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Body Lift Revision

One of the reasons my proportions still look bad after my original Body Lift is that the whole butt was pulled long and flat, effectively accentuating the saddlebags and disproportionate thigh area.

If my revision goes through the original belt line (I'm told it must, to avoid blood flow problems) is there a way to just pull up the sides of the butt/thigh (and chase dog ear around to front)? I don't want to keep repeating the same issue with every "fix". I don't want to keep lifting the center butt, but the thighs need help.

Asked 34 months ago by Ekz in midwest but will travel
Sort 15 expert answers by:
+1

Body Lift revision

I am not sure I quite understand. You say that you had a body lift but then you refer to a dog ear. If you had a lower body lift the incision goes around the entire circumference of your body and you should have no dog ears present. Without seeing photos it is hard to speculate but if you are unhappy with your buttocks being flat and you have saddle bags present you could possibly do liposuction of the saddle bags and do a fat transfer to the buttocks for more volume. Doing liposuction... more
Bernard Shuster, MD
Hollywood Plastic Surgeon
+1

Body Lift

   In the revision after a body lift, Liposuction, removal of the all scar and  suspension of the  tissues including fascia need to be done ,.  The key for the revision is the evaluation of the individual case.
Alejandro J. Quiroz, M.D.
Mexico Plastic Surgeon
+1

Body Lift Revisions to meet your expectations.

Revisions after lower body lifts are quite common. Lower body lift procedures usually involve the abdomen ,buttocks and outer thighs. There are several variations of this procedure however the ultimate goal is to improve contour. Issues related to skin laxity, fascial quality, and the distribution of fat related to these areas contribute to determining the final result.There are also considerations related to your present nutritional status and level of activity which may influence... more
Nick Masri, MD
Miami Plastic Surgeon
+1

Body lift proportions

Proportion is key in plastic surgery, and no one body part can be addressed in an isolated fashion. Body lift revisions can be done. The goal for a revision is not to repeat what was done, but rather to improve any areas that seem disproportionate. If you have laxity along the outer thighs and buttocks, that area can be targeted and lifted, without having to lift the central portion. Keep in mind the skin quality also plays a role in the final result and you can have some relaxation over... more
Anita Patel, MD
Beverly Hills Plastic Surgeon
+1

Body Lift Revisions and Complications

Body lift results are due to a combination of skin draping, fascial support, and final body fat contouring.  Surgical scars can be revised and in many cases, contour irregularities can be improved.  I perform many revisions or modifications on body lift procedures and find the end result satisfying to me and the patient as long as there is patience involved in the entire process. 
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

Body Lift

The point of a revision is to correct the deformed areas or areas that have not been previously corrected. Like any revision, Body lift revisions are not easy. Many of the ones that I do, are due to poor planning of the original operation. At the end, it will never look as good as the original one. Best of luck.
Siamak Agha, MD, PhD
Orange County Plastic Surgeon
+1

Body lift revision is a maybe

I would need to see you to figure what might be done. Revisions are very individual as they vary depending upon the technique(s) used prior. Best Regards.
John P. Di Saia, MD
Orange Plastic Surgeon
+1

Body Lift Revision is possible if there are enough tissues

A revision of body lift is possible if there is enough excess skin or fat to redrap and remove. It is helpful to have a picture to allow an accurate diagnosis and a proper treatment plan.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+1

Revision body lift that lifts the outer thighs

Great question! Body lifting should really focus more on the outer thighs and buttocks and not centrally. It sounds like the flattening and elongation is from exactly that, too much central elevation and not enough outer contouring. Also the outer thighs do relapse and fall commonly. As far as correcting this, I would recommend to stay away from your central area and elevate the lateral thighs. I place progressive tension sutures in the deep tissue in this area to help distribute the... more
Andrew P. Trussler, MD
Dallas Plastic Surgeon
+1

Body Lift revision

Photographs would help a lot. From what I understand you are not happy with the buttock elongation and flatness nor with the accentuation of the lateral thigh saddle bags. As to "is there a way to just pull up the sides of the butt/thigh (and chase dog ear around to front)?" - There is NO reason the buttock lift incision needs to be opened if the area underneath it does not need to be lifted or smooth. As regards the lateral thighs, the is no reason why the surgeon cannot simulate... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Body Lift Questions

Thanks for your question - Typically body lifts are circumferential meaning that the incision would go all the way around your body. This should mean that dog ears shouldn't really be an issue since they are usually present where the incision stops. If your incision is not circumferential then chasing the dogears may be a bit more challenging. In terms of the shape of your buttocks fat transfer techniques may provide significant improvement. I hope this helps.
Steven H. Williams, MD
San Francisco Plastic Surgeon
+1

Body Lifting

Dear EKZ, your qestions are very good! your Surgeon must have a vision of the final result and demonstrate it to you while stanidng in front of the mirror. The incison can be moved/revised depending on the degree of skin laxity. Areas of fullness can be suctioned and that fat can be used to graft into the areas that need shape like the buttocks. There is a beautiful procedure that has been described by Dr. Hunstad where the soft tissue of the buttocks is used to auto-augment the buttock... more
Trevor M. Born, MD
Toronto Plastic Surgeon
+1

Yes.

To me, a body lift = 360 degrees (back, front, sides). You may be talking about just a posterior body lift (back or butt lift). In any event, the dog ears can be chased to the front, and the thighs can be lifted and liposuctioned to get you the result you want. Here is the thing however. You must step up, and really discuss with your surgeon what you want to accomplish and what you don't currently like. Don't make him read your mind. Ask him directly, can you do this? If he can't seek... more
Scott E. Kasden, MD
Dallas Plastic Surgeon
+1

Hard to know without photos of your body lift concerns

Ekz, Without photos detailing your concerns, it is hard to know what the "right" answer is. I'd have to go with the advice of your plastic surgeon, but here are some thoughts: (1) A flat butt before a body lift is a tighter, lifted flat butt after a body lift. Only something done specifically to augment the projection of the buttock will help (2) If your hips and saddlebags are a problem, it is important to know if they're still too loose and if is there any extra... more
Brian K. Brzowski, MD
Salt Lake City Plastic Surgeon
+1

Body lift revision

It is certainly possible ro revise body lift, but I would have to examine you first to get an idea of what can be done.
Steven Wallach, MD
Manhattan Plastic Surgeon
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