Skip to content

Belt Lipectomy in Thailand

If you’re affected by excess loose skin and cellulite around the abdomen, waist or thighs following major weight loss, a belt lipectomy may be a suitable option.


Belt lipectomy is a common surgical procedure performed to remove the fat and extra skin around the beltline or waist. It is also known as circular abdominoplasty, 360° abdominoplasty or lower body lift. This surgery is normally performed after a person loses a considerable amount of weight as a result of dieting or after weight loss surgery.

When people gain extra weight, their skin may start to stretch over an extended period of time. Once they lose that weight, the skin is already devoid of its elasticity and flexibility to come back in its original form. This can lead to the formation of excess loose skin (especially in the abdominal area) that may manifest in love handles around the waist or along the inner thighs. Belt lipectomy will help achieve a more pleasing aesthetic appearance by firming the abdomen, thighs and buttocks.

The surgery will address the buttocks and back to remove loose skin and fat which will reduce waist size and also result in the buttocks and thighs being lifted. Once completed, a “tummy tuck” is performed which completes the procedure.



This surgical procedure can be performed through different incision patterns and methods. The surgeon will determine the most appropriate technique of performing a belt lipectomy during your pre-operative consultation.

Belt lipectomy is usually performed under general anesthesia where the patient is asleep during the whole operation. In some cases, intravenous sedation (spinal) can be used, in which case the patient will be awake.

Once anaesthetised, the surgeon will begin to proceed through the particular incisions:

  • For lateral thigh or buttock lifting, the incision is made over the outer thigh regions and buttocks circumferentially to allow the removal of extra fat and skin.
  • For tummy-tuck, the surgeon will make an incision across your lower waistline, from hip to hip. If necessary, another incision can be made around your navel region. This kind of technique is mostly used to tighten the abdominal muscles and to allow the body for more contour perfection.

After the procedure, the surgeon may use skin adhesives or sutures to close the incision. After that, he may apply compression wraps or bandages. The operation typically takes 4-5 hours to complete.

Operational Techniques

The operational techniques for performing belt lipectomy can vary from one surgeon to another. The pattern and length of incisions the surgeon will use will depend on a number of factors, including the amount of excess skin and fat.

A common operational technique is to use a “bikini pattern” of surgical excision to tighten the stomach, groin, waist, buttocks and thighs in one procedure. A further incision is made around the body to remove layers of excess skin and fat followed by repositioning and tightening tissues.

The surgeon may also perform liposuction for additional contouring. Stitches will then be placed deep in the underlying tissue to help support and achieve the desired contour.

The results of your belt lipectomy will be visible immediately after the surgery. However, it may take around 3-6 months before the final results are seen. Belt lipectomy provides long-lasting results as long as the patient maintains healthy dietary and exercise habits

Before the Surgery

  • You should stop taking aspirin or any medicine containing aspirin at least two weeks before the scheduled surgery.
  • It is important to quit smoking at least several weeks before the surgery because smoking can slow down the effects of anesthesia and delay the healing process.
  • A 10-14 day stay in Thailand is recommended after the operation.
  • You should avoid taking aspirin or any medication containing aspirin, any anti-inflammatory drugs or herbal supplements for two weeks before surgery.
  • You will be asked not to consume any food or drink for 6 hours before the surgery.


  • After the surgery, patients normally spend one night at the hospital and then resting at home for the first 3-4 days.
  • You should take care of the dressing, bandages, and binders around the waist and abdominal region to provide sustenance, support, and to reduce the discomfort.
  • Take care of the thin, small tube that has been placed under the skin for the drainage of fluid or blood that may ooze out.
  • Take the prescribed pain medications and antibiotics on time.
  • The clinic staff will advise you about bathing and changing of dressings at home.
  • Avoid strenuous exercise, bending, heavy lifting as well as putting unnecessary pressure on the wound for the first 6 weeks.
  • Your surgeon will tell you how soon you will be able to return to your routine activities.