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Thank you for your question regarding a 360 circumferentiallower body lift after an abdominoplasty. The answer to your question is“Usually, yes”. During abdominoplasty or tummy tuck, excess skin and fat theabdominal wall is resected. Usually, the abdominal wall is reconstructed bytightening the rectus abdominis muscle. During a 360 circumferential lower body lift or belt lipectomy, excessskin and fat of the abdomen, lateral thighs, and upper buttock areremoved. Sometimes after a tummy tuck,patients lose a significant amount of weight. After further weight loss, a lower body lift may need to be performed toremove more hanging abdominal skin and further tighten the abdominal wall. In addition, during the 360 circumferentiallower body lift (belt lipectomy), excess skin and fat of the lateral thighs andbuttocks can also be removed.It would be very rare for you not to be a candidate for abody lift after a tummy tuck. The only indications that I can think of would beexcessive abdominal wall scarring, extensive mesh used to repair abdominalhernias, or history of serious infections prohibiting further surgery.Thank you for your question regarding a 360 circumferentiallower body lift (belt lipectomy) after a full tummy tuck. If you have anyquestions regarding body lifts, please contact my office. Good luck. Sincerely,Dr. Katzen
the body Yes, in many occasionsabdominoplasties are perform in patients that can be better candidates for rbody lift because the abdominoplasty only improves the appearance of the abdominal area. The lower body lift will help the abdominalarea but also the waist and the back firming the tissues all around
A tummy tuck removes the excess skin of the abdomen while tightening and reshaping the stomach. However, it does not affect the sides or back. A lower bodylift lifts the buttocks, tightens the flanks and liftts the lateral thighs. Occasionally, it is ideal to perform fat transfer to buttocks at the same time to maintain a nice, rounded shape to the buttocks after a lower bodylift. This is of course contingent on enough donor fat being available. When having a lower bodylift after already having had a tummy tuck, the results come out best if some of the previous tummy tuck incisions are redone to further tighten the point of transitions from the back and sides to the front. Dr. B.
It would help to have a little more information about what you want to achieve and what bothers you. You need to have skin excess in the abdominal area to have a circumferential lower body lift after a tummy tuck. This is possible if you've had large weight fluctuations or pregnancies after your tummy tuck. However, your body would need to be seen and evaluated prior to scheduling this surgery. Often after a tummy tuck, people are bothered by the loose skin on the sides and back. If this is what is bothering you, then a posterior belt lipectomy can be performed which removes the excess skin from your sides and back and connects to your tummy tuck scar.
This is a difficult question to answer because it mainly boils down to what you have left after the first procedure, namely the full tummy tuck. If the patient, after the full tummy tuck, still has a lot of skin laxity, this may be due to either an inadequate first procedure or continued weight loss after the first procedure, resulting in new skin laxity that wasn't present when the first procedure was performed.The way we define a lower body lift can vary from physician to physician. I like to use the term circumferential body lift, to clarify that we are definitely going circumferentially (all the way around the body). Regardless of the definition, however, Yes, it is possible to perform additional procedures, such as a lower body lift, to the area after the full tummy tuck. The surgeon must take a bit more caution not to disrupt the remaining blood supply to the abdominal skin, otherwise complications can occur. If there is simply not enough skin of the anterior abdomen after the full abdominoplasty, then no more surgery can be done to the front and the completion body lift is used to address the flanks and lower back areas only.It is best to have this type of revisionary procedure performed by a surgeon who is very comfortable handling this case, which will undoubtedly be more difficult that the original tummy tuck, due to excess scar tissue, compromised blood supply, and more lengthy surgery and recovery. Trust only an experienced plastic surgeon that handles a large number of bariatric patients with massive weight loss.