50 Questions About a Body Lift

By: Dr. J. Timothy Katzen

12/27/2023

1) What is a 360-degree circumferential lower body lift?

A 360-degree circumferential lower body lift is a plastic surgery that removes skin and fat from the lower abdomen, pubic region, hips, and upper buttock. The 360-degree circumferential lower body lift simultaneously removes the skin and fat in all these areas in one surgery.


2) How does a 360-degree circumferential lower-body lift work?

During a 360-degree circumferential lower body lift, attention is focused on the buttocks first. An incision is made across the upper buttocks, and tissue dissection is carried to the lower portion of the buttock. The buttocks are pulled up, and excess buttock skin and fat are removed. The incision is closed. Then, you are carefully flipped over on the operating room table. Attention is then focused on your abdomen. An incision is made across your lower abdomen, and tissue dissection is carried to the bottom of the ribcage and sternum. The rectus abdominis muscle is tightened and brought together (or plicated). The pubic region is lifted and reduced. The hips are lifted and reduced. Then, the abdomen is pulled down, and excess lower abdominal skin and fat are removed.


3) Is a 360-degree circumferential lower body lift a safe procedure?

A 360-degree circumferential lower body lift is a safe procedure when rules are followed. The limits of a 360-degree circumferential lower body lift should be discussed with your chosen plastic surgeon. If you have other medical conditions, these conditions may prohibit you from having a 360-degree circumferential lower body lift. In the appropriate patient, a 360-degree circumferential lower body lift is a relatively safe procedure in qualified and experienced hands compared to other forms of surgery. However, safety lies in optimal patient choice, your plastic surgeon’s experience, your plastic surgeon’s team, including anesthesiologists and nurses, strict adherence to eating or drinking a high protein diet to help with healing (I recommend consuming 100 grams of protein daily), and following all post-operative instructions.


4) What are the benefits of a 360-degree circumferential lower-body lift?

One benefit of a 360-degree circumferential lower body lift is that you can permanently remove skin and fat from your lower abdomen, hips, and buttocks. Also, the 360-degree circumferential lower body lift can be performed in one surgical setting instead of requiring three separate surgeries, specifically a tummy tuck, a hip lift, and a buttock lift or reduction. Another benefit of a 360-degree circumferential lower body lift is that removing excess skin and fat may make exercising easier. Also, a lower body lift can help permanently eliminate stubborn rashes in the upper pubic and lower abdomen areas.

Another possible benefit of a 360-degree circumferential lower body lift is that it may increase your self-esteem, which can, in turn, improve your relationships, including improved intimate relations. As with all surgeries, individual results will vary.


5) Who is a good candidate for a 360-degree circumferential lower body lift?

Good candidates for a 360-degree circumferential lower body lift should be healthy, non-smokers, and without other medical problems. Ideally, you should be at your goal weight. However, you can have a lower body lift if you have specific medical issues or are not at your goal weight. If you are not at your goal but have lost weight, consult your chosen plastic surgeon. Ideal lower-body lift patients should have realistic expectations regarding what this surgery can achieve.


6) How much does a 360-degree circumferential lower-body lift cost?

Cost ranges for a 360-degree circumferential lower body lift. The price of a 360 circumferential lower body lift ranges due to many issues. Experience: more experienced plastic surgeons will charge more for their services than less experienced body lift surgeons. Presumably, more experienced body lift surgeons have fewer complications than less experienced body lift surgeons.

Geography: the location of your plastic surgeon’s office affects the body lift price. Urban plastic surgery offices have higher overhead in rent, staff, and malpractice insurance fees. City practices will transfer some of this overhead into the surgical fees for a body lift surgery. Location of the surgery: sometimes, the lower body lift is performed in a hospital or a surgery center. Hospitals charge more than surgery centers. Time: Plastic surgeons often charge by the hour. If you are “smaller,” your body lift may be able to be completed in four to five hours. In comparison, if you are “larger,” your lower body lift will take more than five to six hours. Efficient team: if you select an experienced and efficient team, this can mean less time under anesthesia, less time in the operating room, and, thus, fewer charges.


Another factor in determining the cost of a 360-degree circumferential lower body lift is whether your plastic surgeon utilizes an anesthesiologist (a medical doctor or MD) or a certified registered nurse anesthetist (CRNA) for your anesthesia. An anesthesiologist costs more than a CRNA.

Insurance coverage must also be considered when pricing a lower body lift as the insurance may cover all or part of the surgery. Complete or even partial medical insurance will lower the bottom line.

Other factors to consider: does your plastic surgeon charge you extra for muscle plication or pubic lift, or are these procedures included in the lower body lift? If you are having surgery in a surgery center, does your plastic surgeon require a stay at a recovery center, and is this stay included in the estimate? Does your plastic surgeon include post-operative garments, or is there a separate charge? Does your insurance cover pre-operative labs? Does your insurance cover required medications, like pain medications and antibiotics? Will you need lymphatic massages, and are these included in the pricing? All these factors contribute to the wide range in the cost of 360-degree circumferential lower body lift.


7) What other procedures can be performed with a 360-degree circumferential lower-body lift?

Before you contemplate adding procedures to the 360 circumferential lower body lift, you must understand that the lower body lift is an extensive procedure. You will have an incision that goes around your body completely, your mobility will be limited, and you will have some pain. However, suppose you are in good health, and your plastic surgeon has a great and efficient team. In that case, you can do additional procedures during the lower body lift. Other procedures combined with the lower body lift include the inner thigh lift, breast augmentation, breast lift (mastopexy), and arm lift (brachioplasty). Many patients want to augment their buttocks; this can be achieved with autologous fat transfer (Brazilian butt lift, or BBL) or an autologous flap (propeller flap). The type and number of ancillary procedures that can be performed simultaneously will depend on your anatomy, health, length of procedure, cost, and plastic surgeon comfort level.


8) Are there different types of 360-degree circumferential lower body lift techniques?

