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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!

Asked 27 months ago by beautifulat50 in USA
Sort 11 expert answers by:
+3

Lower Body Lift

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.
Siamak Agha, MD, PhD
Orange County Plastic Surgeon
+1

Lower Body Lifting?

Thank you for the question. Generally I find that most patients benefit from excision of 2 to 4 inches of redundant skin and subcutaneous tissues between the buttocks and lower back area. As plastic surgeons we want to remove enough tissue to eliminate looseness/redundancy but not too much tissue ( that would leave a patient with deformity or wound healing problems). In my opinion, the planning stage for these operations are critical. As much as possible, I prefer to do... more
Tom J. Pousti, MD
San Diego Plastic Surgeon
+1

Lower Body Lift and Excess Skin

Your surgeon can give you an estimate of how much skin can be removed. The more skin removed, the better contour you will get, but this will lead to more tension on the closure which may lead to a wider scar. The fact that you made a nice scar on your abdomen is favorable but the quality of the scar cannot be guaranteed.
Leo Keegan, MD
Manhattan Plastic Surgeon
+1

How mcuh skin to remove?

The amount of skin removed during a ower body lift varies based upon the patients laxity.  I have taken off 14-20 cms of skin in some areas at one  time.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Tension limits amount of skin removed in body lifts

It's not so much the number of inches that can be removed, but the tension of the skin that remains that can play a role in the quality of the scar formed.  We can remove most of what you can grab with your hands.  Trying to get an extra inch or two, if it just increases the tension on the healing incision, may lead to a wider scar.
Mario Loomis, MD
Middletown Plastic Surgeon
+1

Varies...

Hello,   Each case varies and the tension on the closure can stretch the scar, but using long term "dissolvable" sutures this can be supported to reduce this scar deformity. I have not needed to revise these scar very often (less than 10% and only partial revisions.)   Best Regards,   John Di Saia MD
John P. Di Saia, MD
Orange Plastic Surgeon
+1

Lower body lift skin excision

You are a great candidate for the procedure- mostly loose skin and you appear to be fit and non-obese. You can expect a scar that can be concealed by most swimwear and underwear- the scar quality is not as good a tummy tuck scars-
Scott Sattler, MD
Bellevue Plastic Surgeon
+1

You should get a great result from lower body lift

 Your are the best candidate for the LBL. You are not overweight and have mainly extra skin. The scar should continue with the abdominal scar and also should be placed under the bikini lines.
Kamran Khoobehi, MD
New Orleans Plastic Surgeon
+1

Skin Tightening with Lower Body Lift

I think that you will get a good bit of skin tightening and a very good result from a well-performed lower body lift.  The scar does not, however, tend to be as good as the scar you describe from your tummy tuck.  One reason is a difference in the skin quality in the 2 regions.
John Whitt, MD
Louisville Plastic Surgeon
+1

How much can skin be tightened during Lower Body Lift

You should be able to get a very nice result - although you may wish to add some volume to the sides of the buttocks with fat transfer (Brazilian Butt Lift). "cottage cheese and piles forming in my thighs and buttocks" - is due mostly to sagging and a vertical lifting of the thighs and buttocks should GREATLY and nicely correct this. "Will the scar be wider the more that is taken out?' - No. Scars widen whenever healing is not proper. Malnutrition (especially low protein),... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Lower body lift

 Because all you have is extra skin and no fat, you are an ideal candidate for a LBL.  The farther from the scar you go, the less will be the effect and the tighter you make the scar, the wider it will spread.  Nevertheless, properly done you should have a very nice result.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
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