This procedure leads to a dramatic decrease in the overall volume of the body, especially the mid-section.
Lower Body lift (or circular dermolipectomy or belt lipectomy) is a procedure designed to remove excess skin on the abdomen, buttocks and thighs. The remaining skin is tightened. Any excess fat isremoved by liposuction at the same time..
Guidelines for the procedure
Basically, the objective is to remove a 20 to 25 cm strip of skin from around the body at the waist. The procedure is performed in two phases of equal duration :
- the first phase with the patient lying on their stomach is to treat the hips, buttocks and sides of the thighs ;
- the second phase with the patient lying on the back is to treat the abdomen, pubis and upper thighs.
These two phases are usually performed during the same procedure but they can also be done several months apart to reduce the enormity of the procedure.
The procedure begins with liposuction of the hips and saddlebags with the patient lying on their stomach. The excess skin is then removed and the skin of the buttocks and sides of the thighs is stretched upwards.
Depending on the case, the volume of the buttocks can be increased by using the fat located on the hips. This hip fat is remodeled to be used as prosthesis.
In case of excess skin on the outside of the thighs, a complementary vertical incision along the outer aspect of the thighs can be performed to further improve the result of the silhouette (complementary lateral bodylift).
Whilst the patient is lying on their back the surgeon performs another liposuction session (abdomen, pubis, upper thighs). Then at the end of the procedure an abdominoplasty is performed to remove excess skin and tighten the skin of the abdomen, pubis and upper thighs.
The patient is then turned over onto their back on the operating table while under anesthesia.
The body lift is performed under general anesthesia. The duration varies between 4 to 6 hours. Hospitalisation ranges from 4 to 6 days.
Although quite invasive this procedure is not usually very painful.
The fatigue and recovery phases however are longer than after other types of plastic surgery. If the fatigue is too serious, a blood transfusion may be administered. To reduce the likelihood of a blood transfusion, the anesthetist will suggest iron treatment before surgery and depending on your hemoglobin levels.
A daily anticoagulant therapy will be prescribed for 8 to 10 days to reduce the risk of developing complications.
Complete healing is achieved within 2 to 3 weeks. The dressings are semi-permeable, therefore showers are allowed.
Special dressings will need to be applied to the scars, even after healing, for 2-3 months to improve their appearance.
Wearing a compression belt is recommended 24 hours a day for 1 month to reduce bruising and improve comfort.