There is only one type of 360-degree lower-body lift. There can be some slight variations in incision placement. Some plastic surgeons place the incision in the pubic region lower than other plastic surgeons. Some plastic surgeons place the incision higher over the hip than other plastic surgeons. Some plastic surgeons place the incision higher over the buttock than other plastic surgeons. However, the standard 360-degree circumferential body lift incision goes completely around your waist.

Some plastic surgeons add a vertical component to the 360-degree lower-body lift. This form of lower body lift addresses the upper abdomen’s vertical skin laxity and excess fat.This procedure involves an incision from the top of the pubic region to the belly button and then to the bottom of the sternum. Another way to look at this vertical addition is as a combination of the fleur-de-lis (FDL) tummy tuck and a posterior buttock lift. The FDL surgery is a combination of a vertical and horizontal tummy tuck. The result is an inverted T-incision. However, a vertical incision is usually unnecessary if the lower body lift is well-planned and executed.


9) What is the recovery process after a 360-degree circumferential lower body lift?

For the first several days, you will have pain. You will be prescribed pain medication, which will control and alleviate your pain. For the first week, you will have swelling and bruising. The swelling may be particularly evident around your face and hands. The swelling may last six weeks or more. This is a normal phase of healing. You will be prescribed a medical garment to minimize swelling. You will wear a compression garment for approximately six weeks after a 360-degree circumferential lower body lift. Also, you will have bruising after your lower body lift. Bruising is usually gone by about two weeks after the lower body lift. Bruising and swelling can be managed by taking over-the-counter Arnica and Bromelain.

After your lower body lift, you must eat or drink a high protein diet; I recommend at least 100 grams of protein daily. As your body heals from the surgery, it needs building blocks of energy to heal. These building blocks are made up of protein.

In addition to taking all your medications as instructed by your plastic surgeon, it is crucial that you follow all your plastic surgeon’s instructions.

Most patients can return to a sitting job three to four weeks after a 360-degree circumferential lower body lift procedure. If your job is very physical, you must take four to six weeks to heal from your body lift.


10) Does a 360-degree circumferential lower body lift leave scars?

Yes, a 360-degree circumferential lower-body lift does leave a scar. The lower body lift scar extends entirely around your body. Unfortunately, a 360-degree circumferential lower-body lift cannot be performed without leaving a residual scar. However, most patients feel it is worthwhile to trade excess tummy, love handles, and buttock skin and fat for a scar.


11) Is a 360-degree circumferential lower body lift a permanent solution for excess skin and fat?

A 360-degree circumferential lower body lift is a permanent skin and fat removal solution. During the lower body lift, skin and fat are permanently removed and thrown away. However, there are several precautions. Fluid or edema may make you weigh more. Therefore, after a 360-degree circumferential lower body lift, you must wear your compression garment to minimize fluid buildup and swelling.

Also, a 360-degree circumferential lower body lift is an extensive procedure. There is potential to regain the weight. Therefore, once you have healed from your 360-degree circumferential lower body lift and your plastic surgeon has cleared you, you should combine an appropriate diet with exercise to maintain permanent body lift results. As with most plastic surgery procedures, you must continue to watch what you eat and exercise daily to maintain your results.


12) Are the results of a 360-degree circumferential lower body lift immediate?

Yes, the results of a 360-degree circumferential lower-body lift are immediate. The results are evident on the operating room table right after surgery and before you awake from anesthesia.


However, a natural response to any surgery is swelling or edema. Even during surgery, your body starts to swell. After a lower-body lift, swelling may take six weeks or more to disappear. Therefore, even if the results are immediate, they may take six weeks to become apparent.


13) How much skin and fat can be removed during a single session of a 360-degree circumferential lower body lift?

The amount of fat that can be removed during a 360-degree circumferential lower body lift session depends on your anatomy. If you have more excess skin and fat, more can be removed. Only a little weight will be removed if you have little skin and fat. Dr. Katzen has removed 6 pounds of skin and fat during a “small body lift,” and 83 pounds during an “extra-large body lift.” You must realize that these are shape surgeries, not weight surgeries.

In the ideal world, you should be at your ideal body weight or goal weight before your lower body lifts.

Additionally, your body mass index should be 30 or less. However, these are ideal situations that are often unattainable for many patients. If you cannot reach these weight goals, do not be discouraged. Consult a plastic surgeon to see if you are a candidate for a lower-body lift.


14) What is the difference between a 360-degree circumferential lower and upper body lift?

During a 360-degree circumferential lower body lift, excess skin and fat from the abdomen, hips, and buttocks are permanently removed. Often, a thigh lift is included with the 360-body lift. During the 360-degree circumferential upper body lift, excess skin and fat on the back, side breasts, and chest are removed. The incision extends completely around your upper chest. Often, an arm lift is included with the 360-degree circumferential upper body lift.


15) How long do I take off work after a 360-degree circumferential lower body lift?

After a 360-degree circumferential lower body lift, you should take two to three weeks off from a sitting job.

If you have a job that requires significant physical activity, you should take off three to four weeks after a 360-degree circumferential lower body lift.


16) Can a 360-degree circumferential lower body lift help with weight loss?

Yes, a 360-degree circumferential lower-body lift can help with weight loss. A 360-degree circumferential lower body lift can help to remove redundant skin and resistant fat pockets. A 360-degree circumferential lower-body lift should not be considered a primary way to lose weight. Usually, a lower body lift is performed after weight loss, not before weight loss. A lower body lift should be considered a “shape surgery,” not a “weight surgery.” Also, a 360-degree circumferential lower body lift can remove skin and fat and sometimes allow you to exercise better. Sometimes, a 360-degree circumferential lower body lift can motivate you by showing off the results you worked so hard to achieve through diet, exercise, and, often, gastric surgery.


17) What should I expect during a 360-degree circumferential lower body lift consultation?

