Lower body lift surgery (similar to a belt lipectomy) removes excess fat and skin to circumferentially tighten and shape the abdomen, buttocks and sometimes the upper thighs. It aims to remove the loose sagging skin that droops to create a better proportioned and tauter lower body.
Although many people specifically exercise to correct their undesirable shape often these exercises cannot correct the problem, due to excess skin. Consequently even fit and normal weight individuals can have loose and sagging skin.
Lower body lift surgery is primarily a cosmetic procedure that improves the shape and appearance of the lower body, some women and men are also symptomatic from their lower body shape. Symptoms can include:
Lower body shape is the product of aging, genetics and weight gain or loss. A number of patients who have undergone massive weight loss, either through bariatric surgery or weight loss programs, present for lower body lift surgery as their skin was damaged at their maximal weight and their inelastic skin then deflates with loss of fat leaving excess skin folds.
Individuals are good candidates for surgery if:
To start, at your pre surgical consultation you will meet Chris Porter and together discuss your personal goals, medical health and previous treatments, surgery and anaesthesia. A list of your current medications is required but you do not need a referral from your family doctor. If you have undergone bariatric surgery then you should have a referral from your bariatric surgeon. Your abdominal characteristics will be examined and explained to you. At the end of the consultation you will have discussed:
You will also have the opportunity to satisfy any nervousness or personal concerns, you should be comfortable discussing your feelings during the consultation. Remember, your individual goals are specific to you but are also commonly experienced by other plastic surgery patients.
On the day of surgery you will be admitted to the hospital where you will be assessed by the Anaesthetist who may administer medication to settle any pre-surgical nervousness. Chris Porter will perform pre-surgical markings and take photographs for your personal file. Following this, you will be transferred to the operating room where you will meet the surgical team and then your general anaesthetic will be started. While you are asleep under the anaesthetic your surgery will be performed and you will be given pain relief medication so you are comfortable when you wake up following the anaesthetic. Following completion of your surgery and anaesthetic you will be transferred to the ward where the nurses will keep you comfortable and guide your recovery. Typically you will have a two to three night hospital stay and on discharge you will be provided with pain relief medication, instructions to optimise your recovery, and post-operative appointments.
You will have some post-surgical bruising, swelling and discomfort which will subside towards the end of the first week. Following discharge from hospital you should not drive or return to work during the first two weeks after surgery. During this time you need to rest at home to minimise swelling, bruising and as well as optimising your wound healing. Your dressings are sufficiently waterproof to allow showering from the first day after your surgery. Typically you will be able to return to driving and office based work in the third week after surgery. I recommend that general activity is limited to gentle walking for the first three weeks, if you are progressing well at that stage then you will be able to increase your activity aiming for unrestricted activity just as you were prior to surgery at week four to six, depending on your level of exercise.
A lower body lift is performed under a full general anaesthetic in a private hospital. There will be some pain, swelling, and bruising following this cosmetic surgery procedure. It maybe suggested that you wear a compression garment over the lower body for 2-6 weeks, this will help minimize fluid build-up and provide comfort as you heal. It will also help the skin re-contour to the new shape of your lower body. Return to work may take 3-4 weeks and normal activity in 4-6 weeks. You will notice an improvement in your appearance soon after surgery, but the final results will be noticeable in about 3 months.