Body Lift (Belt Lipectomy / Circumferential Abdominoplasty)

Overview
A body lift is a comprehensive contouring procedure that removes excess skin and fat from the abdomen, flanks, lower back, and buttocks. It is most commonly performed after major weight loss to tighten and re-drape the lower torso, restoring a balanced, firmer silhouette.

Who It’s For

  • Patients with significant skin laxity after weight loss or bariatric surgery

  • Sagging skin around the waist, hips, and buttocks

  • Persistent tissue folds causing discomfort, chafing, or hygiene issues

  • Individuals seeking restoration of contour and improved body proportion

Procedure

  • Conducted under general anaesthesia

  • Incision runs circumferentially around the lower torso (similar to a belt line)

  • Excess skin and fat are removed from the abdomen, hips, and lower back

  • The abdominal muscles are tightened when indicated

  • The buttocks and outer thighs are lifted and reshaped

  • Skin is redraped, and sutures placed to support a smooth contour

  • Drains are often used to prevent fluid accumulation

Recovery

  • Hospital stay of 2–3 nights is typical

  • Walking encouraged early; full recovery over 4–6 weeks

  • Compression garments worn continuously to reduce swelling and maintain contour

  • Gradual return to normal activity after 4 weeks; strenuous exercise delayed 6–8 weeks

  • Temporary numbness and tightness are expected

Results and Scarring

  • Immediate improvement in body contour with progressive refinement as swelling resolves

  • Scars extend around the waistline but are positioned to be hidden by most clothing

  • Long-lasting results when weight remains stable

Risks

  • Bleeding, infection, delayed healing

  • Seroma (fluid collection) or wound breakdown at tension points

  • Numbness or temporary nerve irritation

  • Asymmetry or contour irregularity

  • Prominent or widened scarring

Long-Term Considerations
Results are durable with weight stability, good nutrition, and regular exercise. Skin quality and elasticity continue to age naturally. A body lift is often the final stage in a post–massive weight loss transformation plan, producing a defined and proportionate body contour.