Extended TT vs Belt Lipectomy? (Photos)

The best result will be with the belt lipectomy. You need some help with your butt that only the belt will accomplish. You'll forget about the longer scar but will appreciate the improvement that the belt will provide. Good luck.

Thank you for your question and photos. Congratulations on your weight loss. You appear to be an excellent candidate for a circumferential body lift. The abdominal skin excision could give you an excellent contour as well as improve the tone of the anterior abdominal wall.  Please see a board certified plastic surgeon for an in-person examination to discuss the specific details of the procedures. Ask to see before and after photos to get an idea of what can be achieved. Hope this helps!

I would recommend the belt lipectomy, liposuction and fat grafting to your buttocks. It will give you elevation of your buttock, flattening of your lower back as well as tightening of your abdomen and improvement of contour of your flanks and sides. The fat grafting to your buttock will further improve your buttock shape and contour. 

I think that the best solution for shape and scar minimization would be an extended tummy tuck with liposuction of the sides and back with fat transfer to the buttocks.  This would dramatically improve your shape and not flatten the buttocks further.

In my practice, I prefer to stage the surgery for weight loss patients and do the extended abdominoplasty first and then the buttocks lift/fat transfer next. The reasons are1)  recovery so that you are not laying on post operative surgical flaps 2)The procedure can be done outpatient 3) blood loss and potential transfusions and 4) vector position during surgery.

An extended tummy tuck traverses into the back and lumbar area and sometimes encircles the trunk.  A circumferential tummy tuck or belt lipectomy definitely encompasses the entire torso, but the difference is not that great.  Based on the photographs I think either option is acceptable, sometimes I don't make the decision until we are in the operating room and can tell how loose the skin is.Good Luck!

Hello and thank you for your question. Congratulations on your weight loss. I specialize in post massive weight loss body contouring. I would definitely suggest circumferential type tummy tuck but definitely not a belt Lipectomy if that is truly what is being suggested. Unfortunately that is difficult for you to know as many plastic surgeons use that synonomouysly with a lower body lift which is the procedure that you need. Typically fat injections in massive weight loss patients don't do well as their skin tone is not as good. I therefore do fat skin flaps to augment the buttocks as well as the hips (Fisher flap) to maintain and or increase your hip / waist ratio. Definitely choose the surgeon who has the most experience and can show you excellent before and after photos. Good luck. Peter Fisher M.D