During your 360-degree circumferential lower body lift consultation, your chosen plastic surgeon will examine you and determine if you are a good candidate for the surgery. Your plastic surgeon’s decision will be based on your past medical history, past surgical history, medications, and allergies.

The decision to proceed with surgery will be based on a thorough physical examination, including your weight-loss history.

During the consultation, your areas of concern will be examined. Your plastic surgeon will determine if these areas would be best treated with a 360-degree circumferential lower body lift. You and your chosen plastic surgeon may discuss the risks and complications associated with a lower body lift. Often, pictures are taken, especially if insurance is being considered. Whenever submissions are made to medical insurance companies, medical pictures are required. The cost will be discussed if you are a good candidate for a lower body lift surgery. You can schedule a day for your lower body lift surgery if the cost is acceptable.

After a day has been scheduled, appropriate medical tests will be ordered.


18) Is a 360-degree circumferential lower body lift painful?

A 360-degree circumferential lower body lift cannot be performed under IV, twilight, or epidural anesthesia. A lower-body lift must be performed under general anesthesia. After a 360-degree circumferential lower body lift, you will have some mild to moderate pain. Your pain will be controlled with Tylenol or low-dose painkillers. Another technique to minimize your post-operative pain is the placement of a pain pump. A pain pump is a reservoir of local anesthetic that drips pain medication in a controlled fashion. Also, the pain pump decreases the need for Tylenol and other pain medications. The pain pump lasts about five to seven days.


19) What is the ideal body mass index (BMI) for a 360-degree circumferential lower body lift?

The ideal body mass index for a 360-degree circumferential lower body lift is less than 30. Your BMI should be less than 30 for many elective plastic surgery procedures. However, if your BMI exceeds 30, you and your plastic surgeon should discuss the increased risks of surgery. Even though your BMI may be above 30, this increased number may not prohibit you from undergoing a 360-degree circumferential lower body lift.

However, you and your plastic surgeon must realize that if your BMI is above 30, you are at increased risk of complications.


20) Can a 360-degree circumferential lower body lift tighten loose skin?

In addition to permanently removing excess fat, a 360-degree circumferential lower body lift does tighten loose skin. The skin is undermined during a lower body lift, and attachments are freed. By disrupting these underlying skin attachments, the skin can be pulled and manipulated. The buttock skin is pulled up on the buttock, whereas the tummy skin is pulled down on the abdomen. By pulling the skin, the loose skin is tightened, and the wrinkles are eliminated.


21) Are there dietary restrictions before a 360-degree circumferential lower body lift?

Approximately two weeks before a 360-degree circumferential lower body lift, you should eat a high-protein diet; I recommend you consume 100 g of protein daily. There are certain herbs, fruits, supplements, and vitamins that you should avoid before your 360-degree circumferential lower body lift surgery. Some medications need to be stopped at least one month before surgery.

Your chosen plastic surgeon should provide a list of medications, herbs, fruits, supplements, and vitamins to avoid before your surgery. If your plastic surgeon did not provide a list, here is a link to herbs, fruits, supplements, and vitamins to avoid before your body lifts. LINK to blog reviews to avoid 


22) How can I prepare for a successful 360-degree circumferential lower body lift recovery?

I suggest you purchase 

1) A recliner with a power ejector button. The power ejection can mechanically move you from sitting to standing.

2) Alligator grips to pick items off the floor.

3) Wee-wee or absorbency pads to keep your linens and bedding clean.

4) bendy straws so you can sip water from a sitting position.

5) A one gallon container for water: You will be encouraged to drink about 1 gallon of water daily after the lower body lift for about one week.

You should buy enough bottled water to meet these needs.

6) Thermometer. To check your temperature, buy a thermometer.

Most plastic surgeons will provide medical-grade garments and an incentive spirometer.


23) Can a 360-degree circumferential lower body lift treat stubborn fat that doesn’t respond to diet and exercise?

Yes, a 360-degree circumferential lower body lift permanently removes stubborn fat pockets not responsive to diet and exercise.

The lower body lift removes fat from the pubic region, lower abdomen, hips, and upper buttocks. Liposuction is often combined with the body lift to access isolated fat outside the resection area.


24) How noticeable will the scarring be after a 360-degree circumferential lower body lift?

The scar from a lower-body lift extends entirely around your torso, like a belt. Usually, the lower body lift scar can be hidden under reasonable clothing. If you wear more revealing underwear or bathing suits, there is a higher chance of seeing these lower body lift scars.


25) What can be done to minimize lower-body lift scars?

The lower body lift scar has moderate to significant tension, so there is an increased likelihood of forming a thick scar. Compression garments, silicone-based creams, and silicone strips help minimize scarring.

These can be applied several weeks after the lower-body lift. Once completely healed, laser and microneedling can help minimize scarring further.

Another option to minimize scarring is to revise the scar surgically.


26) Are there any age-related considerations for a 360-degree circumferential lower body lift?

No age-related considerations exist for a 360-degree circumferential lower body lift. You can still undergo a 360-degree circumferential lower body lift if you are older and have no medical contraindications. Age is not a contra-indication to having a lower body lift; however, certain medical conditions may prohibit you from having the surgery.


27) What is the recommended age for a 360-degree circumferential lower body lift?

There is no recommended age to undergo a lower-body lift. Most patients should be at least 21 before undergoing a 360-degree circumferential lower body lift. The upper age limits for undergoing a 360-degree circumferential lower body lift are not defined. The maximum age should be determined by your medical health, the amount of skin and fat that needs to be removed, and the comfort level of your plastic surgeon.  


28) How can I maintain the results of a 360-degree circumferential lower body lift over time?

A 360 circumferential lower body lift removes excess skin and fat permanently. However, you can regain that excess fat. Therefore, to maintain your body lift results, it is imperative that you continue to eat right and exercise. High protein, low carbohydrate, minimal sugar, and as much exercise as possible will help maintain your lower body lift results.


