Dramatic weight loss, while a wonderful achievement, often results in loose, sagging skin that drapes over your waist. Removing excess fat and skin from around the waist is accomplished through a combination of surgical procedures that is called a circumferential body lift, a popular option after weight loss surgery. At our Sarasota, FL practice, our plastic surgeons perform a tummy tuck (abdominoplasty), thigh lift, and buttock lift to sculpt your waistline and tighten weakened abdominal muscles. This blend of techniques lifts and reshapes the lower body back to a normal, healthy contour. This is a 360-degree incision treatment to improve the appearance of those who are already close to their weight goal. For many patients, this procedure helps to complete their weight loss transformation and allows them to reach their aesthetic goals.
A lower body lift is sometimes called a belt lipectomy as the incision is made around the belt area surrounding the lower torso. The incision is extended to the buttocks and thighs. Loose, saggy skin will be trimmed away and the remaining skin will be lifted and secured by sutures. Liposuction may be used if there’s excess fat. There are also cases when the fat harvested from liposuction is reinstated into the buttocks for an instant butt lift. These procedures may be combined in one session, or they may be staged depending on the patient’s circumstance.
"Dr Graham is a Superb Surgeon - Dr Graham’s reputation as a superb surgeon is well deserved. From the first consultation to the final post-op check-up, Dr Graham’s surgical skills, his dedication to his patients and the care and attention he and his staff give to each individual is nothing short of remarkable. I am very pleased with with the results of my neck and lower facelift. I feel like I was given 25 years back. And..."- D.M. / RealSelf / Feb 14, 2019
"Dr. Engel is the best. Amazing Results - Dr. Engel is the best. He is a perfectionist. He listened to what I wanted and when what we thought would be the right profile didn't look right in the OR he had the experience, confidence, and conviction to change it out for a different one. My results are AMAZING! No crazy complications or scarring. I love it at 3 months post op and I know I will love it even more at 6 months post op. He also did my Botox and lip filler (first time for me so I was nervous) at one of my follow ups. I already have full lips but getting lines on my upper lip and it's a little asymmetrical. He did not overdo it! Results we perfectly subtle. When I came back a month later for another PO follow up I asked if I should get more Botox or filler in his opinion or of he felt the results were optimal and he agreed nothing more was needed. I feel safe and secure and confident in his expertise, opinion, and judgement."- D. / RealSelf / Dec 17, 2019
"Wonderful Experience! - Dr Derby was actually one of the most caring and best doctors I have been to in a long time. He made my eye surgery experience so easy and non stressful, especially since I went under just local anesthesia. Truly a very talented and empathetic surgeon who cares really what the client wants and does not try and add additional services. Wonderful experience! Will be referring him to my family and friends."- L. / RealSelf / Dec 10, 2019
"Dr Derby is Exquisite, Compassionate, Professional, and Extremely Talented to Name Just a Few! - Dr. Brian Derby is truly such a compassionate, thoughtful, professional, attentive, extremely talented and brilliant surgeon. I was extremely nervous even speaking with him about my concerns, however from the moment I met him, I felt myself completely letting go. He was authentic and I knew he wouldn't recommend a procedure that wasn't right for me or that would give me false hopes. After dancing my entire life 6-7 days a week, and having trouble areas and insecurities since I was a teen, I knew this was going to be the best decision I had ever made for myself, I felt I was ready, and honestly now, I wish I would have done it years ago. I've NEVER felt so confident in my own skin, and my experience and results with Dr. Derby are beyond incredible! He is a true artist and contoured my body in ways I NEVER thought were even possible. The entire staff at Sarasota Plastic Surgery provided a first class experience and I couldn't be happier. If you're contemplating your decision, I promise you... You will wish you had done it sooner. If you're contemplating choosing the right surgeon, I promise you... no need to look further. You've found yours. :)"- O. / RealSelf / Dec 10, 2019
"Dr Derby was excellent. He was caring and very professional. I did appreciate how he didn't try to persuade me to do additional surgeries unless I felt comfortable. I did local anesthetic for my eye surgery and Dr Derby made the whole experience awesome and non stressful! So recommending him to all my friends and family."- Anonymous / Healthgrades / Dec 10, 2019
During/After the Procedure
The lower body lift procedure is performed with general anesthesia and requires an overnight stay in a hospital or surgical facility. Due to its nature, a spinal anesthesia may also be administered. The surgery lasts from 5 to 8 hours depending on the number of procedures performed. Patients who have a lower body lift will experience a slow recovery process. Aside from extensive incisions, the body and skin need adequate time to adjust to their new positions created by the surgery. Most patients will need 2-3 weeks before returning to a light routine. It can take up to a full year for the final results of this surgery to appear.
Lower Body Lift FAQs
A lower body lift creates great results for patients, leaving the body tighter and smoother. Unfortunately, scarring is unavoidable with this surgery. For most patients, the scar will run around the torso and extend to the hips, buttocks and thighs. A skilled and trained plastic surgeon will make every effort to create clean, thin incision lines. These lines will produce scarring that will be patterned similar to a g-string. Once they heal, they will be concealed by undergarments.
This surgery is performed with general anesthesia. It common during is the post-operation period that the patient will feel pain and discomfort. The healing of wounds is also slow. The patient must limit movement during the first week to avoid the risk of stretching the incision line. This is the most common complication after surgery. Pain medications will be given to help the patient cope. A compression garment is also worn to help the patient in reducing discomfort.
Does Insurance Cover This?
If it is proven that this surgery is medically necessary to attain a better quality of life, some insurance providers may cover a portion of the cost. There is no guarantee that coverage will be applicable. Our billing and insurance coordinators will work with the insurance company to determine coverage benefits.
When to Undergo Surgery?
It is recommended that anyone who is considering a lower body lift should be at or near his or her goal weight. If the loose skin is caused by pregnancy, it is best to postpone this type of surgery until all additional pregnancies have been completed. Any additional episode of significant weight gain may compromise the results of the surgery.
Plan Your Procedure
- Recovery Time
- 6-8 Weeks
- Average Procedure Time
- 2-5 Hours
- Procedure Recovery Location