What is the difference between a belt lipectomy and a lower body lift?

Question

I am looking into getting surgery from losing almost 200 pounds. I have loose skin on my entire stomach (including my upper stomach) , my sides and hips, and the lower/sides of my back that I want removed. I know it's hard to say without an in person consulation, but based on my wants, should I be looking into a lower body lift or a belt lipectomy? What exactly is the difference between the two?

Peter Lee, MD, FACS · Answer

Your question underscores the fact that these terms are often used interchangeably, even by plastic surgeons. However, a lower body lift is actually different from a belt lipectomy.  Usually the scar from a belt lipectomy sits higher on the waistline, although it is a circumferential incision like a lower body lift.  A lower body lift incision, on the other hand, usually drops down lower in the front than a belt lipectomy incision, down to the level of the mons pubis, along the inguinal creases, and then rides just over the iliac crest, around the flanks. and then drops down to a "seagull" shaped incision over the lower back and buttocks.  With this design, it is able to exert more of a lift on the lateral and medial thighs, as well as the mons pubis and the buttocks, which can also be auto augmented with some of the soft tissue and fat from the lower back and flanks.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question about the difference between a belt lipectomy and a lower body lift. I am glad you brought this up; this is an excellent question. A belt lipectomy is a poor term. A belt lipectomy uses the word belt to describe the distribution of the incision; the area affected, and the position of the final scar. Lipectomy, by definition, is only the removal of fat; therefore, during a belt lipectomy, technically and using the words to define the procedure, only fat should be removed. The term belt lipectomy, or skin resection, is not mentioned though it is done in practice. A lower body lift is a more accurate term. A lower body lift typically involves abdominoplasty or tummy tuck, hip and reduction, and a buttock lift and reduction. In reality, the belt lipectomy and lower body are interchangeable; what one surgeon and another do during a lower body lift is up to the individual plastic surgeon. However, whether you're performing a belt lipectomy or a lower body lift, usually the following are included: pubic lift, pubic reduction, tummy tuck, belly button reconstruction, rectus abdominis plication, hip lift, hip reduction, buttock lift, and buttock reduction. Typically all the forehand-mentioned procedures are performed during a lower body lift and a belt lipectomy. Some plastic surgeons include the light lift in lower body lifts. However, most do not. If you lost 200 pounds, I would suggest a lower body lift, includinga tummy tuck, hip lift, and buttock lift. You may also want to consider a thigh lift that can be combined simultaneously with your body lift. I hope this helps to answer your question regarding a belt lipectomy and the difference between a lower body lift.

Thomas P. Sterry, MD · Answer

This topic is a pet peeve of mine...I even blogged about it a few years ago.  While the procedures mentioned all involve a scar around the waistline, it is only with a Lower Body Lift that you can reliably produce an outer thigh and buttock lift.Be careful who you choose to have this operation with.  There is a difference!

Nelson Castillo, MD · Answer

Thank you for your excellent questions.  A belt lipectomy involves removing a band of skin tissue circumferentially around your torso/stomach region.  A lower body lift also removes a band of tissue circumferential around the body, but typically the lower abdomen in the front, and the gluteal region behind, resulting in a lower set scar.  A lower body lift also provides improvement to a patient's outer thighs and gluteal region to further enhance shape and contour.  The best operation for you would depend on an in-person assessment of your skin excess and laxity, as well as a frank discussion on your goals.  See a board certified plastic surgeon who can help you make the best treatment decision.

Sugene Kim, MD, FACS · Answer

One of the most popular procedures after massive weight loss is a 
lower body lift.  If you are considering a lower body lift - this 
procedure (LBL) is also referred to as  circumferential body lift = belt
 lipectomy.  This procedure is essentially 3 procedures in one: extended
 tummy tuck + waist/lateral thigh lift + buttock lift.  The buttock lift
 can also include buttock augmentation.  The lateral thigh lift will 
help contour the lateral aspect of your thighs.  The procedure can taken
 between 5-7 hours depending on the amount of tissue/skin that needs 
removal/treatment.  Please see a board certified plastic surgeon to 
learn more about your options.

Dr. Sugene Kim

What is the difference between a belt lipectomy and a lower body lift?

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Answer: What is the difference between a belt lipectomy and a lower body lift?

Answer: What is the difference between a belt lipectomy and a lower body lift?

Answer: Body lift

Answer: Body lift

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What is the difference between a belt lipectomy and a lower body lift?

Answers (10)

Answer: What is the difference between a belt lipectomy and a lower body lift?

Answer: What is the difference between a belt lipectomy and a lower body lift?

Answer: Body lift

Answer: Body lift

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