PLASTIC SURGEON - Body Lift (Belt-lipectomy) &Body Contouring

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	Body Lift (Belt-lipectomy) &Body Contouring Aging, sun damage, pregnancy and significant fluctuations in weight as well as genetic factors may contribute to poor tissue elasticity and can result in sagging of the abdomen, buttocks, thighs and upper arms.Following weight reduction surgery, or any substantial amount of weight loss, the skin and tissues often lack elasticity and cannot conform to the reduced body size. As a result, skin that has been severely stretched now is unsupported: Upper arms may sag and appear loose and full Breasts may flatten and hang with nipples pointed downward Abdominal area may extend around the sides and into the lower back area, resulting in an apron-like overhang Buttocks, groin and thighs can sag and cause hanging pockets of skin Surgical body contouring improves the shape and tone of your underlying tissue that supports fat and skin, and removes excess sagging fat and skin. What happens during body contouring surgery? The procedures necessary to achieve your goals will be defined along with a plan for the timing of these procedures. Plastic surgery procedures that may be recommended by your physician include: Lower body lift: to correct sagging of the abdomen, buttocks, groin and outer thighs Breast lift: to correct sagging, flattened breasts Arm lift: to correct sagging of the upper arms Thigh lift: to correct sagging of the inner, outer and mid thigh All body contouring procedures require incisions to remove excess skin. In many cases, these incisions may be extensive. Incision length and pattern depend on the amount and location of excess skin to be removed, as well as personal preference and your doctor’s surgical judgment. Advanced techniques usually allow incisions to be placed in strategic locations where they can be hidden by most types of clothing, but this is not always the case. Body contouring is often performed in stages. Your particular condition and goals, as well as your plastic surgeon’s best judgment, will all influence how your doctor defines a surgical plan. While it may have taken you two years or more to lose all the excess weight, it may take equally as long for the results of your body contouring to be complete. Body Lift A complete lower body lift treats sagging buttocks, abdomen, waist, hips and outer thighs in one procedure or in staged procedures. Incision patterns vary, and may include a circumferential incision around the body to remove the “belt” of excess skin and fat. Breast Lift The incision patterns for lifting a woman’s sagging breasts will be determined based on the amount of excess skin to be removed. These may include one or a combination of incisions in a circular pattern around the areola, in a line extending from the areola to the breast crease, and horizontally along the breast crease. A breast implant also may be recommended to enhance breast shape and size. Arm Lift Sagging skin in the upper arms is treated with an incision from the underarm area extending along the inside or back of the upper arm. Additional incisions on the arms may be necessary anywhere excess skin has formed sagging pockets. The smoother, tighter contours that result from upper arm contouring are apparent almost immediately, although initially obscured by swelling and bruising. In addition, skin quality is dramatically improved in both appearance and texture. Thigh Lift Reshaping of the thighs is achieved through incisions in the groin that can extend downward to the knee along the inner portion of the thigh. Improving contours of the outer thigh may require an incision extending from the groin around the hip. Through these incisions your plastic surgeon will tighten tissues for a smoother, better toned thigh. Important facts about the safety and risks of body contouring surgery The decision to have body contouring surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. dr. David will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications. Possible risks of body contouring following major weight loss include: Unfavorable scarring Bleeding (hematoma) Infection Fluid accumulation Poor wound healing Skin loss Blood clots Numbness or other changes in skin sensation Anesthesia risks Skin discoloration and/or prolonged swelling Fatty tissue found deep in the skin might die (fat necrosis) Major wound separation Asymmetry Recurrent looseness of skin Pain, which may persist Deep vein thrombosis, cardiac and pulmonary complications Persistent swelling in the legs Possibility of revisional surgery