
Circumferential lower body lift
Circumferential lower body lift, also known as circumferential belt lipectomy, is effective for circumferential removal of excess skin and fat around the waist (abdomen and back).
It is usually performed after massive weight loss (achieved by diet or in patients undergoing bariatric surgery – gastric band, gastric bypass, gastric sleeve or others). Aging, sun damage, pregnancy, significant fluctuations in weight and genetic factors may contribute to poor tissue elasticity that can result in sagging of the abdomen, buttocks and thighs.
Lower body lift improves contour of the abdomen, back, buttock and thigh (posterior and lateral thigh). The result is a better-proportioned appearance with smoother contours. The procedure can also improve a dimpled, irregular skin surface. Liposuction can be performed simultaneously to remove excess fat deposits.
Technical points
The surgical procedure takes 3 to 5H.
It is performed under general anaesthesia.
It is performed in inpatient basis (at least 2 nights).
Postoperative care
Medication
- Acetaminophen or ibuprofen for routine pain control
- Enoxaparin for thrombosis prevention
- Prophylactic antibiotics (short course)
Compression garment
4 to 8 weeks
Drains
- Usually used and will be removed after drainage reduction
- Usually this happens 3 to 5 days after surgery
Activity
- Upright position not possible until 1 or 2 weeks
- Abdomen massage 3 weeks after surgery
- Light aerobic exercise or professional activity after 2 to 3 weeks
- Heavy lifting after 6 weeks
Complications and surgical risks
The main complications described are:
- Hematoma
- Seroma
- Infection
- Wound healing complications
- Unsatisfactory scarring, hypertrophic scar or keloid
- Asymmetric scar
- Loss or malposition of the umbilicus
- Thromboembolism