surgeon with full-body expertise can guide you toward what you actually need — not just what you think you need.
👉 2. Technical execution
This is everything.
You can have the right plan… but if it’s not executed at a high level, the result falls apart.
💡 The reality:
Better surgeons give better recommendations — and they have the skill to deliver on them.
That’s why patients travel from all over to see us.
🔥 Results aren’t random. They’re built on expertise + execution.
Scheduling consultations and surgeries in 2026
Info in bio
#plasticsurgery #bodycontouring #breastaugmentation #mommakeover
🔥BESPOKE BREAST AUGMENTATION🔥
380cc subfascial breast augmentation — this is how we do it 👙✨
This is a bespoke operation. I’m not just placing implants — I’m designing custom cleavage and shaping the entire result based on your anatomy.
💡 Why subfascial:
👉 Less pain than submuscular
👉 Faster recovery — patients are up and moving quickly
👉 Implants sit close to ideal position immediately (no long “drop and fluff”)
💡 Skin matters:
• Tight skin → takes a little longer to fully soften and settle
• Looser skin → implants fall into position earlier
💡 It’s not just the breasts:
In select patients, I’ll add liposuction of the bra roll to accentuate the result
→ Better side contour
→ More defined cleavage
→ A more sculpted, balanced look 🔥
💡 When I use mesh:
If the skin isn’t extremely tight, I’ll reinforce with mesh 💪
→ Helps maintain position
→ Improves long-term support
→ Protects the result
This is about precision and experience — creating a result that looks right from day one and holds up over time.
⭐️ Custom cleavage. Faster recovery. Better positioning.
Scheduling consultations and surgeries in 2026. Info in bio.
#BreastAugmentation #Subfascial #PlasticSurgery #StLouis

