Square body: can I get results with a body lift? (photos)

Question

As you can see in the picture I am square and I would like to know if I have a body lift would I be able to achieve the results in picture two or what other procedure do I need to get that type of result

Vasileios Vasilakis, MD, FACS · Answer

Thank you for the question. A body lift would address excess skin on lower back, if you have any, and simultaneously lift your buttocks. You already had a tummy tuck, which has been treated with your tummy tuck. I believe that 360 liposuction/BBL will improve your contour and shape. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding whether you can get the results you want as depicted in your picture with a body lift. The answer is yes. However, you need an upper body lift, not a lower body lift. In the picture, you are grabbing your upper abdomen or upper back. Therefore, I would suggest an incision that goes underneath the breast and around the back to lift the upper abdomen, the side of your torso, and your back. This would give you more of an hourglass shape. Some surgeons, like myself, call this a horizontal torsoplasty. Others call it a bra-strap lift or a back lift. Other plastic surgeons call it an upper-body lift. Another procedure that may get you even more curves would be a vertical torsoplasty. This is also called an hourglass procedure. During a vertical torsoplasty, an incision is made from the armpit, down the side of your chest to your hip. A large elliptical area of skin and fat is taken out from your sides. This results in a more curvy figure. The last option (which I would not suggest) would be a midline scar from your sternum to the belly button to your pubic region. A large elliptical area of skin and fat is taken from your abdomen and the waistline is brought in. The problem with this incision, namely a vertical tummy tuck, is that you have a highly visible abdominal scar. Not ideal. Therefore, I would suggest a horizontal torsoplasty or vertical torsoplasty for optimal results. This will get you a body lift with curves. Thank you for your question and good luck.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, 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.)

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, 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.)

Miguel Mota, MD · Answer

Hello and thank you for posting. Yes, a body lift can help give patients achieve a better silhouette. This procedure can be combined with lipo if necessary, and can also be extended to the underarm and even the arms for an arm lift as well. Patients must always make sure they are at a proper weight. A high BMI does increase the risks of complications. Plus, losing weight after surgery may increase loose skin. Therefore, it is essential patients are at a healthy and stable weight before a Back Lift / Body Lift procedure.

Best of luck,
Dr. Miguel Mota

Best of luck,
Dr. Miguel Mota

Richard Zienowicz, MD · Answer

Hello and thank you for your question. Unfortunately, an abdominoplasty can at times masculinize a woman's figure and make it more square if not done in a considerate manner. To accentuate your waist I would recommend liposuction to the back and flanks with fat grafting to hips and/or buttocks or liposuction to the flanks and back alone. Best of luck.

Daniel Barrett, MD · Answer

Dear claudette7617,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Bryan Curtis, MD · Answer

The term "square body" typically refers to a body shape where there is less waist definition, resulting in a more rectangular or blocky appearance. Body lift procedures, such as lower body lift or belt lipectomy, are primarily designed to address excess skin and tissue, particularly after significant weight loss, rather than changing the fundamental shape of the body.While a body lift can enhance the overall contour of the body by removing excess skin and fat, it may not significantly alter the basic body shape or create a more pronounced waistline. Body lift procedures are more focused on tightening and lifting the lower body, including the abdomen, thighs, and buttocks.If you're specifically looking to enhance your waistline or achieve a more hourglass figure, other procedures such as liposuction, tummy tuck (abdominoplasty), or procedures that focus on the waist and flanks may be more suitable. These procedures can remove excess fat, tighten abdominal muscles, and contour the midsection to create a more defined waist.It's essential to have a thorough consultation with a board-certified plastic surgeon who can assess your individual anatomy, discuss your goals, and recommend the most appropriate procedures to achieve the desired results. Keep in mind that the effectiveness of any cosmetic procedure can vary from person to person, and realistic expectations are crucial for a satisfying outcome.

Derek Fletcher, MD · Answer

A well-executed body lift can dramatically change your flank contour through the following strategies: removal of excess skin, liposuction of the back, flank, and abdominal areas, rectus plication, and oblique muscle fascia plication. Hope this helps and thank you for your question.

Camille Cash, MD · Answer

From your photos it doesn't appear a body lift is indicated.  Liposuction with J Plasma for skin tightening should give you more of the shape you are wanting.  Visit with a board certified plastic surgeon near you to learn more.

Darryl J. Blinski, MD · Answer

You already had an extended TT! I recommend lipo 360 with hip dip BBL to give the hour glass appearances. You are not a body lift candidate.

Square body: can I get results with a body lift? (photos)

Answers (9)

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