Ask a doctor

Do I need a lower body lift? (photos)

I've had a few consultations with different doctors and one said I just need a full tummy tuck, the second said I need an extended tummy tuck, and the third said I need a full lower body lift. When I try to research lower body lifts all I see and read is really large weight loss patients. I'm not opposed to the procedure I just want to know it it's necessary. I'm 5'7 and 145 pounds after 3 kids and age 23.

Doctor Answers (11)

Do I need a lower body lift?You would certainly benefit from a full abdominoplasty with

+2
You would certainly benefit from a full abdominoplasty and probably a muscle plication. The back photo shows fullness in the flank area that can probably be reduced with liposuction, but if you grab that area and there is lots of loose skin the expenced abdominoplasty might get a more thorough result. Unfortunately it takes an exam to  really be sure. Why not go back to the doctor who said you don't need the extended TT and ask him why not?


Portland Plastic Surgeon
5.0 out of 5 stars 13 reviews

Do I need a lower body lift?

+2
The answer unfortunately is maybe/maybe not!  It is hard to say without examining you.  Part of the difficulty of plastic surgery is that it is relatively subjective so you will get a few different opinions when you see different doctors--part of the artistic nature of the field!  Based on these photos alone and without an exam I would say my best guess for the optimal treatment would be a staged treatment.  First stage liposuction to the circumferential trunk to reduce the fat layer. I would then wait about 4-6 months and see how much skin retraction you get, especially on the flanks and back.  It seems highly likely that you would at least need a full tummy tuck and if you don't achieve adequate skin retraction to the flanks and/or back it can be extended to remove as much excess skin as possible.  The back often tightens pretty well in most people unless massive weight loss is involved, as you mentioned.  If you don't mind excess fat layer and just want to get rid of loose skin then you could maybe jump straight to an extended tummy tuck.  Make sure you are consulting with board certified/eligible plastic surgeons with experience in body contouring surgery! And as always stick with a good diet and exercise plan because that will only help make your results even better! Good luck!!

Megan Jack, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 5 reviews

Body lift vs. abdominoplasty

+1
Thank you for the question.  The answer to your question truly lies in a thorough exam by a board certified Plastic Surgeon that you trust and feel comfortable with.  However, based upon the pictures you have provided, I would recommend an abdominoplasty with anterior and posterior flank liposuction. You are young and your skin should have good elasticity to it for healing.  Please either revisit the PS you have seen already or obtain another consult.  Good luck with everything! 

Tushar R. Patel, MD
Red Bank Plastic Surgeon
5.0 out of 5 stars 1 review

You might also like...

Body lift?

+1
Based on your photos, your flanks could probably be treated with just liposuction.  You don't have the excess skin that is addressed with a body lift, which carries the skin removal into the flanks and lower back. 

In my practice, you would likely be treated with an abdominoplasty and liposuction.

Shim Ching, MD
Honolulu Plastic Surgeon
5.0 out of 5 stars 14 reviews

Is a lower body lift needed?

+1
Although a physical exam is needed to make any recommendations, based on your photos alone, I would likely just suggest a tummy tuck with liposuction of your waists and posterior flanks.  A common first line of attack for patients who have lost weight is a body lift procedure. Most plastic surgeons refer to a body lift as a circumferential body lift = belt lipectomy = lower body lift. This procedure is essentially 3 procedures in one: extended tummy tuck + waist/lateral thigh lift + buttock lift (with the option of buttock augmentation).

Please visit with a plastic surgeon certified by the American Board of Plastic Surgery to learn more about your options.
Best wishes,
Dr. Basu
Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.5 out of 5 stars 123 reviews

Do I need a lower body lift?

+1
It is difficult to tell from your photos.   Based upon your height, weight, age, and general impression from the photos,  I do not think you would need a body lift.  At 23 y.o., you should have good skin tone and elasticity.  A tummy tuck might help flatten your belly, but your hip/back area looks like it would be amenable to liposuction

John Zavell, MD, FACS
Toledo Plastic Surgeon
4.5 out of 5 stars 10 reviews

Body lift versus tummy tucks

+1
There are many ways to achieve contouring of the abdomen and flanks.  Patients need to know all of the options and the associated risks and benefits in order to make on informed decision.

In my practice, the lower body lift and belt lipectomy procedures are common.  Therefore, the circumferential approach will be offered to many patients interested in a tummy tuck.  The body lift procedure is very powerful and can result in excellent contouring of the waistline in those with extra skin. However, many patients will choose an abdominoplasty only and do just fine.

Circumferential procedures are not just for patients with massive weight loss.

Best wishes.



Timothy Connall, MD
Portland Plastic Surgeon
5.0 out of 5 stars 6 reviews

Do I need a lower body lift?

+1
I think a tummy tuck with liposuction of the sides and back would likely be sufficient.  Look for a plastic surgeon with great credentials, before and after pictures, and reviews. Also, the surgeon should be an expert all forms of body contouring to give you the best result possible.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 218 reviews

Abdominoplasty or a Lower Body Lift???

+1
Thank your for your question and as other have discussed, it is difficult to determine without fully examining you. However, our significant knowledge from our involvement with massive weight loss body contouring has opened doors, such as lower body lift, that we did not have before. Although a frontal abdominoplasty is a good operation, in some, it can be a uni-dimensional procedure only addressing the frontal laxity. The flanks and the dreaded "muffin top" is simply not addressed. With an extension of the abdominoplasty into the flanks either in the form of an extensive andominoplasty with flanks or a lower body lift an optimal three dimensional re-contoruing can be done. Best wishes.

Sepehr Egrari, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 30 reviews

How do I know if I need a lower body lift?

+1
There are 2 ways to look at your situation/ decision. The first is to consider what do you NOT like about your appearance, and what are you willing to pay to have it improved. You never said what it is YOU want!
 The second option is to simply ask..." where do you, Dr. PS, think I need improvement, and what would you suggest I do?"...  I will answer the second option...
  You need improvement in your hips, lower back, and abdominal area. Lipo suction alone will leave you with extensive skin redundancy even though you are young, and you will experience some skin retraction after lipo. In my opinion, you would benefit from lipo and skin subtraction (body lift) all the way around your body at the waist level. You might also consider some buttock sculpting...
  

Stephen W. Gordon, MD
Las Vegas Plastic Surgeon
3.5 out of 5 stars 7 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.