How Much Skin Can Be Tightened During Lower Body Lift?

I am 50 years old, 5'4" and 120 lbs. While pregnant, I gained 40 lbs. twice. I have saggy unsightly skin, cottage cheese and piles forming in my thighs and buttocks, making me very self-conscious.

How many inches can a surgeon pull up on the butt to get tightening results of lower body lift on top of thighs? Will the scar be wider the more that is taken out? I had abdominal skin excision with pencil thin scar, can I expect the same scar results? Thanks!

Doctor Answers (25)

Lower Body Lift

+4

Most of my patients will have 3 to 4 inches of the buttock skin removed in between the upper butt and lower back.  The most important thing is the placement of the scar.  The incision has to be perfectly placed in between the lower back and the upper butt.  It is this incision that demarcateds the butt form the back.  If placed too high, the butt will look too long.  If placed too low, the butt will look too short.


Orange County Plastic Surgeon
4.5 out of 5 stars 56 reviews

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Skin Removal with Lower Body lift

+1
Thank you for your photograph and questions.  By your description and photo you would be a very good candidate for a lower body lift.  The amount of skin that can be removed needs to be determined in person during your consultationwith an experienced surgeon certified by the American Board of Plastic Surgery..  For the abdomen, the removal is typically between your pubic bone and belly button.  On the side of your torso, the band of skin that can be taken depends upon how much excess you have, but it provides a lift of your lareal thighs.  The buttock lift tapers from the sides to a minimal amount of removal in the midline over the spine.  Scars under tension tend to be wider than those closed with very little tension.  If you have excellent scars from a prior skin excision , that is a good sign of how your body will respond the next time.

Mary Lee Peters, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 93 reviews

How much skin can be tightened in a lower body lift

+1
Congratulations! If you've had a successful body contouring procedure before with a well healed scar, you may do well again. But, I urge caution - don't get greedy. The lifting of the buttocks using the superior bikini cut location on both buttocks can only do so much tightening, especially in the upper thigh area. Yes, the more tension is placed on any scar, the greater the likelihood that it will widen with time. Make sure you visit with a Board-certified plastic surgeon to make the best decision. Good luck and let us know if we can help. 

Daniel Kaufman, MD
New York Plastic Surgeon
5.0 out of 5 stars 4 reviews

How Much Skin Can Be Tightened During Lower Body Lift?

+1
There is no set number of inches that apply to everyone and no sure way to tell you based on you picture.  Overall it looks like you would be an excellent candidate for the lower body lift.  Final scars are dependent on the surgical technique and your body's healing overall.

For more information, please go to my website at:
WirthPlasticSurgery.com

Garrett A. Wirth, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 5 reviews

How much skin can be removed?

+1

How much a lower body lift can lift and tighten depends a lot on "translation of pull".  See the web reference for my blog on this topic.  You look like you have fabulous "translation of pull' but that is determined by an in person exam.

Scar placement is important to maximize the aesthetic result and minimize scar visibility.  Also, closing the deep layer (Scarpa's fascia) with strong, closely placed sutures is important to the longevity of the lift and (by taking tension off the skin closure)  a nice scar.

Lisa L. Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 45 reviews

How much tightening with a lower body lift

+1

I think you are an excellent candidate for a lower body lift.   I would want to see your previous tummy tuck scar to see if this would also need to be redone.   If not, you would simply need a posterior body lift, which involves removal of loose skin of your buttock and outer thighs.

Another important factor is preservation of volume in your buttocks.    Removal of skin will improve your contour and cottage cheese/loose skin, but it is necessary to preserve your fatty tissue to help reshape your buttocks with an auto-augmentation technique.

I wish you a safe and healthy recovery.

Paul S. Gill, MD
Houston Plastic Surgeon
5.0 out of 5 stars 37 reviews

Loose skin

+1

A lot of skin can be tightened, although I would remove very little, saving most of the fat to auto-augment your buttock. This would improve the cheesey look a lot

Peter Fisher, MD
San Antonio Plastic Surgeon
5.0 out of 5 stars 7 reviews

Lower Body Lift

+1

A lower body lift is also referred to as  circumferential body lift = belt lipectomy.  This procedure is essentially 3 procedures in one: extended tummy tuck + waist/lateral thigh lift + buttock lift.  The buttock lift can also include buttock augmentation.  The lateral thigh lift will help contour the lateral aspect of your thighs.  The procedure can taken between 5-7 hours depending on the amount of tissue/skin that needs removal/treatment.  Please see a board certified plastic surgeon to learn more about your options.
Dr. Sugene Kim

Sugene Kim, MD
Houston Plastic Surgeon
4.5 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.