I Think I Need a Lower Body Lift? (photo)

I have lost over 100lbs with diet and exercise and I have maintained this weight (140) for at least three years. I'm 35 I haven't had kids and I am not planning on any. The majority of my loose skin hangs onto my thighs and some at my lower abdomen. Which procedures should I consider to address my thighs, abdomen, as well as my chubby knees?

Doctor Answers 8

Body Lift After Weightloss

Congratulations on the maintained weight loss! A Belt Lipectomy, also known as the lower body lift, would indeed offer you the most dramatic transformation of the mid and lower body. It is truly a resculpting of the abdomen, hips, thighs, and buttocks. Broken into its components, the lower body lift includes a tummy tuck (abdominoplasty), a thigh lift, and a buttock lift and optional fat transfer to the buttocks.

Be sure to consult with a board certified plastic surgeon who has extensive experience in post bariatric reconstruction to determine the best course of action given your specific goals.

Baltimore Plastic Surgeon
4.5 out of 5 stars 94 reviews

Massive Weight Loss Surgery

it's not unusual for patients to develop loose saggy skin following massive weight loss. This problem can affect almost any area of the body.

Your pictures demonstrate loose saggy abdominal skin that appears to continue as a roll towards your back. This loose skin has resulted in sag of the buttocks as well. In addition to these findings, there appears to be laxity of the medial thigh skin.

Under these circumstances, a variety of treatment options are available to treat these problems. As an initial maneuver, lower body lift surgery is appropriate. This procedure circumferentially removes excess skin and fat from the lower abdomen and back. It tightens the abdominal muscles and lifts the buttocks and lateral thighs in an upward direction. It's associated with excellent clinical results and high levels of patient satisfaction.

This procedure would have minimal impact upon the medial thighs. For this reason, a medial thigh lift might be indicated as a separate procedure at a later date. This procedure removes excess skin in both the transverse and vertical dimensions. This procedure is also associated with excellent clinical results and high levels of patient satisfaction.

Based on your pictures, I believe you're an excellent candidate for a lower body lift procedure. If you're considering this type of procedure, it's appropriate to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Lower Body Lift

Congratulations on your weight loss.  Most plastic surgeons refer to a body lift as a circumferential body lift = belt lipectomy.  This procedure is essentially 3 procedures in one: extended tummy tuck + waist/lateral thigh lift + buttock lift (with the option of buttock augmentation).  Patients experience fantastic results from these procedures.  Please visit with a plastic surgeon certified by the American Board of Plastic Surgery to learn more about your options.

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 212 reviews

Lower body lift

Congratulations on the weight loss through hard work and diet.  As a plastic surgeon who specializes in "plastic surgery after weight loss", I am very much aware of the changes that you must be experiencing.  For most of my patients in your situation, a lower body lift is the least that they opt for.  A lower body lift in my practice has multiple components with the aim of correcting the pubic laxity, abdominal region, front of the thighs, outer thighs, liposuction, and a buttock lift. However the buttock lift will make the butt cheeks flat and thus most patient will elect to have buttock enhancement through use of their own lower back fat.  When it comes to your thighs, you will at least need an inner thigh lift. The one that I do is called the Spiral thigh lift and is specifically for the weight loss patients.  You will find a whole section dedicated to plastic surgery after weight loss on my site with an extensive gallery of before and after pictures. Good luck.

Siamak Agha, MD, PhD, FACS
Orange County Plastic Surgeon
4.7 out of 5 stars 106 reviews

Lee J. Malan, M.D.

Super great self discipline and will-power resulting in magnificent weight loss.  The loose shin of the tighs can be significantly improved using the lateral and medial combination thigh lift technique first describled by Ted Lockwood, M.D., Platic Surgeon.  If the the abdominal soft tissues are lifted at the same time your particulat abdomen will be improved without formal abdominal plasty as a secondary operation.  Lipsocution of the thighs, including the knees would be done at the beginning of the thigh lift operation. In my hands the surgery is done in our onsite AAAASF Accredited Ambulaory Surgical Suite as on outpatien(charges including anesthesia $10,000).  Length of surgery  6-8 hours). Local patients go home after; out of town patients stay in an overnite facility for several days post op (costs about $200.00/day). Preoperative consult necessary for examination, operation description, and photograghs ($30.00 charged but applied to the surgical charges if surgery is carried out).Expect to wear compressive garments waist to knees post operatively for 2-3 months for best results. Immediate post op ambulation encouraged. Recovery to the extent of driving and returning to work 7-10 days (usual and routine).

Lee J. Malan, MD
Ogden Plastic Surgeon
4.0 out of 5 stars 2 reviews

I Think I Need a Lower Body Lift?

Weight loss great, photos  are great Next is to have a body lifting or multiple surgeries. Seek in person opinions. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Lower body lift

Congratulations on your weight loss.It is obvious you have done your homework because a lower body lift is the right operation for you. The operation will improve the appearance of the abdomen, the outer thigh and buttock. Although the inner thigh generally requires a separate procedure the high lateral tension abdominoplasty , which is part of  the body lift, will make some improvement in the appearance of the upper inner thigh.I would encourage you to seek out a board certified plastic surgeon with an interest and significant experience in body contouring after massive weight loss.



Robert W. Kessler, MD, FACS
Corona Del Mar Plastic Surgeon
5.0 out of 5 stars 130 reviews

Lower Body Lift

Congratulations on your impressive weight loss.  Your pictures suggest that your skin has done remarkably well for that amount of change.  A lower body lift would combine a tummy tuck with a lift of your buttock and back.  You would likely have some improvement in your thighs as well. It would be easier to evaluate you in person, but some liposuction of your knee area or inner thighs might be valuable as well. 

Mary Lee Peters, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 116 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.