29) What factors can affect the outcome of a 360-degree circumferential lower body lift?

Various factors, including patient-specific factors, surgical technique, and post-operative care can influence the outcome of a 360-degree circumferential lower body lift. Here are some key factors:

A) Patient’s Health and Lifestyle: The overall health and lifestyle of the patient play a significant role in the outcome of the surgery. Patients who maintain a healthy diet, exercise regularly, and avoid smoking or excessive alcohol consumption are generally better candidates for successful surgery and optimal results.

B) Weight Stability: Patients need to achieve a stable weight before and after undergoing a lower body lift. Significant weight fluctuations before or after the surgery can impact the outcome. Maintaining a stable weight helps ensure that the surgery results are not compromised.

C) Skin Elasticity: Skin elasticity varies among individuals and can affect how the skin responds to the surgical procedure. Patients with good skin elasticity are likelier to achieve smoother and more natural-looking results.

D) Amount of Excess Skin and Fat: The extent of excess skin and fat that needs to be removed can vary from patient to patient. Patients with more excess tissue may require more extensive surgical techniques and experience more dramatic improvements.

E) Surgical Technique: The plastic surgeon’s surgical technique can impact the outcome. Different approaches may be chosen based on the patient’s needs and goals.

F) Plastic surgeon’s skill and experience: The skill and experience of the plastic surgeon performing the procedure are crucial factors in achieving a successful outcome. Choosing a board-certified plastic surgeon with expertise in body contouring procedures can significantly impact the quality of the results. Do you want to include “board-certified”?

G) Incision Placement and Closure: The placement of incisions and the surgical closure technique can affect the appearance of scars and the overall aesthetic outcome. Plastic surgeons aim to minimize visible scarring and create natural-looking contours.

H) Post-Operative Care: Following the plastic surgeon’s post-operative care instructions is essential for a successful outcome. This includes proper wound care, wearing compression garments as directed, and attending follow-up appointments for monitoring and adjustments.

I) Realistic Expectations: Patients with realistic expectations about the surgery results are more likely to be satisfied with the outcome. Understanding that a 360-degree circumferential lower body lift can provide significant improvements but may not achieve perfection is essential.

J) Complications and Compromise: Occasionally, complications such as wound healing issues, infections, or asymmetry may arise. How these complications are managed and addressed can affect the outcome.


30) Does health insurance cover a 360-degree circumferential lower body lift?

In most cases, health insurance does not typically cover the cost of a lower body lift because it is considered a cosmetic or elective procedure. Cosmetic surgeries are generally performed to improve a person’s appearance rather than to address medical conditions or health concerns, which is the primary criterion for insurance coverage.

However, there may be some exceptions or situations where insurance coverage or partial coverage could be considered:

A) Medical Necessity: In rare cases, insurance companies may consider coverage if the excess skin and tissue in the lower body pose a significant medical concern or health risk. For example, suppose you have recurrent skin infections, chronic rashes, or mobility issues due to excess skin. In that case, you can make a case for medical necessity. Your surgeon and insurance provider would need to document and support this claim.

B) Combining Procedures: If you are undergoing a lower body lift in conjunction with another medically necessary procedure, such as a hernia repair or abdominal surgery, there may be some overlap in costs that insurance could cover. However, the cosmetic portion of the surgery would typically not be covered.


C) Prior Authorization: In some cases, you may need to seek prior authorization from your insurance provider, and your plastic surgeon may need to provide documentation supporting the procedure’s medical necessity. Even with prior authorization, there is no guarantee that insurance will cover the entire cost.

It’s important to note that insurance policies and coverage vary widely, and what is covered or reimbursed by one provider may not be the same for another. Before pursuing a lower body lift or any cosmetic surgery, it’s advisable to contact your insurance company, review your policy, and discuss the procedure with your plastic surgeon to determine the potential for coverage and to understand your financial responsibilities.


31) Can a 360-degree circumferential lower body lift improve the appearance of stretch marks?

A 360-degree circumferential lower-body lift does not specifically improve the appearance of stretch marks.

Stretch marks appear after the skin experiences significant stretching and loses pigmentation. If the stretch mark is in the planned skin resection, the stretch mark will be removed. However, if the stretch is outside the area of skin resection, the stretch mark is usually unaffected.

32) When can I shower after a lower body lift?

Usually, plastic surgeons allow their patients to shower once their drains are removed and the incision is healed.

Typically, drains remain in place for two to three weeks. Therefore, most patients can shower two to three weeks after their body lift.

However, most plastic surgeons allow their patients to sponge-bath well before removing drains. Most patients can sponge bathe five to seven days after the body lift. Water can go around the incision but not on the incision.


34) What are other names for a 360-degree circumferential lower body lift?

The lower body lift is known by several other names and terms, depending on the specific techniques and variations used in the procedure. These alternative names may describe similar or related surgical approaches to body contouring. Some of the common names and related terms for this procedure include:

A) Circumferential Body Lift: This term is often used interchangeably with a 360-degree circumferential lower body lift. It encompasses the idea that the surgery addresses the entire circumference of the lower body.

B) Belt Lipectomy: A belt lipectomy is a procedure that removes excess skin and fat around the waistline, creating a “belt-like” effect. It may include the lower abdomen, flanks, and lower back. However, the word “lipectomy” is inaccurate because a lipectomy only describes the removal of fat and does not mention removing nearby skin. Also, a lipectomy can be performed entirely with liposuction. This term does not accurately describe the procedure because a lower body lift also involves skin resection.

C) Lower Body Lift: The term “lower body lift” broadly refers to surgical procedures that target the lower body, including the abdomen, thighs, buttocks, and lower back. This term may include a thigh reduction, whereas a 360-degree circumferential lower body lift does not.

D) Torsoplasty: Torsoplasty is a term that can describe body contouring procedures that focus on the torso, including the abdomen, flanks, and back. However, technically, a 360-degree circumferential lower body lift focuses on the front lower torso (abdomen) and not the back of the torso (lower back).


