How Much Skin Can Be Tightened During Lower Body Lift?
- Asked by beautifulat50 in USA
- 4 years ago
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!
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Lockwood technique improves body lift results
The more skin one takes out, the higher the risk of complications.
Having said that, there are different techniques that diminish the risk and yield a better scar. The Lockwood technique preserves blood supply better, minimizes empty space below the skin closure, and minimzes tension at the skin closure layer.
Because of these factors, for any given level of skin resected, you have less chance of seromas, wound breakdown, and a better scar. Check out the weblink below and the video for a fuller explanation.
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.
How much skin can be removed?
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.
Web reference: http://www.sowdermd.com/blog/body-lifting-101/
How much tightening with a lower body lift
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.
Web reference: http://www.drpaulgill.com
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
Lower Body Lift
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
How much skin is removed during lower body lift?
You definitely have some laxity issues along your buttocks. Lower body lift coupled with a volume augmentation procedure whether with dermal flaps versus fat injection of your buttocks would help improve the shape. Your next step should involve a consultation with a board-certified plastic surgeon who is comfortable in utilizing either flap or volume augmentation techniques with a lower body lift
Life changing Body lift
Great job!! I would wait for 6 months of weight stability before you have surgical procedures. Unfortunately there is no effective non-surgical method. However, a body lift can truly change your life. Excess abdominal fat and skin is removed, the abdomen and your core is tightened, your hips are raised and defined and your buttock has new definition and shape. The combination is powerful and the results are immediate. I would do the body lift first, then stage procedures every 4-6 months. Healing time is 2-4 weeks. The most important thing is safety. Please don't compromise on this! See a board certified plastic surgeon
Buttock laxity versus volume
Thank you for the question and the photo. I suspect that some of the loose skin and soft of the buttocks is related to excess skin and a part of it is related to not enough fat (volume). You may want to entertain the idea of a combination procedure that involves both tightening as well as volume augmentation. This can be achieved through a purse-string gluteoplasty or through a buttock lift and fat grafting of the buttocks. I believe the combination of the two procedures will provide the best result. A pure tightening procedure may end of tightening the loose skin but can result in a relatively flat buttock shape.
All the best,
Dr Remus Repta
Web reference: http://drrepta.com
Skin resection in a body lift
That's a very good question, unfortunately there's no one answer for it. The amount of skin that can be removed varies according to how loose the skin is and this depends on the age of the patient as well as how much weight was lost and of course the quality of the patient's skin which has all to do with genetics. My average skin removal in the outer portions of the lower back/upper buttock area is about 5 to 6 inches which produces a very nice tightening of the buttocks and lateral thighs. as you get closer to the center of the back (tail bone area) less skin can be removed as this skin is more adherent to the bony structures. Another trick to restore the smoothness and contour of a buttock is to enhance it with fat grafts. The fat is easily harvested from the lower back as it is generally done for contouring purposes and we are already operating there. Some patients who have lost significant weight also loose buttock fullness and proyection. If a body lift is done without taking this into account then further buttock proyection can be lost and that is why fat grafting to the buttocks is a very useful procedure done in conjunction with a body lift. Regarding the thickness or with of the scar, it looks like you did well with the tummy part so it is likely that you will do well with the back part. Scars heal poorly if the closure is done with too much tension (that is when too much skin is removed) or when poor closure technique is used. Some doctors believe that extensive undermining is necessary to remove the most skin (undermining means to surgically separate the skin from the underlying tissue) but I like to avoid it because it produces more injury, longer healing and more pain for minimal gains that in the end make little difference. I think a body lift is a very artistic procedure and also a very difficult one. The more severe the deformity the less predictable the results would be. It is very important to place the scar in the right place so it will enhance the contour and will not show through clothing or swim wear. Your photos show that you are a good candidate for this procedure, good luck with it!
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.