Circumferential 360º Lower Body Lift for Excess Skin After Weight Loss*

After losing more than 240 pounds through diet and exercise, our patient wanted the outside of her body to reflect the extraordinary work she had already done on the inside. She is a 53-year-old White female who came to Dr. Timothy Katzen with excess skin involving the abdomen, pubic region, hips, and buttocks, all common areas of concern after massive weight loss. To address these changes, Dr. Katzen performed a 360º lower body lift under general anesthesia, a post-weight-loss body contouring procedure designed to remove loose skin around the entire lower torso and create a smoother, more lifted silhouette. During surgery, Dr. Katzen carefully planned the incision to extend around the body so he could treat the front, sides, and back in one comprehensive operation. Excess skin and underlying soft tissue were removed in a controlled manner, helping flatten the abdomen, elevate the pubic region, smooth the hips, and lift the buttocks for a more balanced contour. This type of lower body lift is especially helpful when skin laxity is circumferential, because treating only the front often leaves the sides and back untreated. After the excess tissue was removed, the remaining skin was redraped and tightened to improve shape and proportion from every angle. The incisions were closed in multiple layers to support healing and reduce tension on the skin. These photos were taken 2 months after surgery, and her results are already remarkable, showing a tighter lower body contour, improved waistline, and a transformation that better matches her incredible weight loss journey.