As a board-certified plastic surgeon, I understand your interest in clarifying the similarities between a lower body lift and a belt lipectomy. Indeed, both procedures share several common elements and aims, although there are subtle differences in their scope and emphasis. Both a lower body lift and a belt lipectomy are designed to provide comprehensive contouring of the lower torso by addressing excess skin and fat in the abdominal, lower back, and buttock areas. The primary difference between the two procedures lies in the terminology and the specific focus of each. A lower body lift traditionally encompasses the following components: -An extended abdominoplasty that addresses not only the front of the abdomen but also continues around the sides and back, providing a comprehensive contouring effect. -Removal of excess skin and fat from the lower back area. -Lifting and reshaping of the hips and buttocks. On the other hand, a belt lipectomy, as the name suggests, places a greater emphasis on the removal of excess fat (lipectomy) in addition to the excess skin. While the procedure still addresses the same areas as a lower body lift, its focus is on achieving a more contoured appearance by targeting adipose tissue. Despite these subtle differences, the choice between a lower body lift and a belt lipectomy ultimately depends on your individual needs, goals, and the specific recommendations of your plastic surgeon. It is important to consult with a board-certified plastic surgeon who can evaluate your unique situation, discuss the most appropriate procedure for you, and provide a personalized surgical plan. Open communication with your surgeon will ensure a successful outcome and address any questions or concerns you may have. I perform lower body lifts far-more frequently, as it gives patients optimal results. Thank you for your question regarding the difference between a lower body lift and a belt lipectomy. Sincerely, Ariel