E) Body Contouring After Massive Weight Loss or Post-Bariatric Body Contouring: These terms refer to surgical procedures performed after substantial weight loss, often following bariatric surgery (weight loss surgery). These procedures describe a category of procedures, including the 360-degree circumferential lower body lift, designed to address excess skin and tissue following significant weight loss.

This vague umbrella term can include procedures like the arm lift, breast lift, thigh lift, back lift, and face and neck lift. The 360-degree circumferential lower body lift does not include these procedures.


F) Circumferential Abdominoplasty: While not synonymous with a 360-degree circumferential lower body lift, circumferential abdominoplasty is a related procedure that addresses excess skin and tissue around the abdomen and waist. Unlike the lower body lift, the circumferential abdominoplasty may or may not include the buttock lift.

G) Fleur-de-lis abdominoplasty:

This type of tummy tuck addresses the vertical and horizontal dimensions of the abdomen. The resulting scar extends vertically from under the sternum to the pubic bone and horizontally from hip to hip. The resulting scar is in the shape of an upside-down letter T.


35) Can I determine how much the anticipated skin and fat will weigh before my body lifts?

Determining how much the anticipated excess skin and fat will weigh can be challenging before a body lift surgery. The weight of the removed skin and fat can vary significantly depending on several factors, including the extent of the procedure, individual body composition, and surgical technique employed. Here are some considerations:

A) Surgical Extent: The amount of excess skin and fat removed during a body lift can vary widely from patient to patient. Some individuals may have significant excess tissue, while others may have less. The surgical plan is tailored to each patient’s specific needs.


B) Body Composition: The weight of excess skin and fat is influenced by the individual’s body composition, including their overall body size, weight, and the distribution of excess tissue. People with larger bodies or those who have lost a substantial amount of weight may have more excess skin and fat to be removed.

C) Surgical Technique: The surgical technique can affect the amount of tissue removed. Different techniques may involve varying degrees of tissue removal.


36) Will I lose weight after a lower-body lift?

Yes. Because excess skin and fat are removed during a lower body lift, you will lose weight after a lower body lift. However, it is crucial to understand that the primary goal of a lower-body lift is not weight loss. The primary focus is on reshaping the body rather than achieving significant weight loss. The weight loss can vary but is generally a fraction of the total tissue removed.


37) What should I do if I’m not happy with the results of my lower body lift?

If you are not satisfied with the results of your lower body lift, it’s essential to take the following steps:

A) Communicate with your plastic surgeon: The first and most crucial step is to have an open and honest conversation with your plastic surgeon. Express your concerns and dissatisfaction with the results. Your plastic surgeon can provide insights, explanations, or recommendations for addressing your concerns.

B) Follow post-operative instructions: Ensure you follow all post-operative care instructions from your plastic surgeon. Sometimes, dissatisfaction can be related to not following the prescribed recovery plan correctly.

C) Be patient: swelling, bruising, and initial results can take time to settle. It’s essential to allow your body ample time to heal and for the results to become more apparent, which can take several months.

D) Consider a revision surgery: If your concerns persist and are related to specific aesthetic issues, your plastic surgeon may discuss the possibility of a revision surgery to address those concerns. However, revisions are typically only considered once you have fully healed from the initial procedure, which can take several months.

E) Seek a second opinion: If you remain dissatisfied with your plastic surgeon’s recommendations or unsure about your options, you can consider seeking a second opinion from another board-certified plastic surgeon. They can provide an independent assessment and offer alternative solutions.

F) Manage expectations: It’s essential to have realistic expectations regarding the outcomes of any cosmetic surgery. While a lower-body lift can significantly improve, it may not achieve perfection or meet every expectation. Discuss your goals and expectations with your plastic surgeon during the initial consultation to ensure they align with what the procedure can realistically achieve.


38) Will I need to change my clothing sizes after the lower body lift?

After undergoing a lower body lift, you may experience significant changes in your body shape and size, which can necessitate adjustments to your clothing sizes. Here are some tips to help you manage your wardrobe post-surgery:

A) Gradual Wardrobe Updates: Understand that your body may take time to settle into its new shape after surgery. Avoid making drastic wardrobe changes immediately. Instead, gradually transition by purchasing key pieces that fit your body shape.

B) Consult with a Tailor: A skilled tailor can be your best friend during this transition period. They can help alter your clothing to fit your new body shape better. This approach can be a cost-effective way to make your wardrobe work for you.

C) Invest in Basics: Start by updating your wardrobe with essential items like underwear, bras, and basic tops and bottoms that fit comfortably. These items can make a big difference in your day-to-day comfort and confidence.

D) Stretchy Fabrics: Consider clothing made from stretchy fabrics like spandex or elastane, as they can quickly accommodate changes in your body shape. Leggings, yoga pants, and stretchy jeans can be good choices.

E) Layering: Layering can help you adjust your clothing to your comfort level. Cardigans, jackets, and wraps can conceal or highlight specific areas of your body.

F) Elastic Waistbands: Look for pants, skirts, and shorts with elastic waistbands. They provide flexibility in terms of sizing and can be more comfortable as your body continues to heal and change.

G) Avoid Tight Clothing: While it’s natural to want to show off your new figure, avoid wearing tight clothing immediately after surgery. It can put unnecessary pressure on the healing incisions and may be uncomfortable.

H) Be patient: Remember that it takes time for your body to heal and stabilize fully after surgery. Your clothing needs may continue to change over the months following the procedure. Be patient with yourself and adapt your wardrobe as needed.


39) What is the difference between a lower body lift, liposuction, and a tummy tuck?

