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Belt Lipectomy

What Is Belt Lipectomy?

A belt lipectomy is a body-contouring surgery performed by a cosmetic surgeon. It involves removing excess skin and fat from the lower back and belly through a circumferential incision. The remaining tissue is then sutured together to create a smoother contour. The procedure addresses the abdomen, lifts the buttocks, and contours the outer thighs. It is commonly done after weight-loss surgery and is performed under general anesthesia.

Why might I need a surgery?

A belt lipectomy may be recommended if you’ve lost substantial weight following weight-loss surgery and are unhappy with excess folds of skin. These folds can lead to discomfort, hygiene issues, and skin problems such as swelling, rashes, or ulcers. Additionally, the skin folds may cause difficulties with walking, urination, and sexual activity, impacting overall well-being and self-esteem. The surgery addresses these concerns by removing excess skin and fat, providing a more contoured and functional outcome.

 

What are the risks of belt lipectomy?

  • Problems with wound healing
  • Infection
  • Heavy bleeding
  • Blood clots in your legs or a blood clot traveling to your lungs (pulmonary embolism)
  • Nerve damage
  • Problems from anesthesia
  • The issue comes back, especially if you gain back weight

Mostly belt lipectomy is a combination of three essential methods:

  1. Abdominoplasty (Tummy Tuck): This component focuses on the abdominal area. During the abdominoplasty phase, the surgeon removes excess skin and fat from the lower abdomen, tightens the underlying abdominal muscles, and may reposition the navel for a more aesthetically pleasing result. This helps flatten the stomach and address issues such as a “pooch” or sagging skin.
  2. Lateral Thigh Lift: This method targets the outer thighs, addressing sagging or excess skin in this area. The surgeon makes incisions along the outer thighs, removes excess skin, and lifts and tightens the remaining tissue to improve the contour of the thighs.
  3. Buttock Lift: The buttock lift component is focused on lifting and enhancing the appearance of the buttocks. This involves removing excess skin and repositioning the remaining tissue to achieve a lifted and more youthful contour.

 

What is the difference between a tummy tuck and a belt lipectomy?

FeatureTummy Tuck (Abdominoplasty)Belt Lipectomy (Lower Body Lift)
Scope of SurgeryPrimarily focuses on the abdomen, addressing excess skin and fat in the lower abdominal region.Comprehensive procedure addressing excess skin and fat not only in the abdomen but also in the flanks, lower back, outer thighs, and buttocks.
Incision PatternTypically involves a horizontal incision above the pubic area, often extending between the hip bones. The length depends on the extent of correction needed.Involves a circumferential incision around the lower torso, like a “belt,” connecting the incisions made in the abdominal, flank, and back regions.
Tightening of MusclesInvolves tightening the abdominal muscles to improve the abdominal contour.May include tightening of both abdominal and back muscles, providing a more comprehensive improvement in the overall lower body contour.
Targeted AreasPrimarily addresses the abdomen, with variations like mini tummy tucks for less extensive corrections.Targets not only the abdomen but also the flanks, lower back, outer thighs, and buttocks, offering a 360-degree improvement in body contour.
Ideal CandidatesIndividuals with excess skin and fat in the abdominal area, often due to pregnancy or weight loss.Ideal for those who have undergone significant weight loss, experiencing excess skin and tissue not only in the abdomen but also in the surrounding areas. Commonly done after bariatric surgery.
Recovery TimeGenerally, a shorter recovery period compared to a belt lipectomy.Typically involves a longer recovery due to the more extensive nature of the surgery and the involvement of multiple areas.

 

Does belt lipectomy include liposuction?

 Yes, Liposuction involves the suction of excess fat through small incisions using a thin tube (cannula).

  • Fat Removal: Liposuction can be used to remove localized pockets of fat that may not be effectively addressed through surgical excision alone. This helps enhance the overall contouring effect.
  • Smoothing Contour: Liposuction allows the surgeon to sculpt and smooth the contours of the treated areas, providing a more aesthetically pleasing result.
  • Adjunct to Surgery: The belt lipectomy to achieve a comprehensive and harmonious outcome.

Precaution After Belt Lipectomy:

  • Take Prescribed Medications: Take any prescribed medications, including antibiotics and pain medications,
  • Wound Care: Keep the incision sites clean and dry.
  • Compression Garments: Wear compression garments as instructed by your surgeon. These garments help reduce swelling, provide support to the surgical areas, and promote optimal healing.
  • Avoid Strenuous Activities: Limit physical activities, especially those that involve bending, lifting, or straining, as directed by your surgeon.
  • Avoid Smoking: If you smoke, avoid smoking during the recovery period, as smoking can impair healing and increase the risk of complications.
  • Hydration and Nutrition: Stay well-hydrated and maintain a balanced diet rich in nutrients to support the healing process.
  • Monitor for Signs of Complications: Be vigilant for signs of infection, such as increased redness, swelling, or drainage from the incision sites.