First Stage: Metabolic Stabilisation and Active Weight Loss Period O0I12 monthsP

Rapid weight loss (8-12 kg/month) is seen in the first three months, followed by slower weight loss (3-5 kg/month) over the next nine months. During this period, a high protein intake (at least 90g per day), regular vitamin supplementation (B12, D3 and iron) and a balanced exercise programme are required. 3-4 strength training sessions per week and daily cardiovascular activity are recommended. Maintaining serum albumin levels above 3.8 g/dL is important.

Second Stage: Dermatological and Nutritional Optimisation O12I18 monthsP

There are three main criteria for aesthetic surgery: BMI below 30 kg/m², stable weight (±2.5 kg) for the last 6 months, and optimal blood values. During this period, the plastic surgeon evaluates skin thickness and tightness using ultrasound. Factors such as rectus diastasis, umbilical descent, arm laxity and breast ptosis are considered in the surgical planning.

Third Stage: MultiIStage Reconstructive Plan O18I24 monthsP

Aesthetic surgeries are performed sequentially: first abdominoplasty (tummy tuck), followed by brachioplasty (arm lift) 16 weeks later, and mastopexia (breast lift) 12-16 weeks after that. Smoking must be stopped 6 weeks before each surgery, and blood thinners must be discontinued 3 weeks prior. Smoking use prolongs healing time and increases the risk of complications. The surgical costs range from 200,000 to 350,000 TRY, and some private insurances may provide partial coverage.