A lower body lift and liposuction are two distinct plastic surgery procedures that address different concerns and produce different results. Here are the key differences between the two:

A) Purpose and Concerns Addressed:

1) Lower Body Lift: A lower body lift is primarily performed to address sagging skin, excess fat, and tissue laxity in the lower body. It is often chosen by individuals who have lost significant weight or have excess skin due to aging, pregnancy, or other factors. This procedure focuses on removing excess skin and fat and tightening the underlying tissues to improve the overall contour and appearance of the lower body.

2) Liposuction: Liposuction is a cosmetic procedure to remove localized pockets of excess fat from specific body areas. It is not intended for skin tightening or addressing loose or sagging skin. Liposuction is often chosen by individuals at or near their ideal body weight but have stubborn fat deposits resistant to diet and exercise. It can be performed on various body areas, including the abdomen, thighs, buttocks, neck, and arms.

3) Tummy Tuck: Conversely, a tummy tuck focuses explicitly on the abdominal area. It primarily addresses excess skin and fat in the front of the abdomen. It tightens the abdominal muscles, particularly in the area below the navel. While it may have some impact on the lower abdomen’s sides, it does not address the buttocks or thighs.

B) Surgical Approach:

1) Lower Body Lift: A lower body lift is a more extensive surgical procedure involving incisions around the waistline to remove excess skin and fat. It may also include muscle tightening to enhance the overall contour.

2) Liposuction: Liposuction is a less invasive procedure that involves making small incisions and using a thin tube to remove fat cells with suction. The incisions are relatively small, resulting in less noticeable scars than a lower-body lift.

3) Tummy Tuck: A tummy tuck typically involves a horizontal incision in the lower abdominal area below the navel. The excess abdominal skin and fat are removed, and the abdominal muscles are tightened. The procedure primarily targets the front of the abdomen.

C) Results:

1) Lower Body Lift: A lower body lift provides comprehensive results, addressing both excess skin and fat. It can result in a more significant improvement in body contour and skin tightness. The outcomes are often dramatic, particularly for individuals who have experienced significant weight loss.

2) Liposuction: Liposuction is primarily focused on fat reduction. While it can improve body contours, it does not address sagging or loose skin. The success of liposuction depends on the elasticity of your skin; if your skin lacks elasticity, liposuction alone may not provide optimal results.

3) Tummy Tuck: A tummy tuck provides more localized results, focusing primarily on the abdominal area. It can create a flatter and firmer abdomen. It can be an excellent choice for individuals concerned about sagging skin and muscle laxity in this specific region.

D) Recovery and Downtime:

1) Lower Body Lift: A lower body lift is a more extensive surgery so that the recovery period may be more prolonged and uncomfortable. Patients typically need to take several weeks off from work and avoid strenuous activities during this time.

2) Liposuction: Liposuction generally involves a shorter recovery than a lower-body lift. Many patients can return to normal activities within a few days to a week. However, strenuous exercise may be restricted for a few weeks.

3) Tummy Tuck: A tummy tuck is less extensive than a body lift but more intense than liposuction. Plan to take off two to three weeks from work. Also, avoid elective exercise for four to six weeks.


40) Will I have drains after the body lift?

Drains are used after a lower-body lift to help manage fluid accumulation and prevent complications during the initial stages of recovery. Drains are typically inserted through small incisions and are connected to plastic bulbs or bags that collect excess fluid from the surgical site. Some key points to understand about drains after a lower body lift are:

A) Drain Placement: Drains are commonly placed in the areas where the surgery was performed, such as the abdomen, pubic region, lower back, or buttocks. The number and placement of drains can vary depending on the surgical technique and the plastic surgeon’s preference.

B. Purpose of Drains: The primary purpose of drains is to prevent the buildup of excess fluids, including blood and lymphatic fluid. Drains help reduce the risk of complications like seroma or hematoma. A seroma is an accumulation of serous fluid; serous fluid is your body’s natural superglue to glue tissue together. A hematoma is a collection of blood. A seroma or hematoma can delay healing and affect the results.

C) Duration of the drains: The time drains remain in place can vary from patient to patient. Typically, drains remain in place for several days to a few weeks. Your plastic surgeon will monitor the output from the drains and remove the drains when the drainage decreases to an acceptable level.

D) Care and Maintenance: You will receive instructions on how to care for the drains, including emptying and measuring the fluid output regularly. It’s essential to follow these instructions meticulously to ensure proper drainage and minimize the risk of infection.

E) Comfort and Mobility: While drains can be uncomfortable and may limit your mobility to some extent, they are an essential part of the post-operative recovery process. Your plastic surgeon will advise you on managing them, including recommendations for moving around with the drains in place.

F) Removal of drains: Drain removal is usually straightforward and relatively painless. Your plastic surgeon will remove the drains in a sterile environment when it’s determined that they are no longer needed.


41) What medications will be prescribed?

Cipro (antibiotics): you will be prescribed antibiotics to minimize the chance of infections. Usually, antibiotics are continued while all the drains are in place. If there is any concern for infection after that, the antibiotics may be continued.

Percocet with Tylenol (pain medication): you will have pain after a lower body lift. You will need to take these pain medications to minimize the pain. Pain medication should only be taken as needed. If you do not have pain, do not take pain medication. The side effects of pain medication may include drowsiness, significant constipation, and addiction.

Flexeril (a muscle relaxant): You will be prescribed a muscle relaxant. A muscle relaxant helps to relax the muscles. Please take this medication if you experience tightness, especially in the rectus abdominis.

Colace and Milk of Magnesia (Stool Softener): You will be prescribed a stool softener to minimize the side effects of anesthesia, a high-protein diet, bed rest, and narcotics. All these contribute to constipation.

Omeprazole (anti-ulcer): The stress of the surgery, the anesthesia, and the narcotics increase your chances of developing a stomach ulcer. This medication helps to minimize the chances of a stomach ulcer. You should continue this medication for at least a month.

Scopolamine (nausea patch): after the surgery, you may have nausea. The nausea patch is placed behind your ear and usually lasts three days. You should change this patch every three days if you have nausea. If you still have continued nausea, please get in touch with your plastic surgeon.

