For the most patients, the 360 or lower body lift incision is placed in the same area. For women, this is typically below any prior C-section scars. Typically, in females, the incision is placed 6 cm above the clitoris; in males, the incision is placed 6 cm above the base of the penis. In both male and female, the incision extends laterally and gently rises around the hips. If there is a significant amount of skin and fat in the upper outer thigh, I make the lateral thigh incision somewhat higher. If there are significant saddlebags in the lower outer thigh, I place the incision lower. The incision then gently slopes downward to the top of the buttock crease. I find that males carry a significant amount of excess skin and fat in their upper buttocks above the beltline. Accordingly, sometimes in males, the 360 or body lift incision is placed somewhat higher than females. If you have pre-existing scars from prior surgeries, like an open gallbladder, your planned 360 or lower body lift incision patterns maybe different. Please examine multiple "before and after" photos of different board-certified plastic surgeons to see the different positions of a 360 or lower body lift incision and resulting scar.
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