Thank you for your question regarding is there a risk of looking boxy after a 360 circumferential lower body lift. The short answer is "yes, there is a risk of a flat butt after a 360 circumferential lower body lift". With the 360 circumferential lower body lift, an abdominoplasty is performed and the abdomen is pulled down flat and towards the center. When the incision is made over the hips, the hips and lateral thighs are pulled up. On the back side, the buttock is pulled up. With the 360 circumferential lower body lift with everything in the front being pulled down and everything in the back being pulled up, there is a risk of becoming box shaped. It is rare, however. Usually with an experienced plastic surgeon, the boxy look after a 360 body lift can be avoided. If you do wind up with a box shape after a 360 body lift there are several procedures that can be done to correct the "box type" look. These includes a vertical torsoplasty where the incision is made from the armpit to the top of the hip or outer thigh. I also call this an "hourglassing procedure" to create an hourglass figure. If the skin is not the problem creating the box like silhouette, you may consider aggressive VASER liposuction over the love handle region. All in all, it is rare to become boxy after a 360 circumferential lower body lift. Thank you for your question regarding a box like appearance after a 360 circumferential lower lower body lift.I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)