Lovenox (blood thinner): You will be prescribed this blood thinner injection medication for two weeks. Your first injection will be given on the day of your surgery.

 

42) How long will I need to wear my compression garments after the body lift?

After a lower-body lift, you must wear compression garments for six to eight weeks. Wearing garments can vary depending on your plastic surgeon’s recommendations, the healing process, and specific needs. However, wear your compression garment if you have continued swelling after six weeks.


43) Are there any non-surgical alternatives to a lower body lift?

Non-surgical alternatives to a lower-body lift exist. However, it’s important to note that they may not provide the same comprehensive results and may have limitations in addressing specific concerns. The effectiveness of these non-surgical options can vary depending on individual goals and the extent of the issues being addressed. Here are some non-surgical alternatives to consider:

CoolSculpting (Cryolipolysis): CoolSculpting is a non-invasive fat reduction procedure that freezes and destroys fat cells in targeted body areas. It can help reduce localized fat deposits but does not address loose or sagging skin.

B) Radiofrequency Skin Tightening: Radiofrequency (RF) treatments, such as thermage or ultherapy, use heat energy to stimulate collagen production and tighten the skin. While they can improve skin elasticity and reduce mild sagging, they are typically less effective than surgery for significant skin laxity.

C) Laser Skin Resurfacing: Laser treatments, like fractional laser therapy, can improve skin texture and tighten loose skin to some extent. However, they may not be suitable for addressing extensive skin sagging.


D) Non-Surgical Body Contouring: Procedures like SculpSure or truSculpt use heat or laser technology to reduce localized fat deposits and improve body contour. They can be effective for modest fat reduction but may not replace surgery results for more extensive issues.

E) Body-Sculpting Garments: Specialized compression garments can provide temporary contouring benefits by smoothing and shaping the body. While these garments can improve appearance, they are not a long-term solution and do not address excess skin.

F) Exercise and Diet: Maintaining a healthy lifestyle with regular exercise and a balanced diet can help you achieve and maintain a toned physique. While these practices can improve your overall health and body composition, additional intervention is needed to address significant skin laxity.

G) Minimally Invasive Procedures: Some minimally invasive procedures, such as thread lifts or injectable fillers, can substantially improve body contour and skin tightness. However, their effects are typically modest compared to surgical options.


44) How many follow-up visits will I need?

The number of follow-up visits you will need after a lower body lift can vary depending on several factors, including your plastic surgeon’s specific post-operative protocol, the healing process, and potential complications or concerns. However, you will be seen weekly after your body lifts until it is healed.

Attending all scheduled follow-up visits, as your plastic surgeon recommends, is essential. These appointments are an integral part of your recovery process, as they allow your plastic surgeon to assess your healing, make any necessary adjustments, and ensure that you are progressing as expected.

During follow-up visits, promptly communicate any discomfort, concerns, or changes in your condition to your plastic surgeon. Your plastic surgeon will guide you when it is safe to resume physical activities and can offer advice on scar management, garment wear, and any other post-operative care needs.


45) What is the best sleeping position after a lower body lift?

After a lower body lift, it’s essential to adopt sleeping positions that promote comfort, minimize strain on the surgical areas, and support proper healing. Here are some tips on the best sleeping positions to consider:


A) Back Sleeping: Sleeping on your back is the preferred position during the initial stages of recovery. It helps minimize pressure on the surgical incisions and reduces the risk of damaging or distorting the results. Use pillows to support your head and upper body, and place a pillow under your knees to maintain a slight bend in your hips and knees. This position can help reduce tension on the incisions and provide comfort. Usually, the best position can be found in a recliner.

B) Avoid Side Sleeping: Sleeping on your sides, especially with surgical incisions on the abdomen or buttocks, can put undue pressure on these areas and may compromise the healing process. It’s typically best to avoid side sleeping during the early recovery period.

C) Pillow Placement: Use pillows strategically to support your body and maintain a comfortable position. Pillow placement can vary depending on your specific surgical areas. For example, you can place a pillow under your knees when sleeping on your back to relieve pressure on the lower back and buttocks.

D) Elevate your head: Elevating the head of your bed or using extra pillows under your upper body can help reduce swelling and promote better circulation. Elevation can be particularly beneficial if you have undergone abdominal surgery as part of the lower body lift.

E) Avoid Lying Flat, Sitting Upright, and Bending or Twisting: When getting in and out of bed, avoid bending or twisting at the waist, as this can strain the surgical incisions. Use your arms to support yourself and engage your core muscles to minimize stress on the surgical areas.


46) Is there a maximum amount of excess skin that can be removed during a body lift?

Yes, there is a limit to the maximum amount of excess skin that can be safely removed during a body lift procedure. The extent of skin removal that can be performed depends on several factors, including the patient’s overall health, the surgeon’s expertise, and the specific surgical technique employed. Here are some considerations regarding the removal of excess skin during a body lift:

A) Patient’s Health and Safety: The patient’s overall health is critical in determining the amount of excess skin that can be safely removed. Removing too much skin can lead to complications such as poor wound healing, an increased risk of infection, and impaired blood circulation. Surgeons prioritize patient safety when planning and performing these procedures.


B) Individualized Assessment: Each patient’s case is unique, and the amount of excess skin that can be removed depends on their circumstances. Plastic surgeons thoroughly assess the patient’s age, weight, body mass index, skin elasticity, and medical history.

C) Surgical Technique: The surgical technique also plays a role in skin removal. Different techniques can affect how much skin can be removed.

D) Patient’s Goals: The patient’s aesthetic goals and expectations are considered when planning the procedure. While plastic surgeons aim to improve body contour significantly, they also strive to maintain a natural appearance and avoid excessive skin removal that could lead to deformities.

E) Safety Margin: Plastic surgeons typically leave a safety margin when determining the amount of skin to remove to ensure that healing and recovery can occur without complications. The safety margin helps prevent issues such as wound breakdown and tension in the incisions.

