It reshapes the transition between the abdomen, hips and lower back and can simultaneously lift the buttocks and outer thighs. The term is often used similarly to Lower Body Lift; the extent is always determined by the individual findings.
Surgery may help after substantial weight loss when excess skin affects both the front and back of the torso and abdominoplasty alone would not address all concerns. A suitable candidate has stable weight and sufficient fitness for a more extensive procedure. Willingness to accept a continuous scar and allow time for recovery is important.
A lift often complements liposuction if the skin cannot contract sufficiently after fat removal and remains loose or overhanging. This is particularly important after more extensive liposuction and when skin elasticity is reduced. Depending on the findings, both procedures can be planned together or the lift performed later; the surgeon determines the extent and timing with safe healing in mind.
Possible obstacles include acute infection, untreated or poorly controlled disease, significant thrombosis risk or impaired healing. Nutritional status must also be assessed after major weight loss. Smoking increases complication risk. If pregnancy or further weight loss is planned, postponing the procedure is usually preferable. The final decision is based on preoperative assessment.
The surgeon assesses the abdomen, flanks and back as a whole and marks the anticipated incision line. They discuss scar placement, possible combinations and dividing treatment into stages if necessary. You undergo recommended examinations before surgery. Do not stop medicines or supplements on your own; the medical team determines the approach, nicotine abstinence and fasting rules.
The procedure is usually performed under general anaesthesia. The surgeon removes a band of excess skin and subcutaneous tissue around the lower torso and adjusts the tension of adjacent tissues. At the front, the procedure may also address the abdominal wall and navel if indicated. The extent cannot be determined from the operation name alone. The doctor establishes the operation duration and need for hospitalisation.
After the procedure, you are monitored and receive wound care, with drains or compression garments as needed. The doctor determines thrombosis prevention according to personal risk. Early, gentle mobilisation after staff approval is important. At discharge, you receive instructions on hygiene, dressings, rest and follow-ups; arrange help for the first few days.
Swelling and bruising gradually subside, but a longer scar needs time to heal firmly. Allow approximately two to four weeks before light work and a longer break for physical work. Return to sport gradually, usually no earlier than around weeks six to eight and after a check-up. Healing may be slower, and recommendations are adapted accordingly.
The result may be a smaller circumferential skin overhang and a more balanced torso contour. It is not a treatment for obesity or a guarantee of perfect symmetry. The circumferential scar is permanent and may widen. Risks include bleeding, seroma, infection, wound separation, altered sensation, tissue necrosis and thrombosis or embolism. Further treatment or correction is sometimes necessary.
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