F) Multiple Stages: In cases where a patient has a significant amount of excess skin, performing the procedure in multiple stages may be necessary. This approach allows for more gradual and safer skin removal.


47) Can I have children after a lower body lift?

Yes, it is possible to have children after undergoing a lower-body lift. However, there are some important considerations and factors to keep in mind:

A) Healing and Recovery: It’s essential to allow your body ample time to heal and recover from the lower body lift surgery before considering pregnancy. Pregnancy places significant demands on the body, and it’s advisable to wait until you have fully recovered to avoid potential complications.

B) Weight Stability: Pregnancy often leads to weight gain, which can affect the results of your lower body lift. To maintain the best aesthetic outcome, it’s recommended to achieve a stable weight before becoming pregnant and to try to minimize excessive weight gain during pregnancy.

C) Impact on Results: Pregnancy can potentially affect the appearance of your lower body lift results. The changes in abdominal and lower body anatomy during pregnancy may lead to stretching of the skin and underlying tissues. While this may not necessarily reverse the surgery results, it can impact the long-term appearance of your body.


48) Will I need to have additional surgeries in the future?

The need for additional surgeries in the future after a lower body lift can vary widely among individuals and is influenced by several factors. While most patients may not require further procedures, others may choose to undergo additional surgeries for various reasons. Here are some considerations regarding the potential need for future surgeries:

A) Individual Healing and Genetics: Each person’s body heals differently, and the long-term results of a lower body lift can depend on factors such as skin elasticity, genetics, and overall health. Some individuals may maintain their results well over time, while others may experience changes in body contour or skin laxity that prompt them to consider additional procedures.

B) Weight Fluctuations: Significant weight fluctuations can impact lower body lift results. Additional surgeries may be required to correct defects caused by these weight fluctuations.

C) Aging Process: Natural aging can lead to changes in skin elasticity and muscle tone over time. These changes can affect the appearance of the lower body, including areas addressed by a lower body lift. Some patients may seek revision procedures to combat the signs of aging.

D) Revision Surgery: Sometimes, patients may require or desire revision surgery to refine the initial lower body lift results. Revision surgery may be necessary to address asymmetry, scar irregularities, or unsatisfactory outcomes.

E) Maintenance and Enhancements: Patients who want to maintain or enhance their results may choose to undergo complementary procedures, such as liposuction, body contouring, or skin tightening, to refine their appearance further.


49) Can I travel after a lower body lift, and when?

Travel after a lower-body lift should be approached with caution and careful planning. Prioritizing healing and recovery during the early post-operative period is essential to ensuring the best possible outcomes. Here are some considerations for traveling after a lower-body lift:

A) Immediate Post-Operative Period (First Few Weeks): Traveling immediately after a lower body lift is generally not advisable. During the first few weeks after surgery, you should focus on rest, wound care, and following your surgeon’s post-operative instructions. Traveling during this time can increase the risk of complications, hinder the healing process, and be uncomfortable due to swelling and limited mobility.

B) Consult with Your Plastic Surgeon: Consult your plastic surgeon before making travel plans. They can assess your progress, guide you when it may be safe to travel and ensure you are healing adequately. Your plastic surgeon’s recommendations should be the primary factor in determining when it is appropriate to travel.

C) Avoid Long Trips: If you need to travel, it’s best to keep the trips short and within a reasonable distance from your surgeon’s office if you require medical attention or follow-up appointments. Prolonged sitting or immobility during long trips can increase the risk of blood clots, a concern after surgery.

D) Travel Companions: If you plan to travel during the early stages of recovery, it is advisable to have a companion accompany you. They can aid and support you during the journey.

E) Comfort and Safety: Ensure your travel arrangements are comfortable and conducive to your recovery. Consider factors such as seat comfort, access to medical facilities, and accommodations that accommodate your needs.

F) Swelling and Compression Garments: Swelling is expected after a lower body lift, and it may take several weeks to months to subside. Be prepared for this, and consider wearing compression garments during travel to manage swelling and provide support.


50) Are there any restrictions on sexual activity after a lower body lift?

Yes, there are typically restrictions on sexual activity after a lower body lift to ensure a safe and smooth recovery. In general, most patients can resume gentle intercourse three to four weeks after their lower body lift.

However, it’s essential to follow your plastic surgeon’s specific guidelines and recommendations regarding sexual activity, as they can vary depending on your case and the surgical techniques used. Here are some general considerations:

A) Immediate Post-Operative Period (First Few Weeks): During the immediate post-operative period, it is advisable to avoid sexual activity entirely. The first few weeks after surgery are crucial for healing, and engaging in sexual activity can increase the risk of complications, disrupt incisions, and lead to discomfort.

B) Physical Activity Restrictions: Sexual activity, like other physical activities, can place stress on the surgical areas. Your plastic surgeon will likely advise you to avoid any strenuous or vigorous activities, including sexual activity, during the initial stages of recovery.

C) Incision Healing: Incisions made during a lower body lift need time to heal correctly. Engaging in sexual activity too soon can put a strain on these incisions. It may lead to wound complications, such as wound separation or delayed healing.

D) Comfort and Pain: Discomfort and pain are expected during the early stages of recovery. It’s essential to prioritize your comfort and avoid activities that could worsen pain or lead to discomfort in the surgical areas.

E) Consult with Your Plastic Surgeon: Before resuming sexual activity, consult with your plastic surgeon to discuss your specific case and receive clearance. Your plastic surgeon will guide you when it is safe to resume sexual activity based on your healing progress and individual circumstances.

F) Gradual Resumption: When your plastic surgeon gives you the “green light” to resume sexual activity, it’s advisable to start gradually and gently. Listen to your body and avoid any positions or activities that cause discomfort or strain to the surgical areas.



Before and After Photos: 360 lower body lift

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.