Overview of the surgery:
Belt lipectomy is also known as lower body lift or trunkal body lift- a circumferential removal of loose hanging skin and fat from around the waist or “belt” line of an individual. It could be considered an extensive tummy tuck that continues around the sides to remove the loose “love handle” skin that continues onto
the lower back. The advantage to this extensive removal of skin is that the looseness above the buttocks is removed which has the effect of lifting the buttocks as well.
Sometimes the fat in this area is used to augment the buttocks during belt lipectomy, restoring the flattened buttocks to a more youthful and projecting shape. The surgery typically begins with the patient in the prone position (belly down) and requires the body be turned onto the back once the initial posterior buttocks and lower back area
surgery is completed so that the stomach or abdominal area “tummy tuck” can be performed which completes the “belt” lipectomy.
Preparation Prior To Surgery:
• Medical history assessment (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
• Avoid smoking for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
• Stop drinking alcohol, a week before the surgery and throughout your recovery period.
• Taking any medications should be avoided such as hormones, anticoagulants, anabolic
steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery, and also avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
During the procedure:
Your surgeon will explain the details of your surgery. Your surgeon and a team of nurses will do the surgery. In general, you can expect the following:
- An anesthesiologist will give you general anesthesia. This is done so you will sleep through the procedure and won’t feel any pain. In rare cases, you will get spinal anesthesia and a medicine to relax you. You will be awake in this case.
- The anesthesiologist will carefully watch your heart rate, blood pressure, and other vital signs.
- You will get antibiotics during and after the surgery. This is to help prevent infection.
- The surgeon will make a cut (incision) where your buttocks and lower back come together. This is done to remove extra skin and tissue.
- The surgeon continues the cut on your front lower belly. He or she also removes the extra skin and tissue from there. You may need to be repositioned on the operating table.
- The surgeon puts your skin back together. This will make a smooth contour.
- Bandages will be applied to your wounds.
It takes 3.5-5 hours depending on the area are being addressed.
Type of Anesthesia use:
This surgery is usually done under general anesthesia
Patient need to stay in the hospital/clinic for 2-3 days
Days to stay in Thailand:
At least 14 days.
When you wake up, you may have a small, thin tube underneath your skin to drain fluid from the wound. Your incision will be covered with dressings or bandages. You may have some pain afterward. You can ask for pain medicines. You should be able to eat a normal diet once you are ready.
You may need to stay overnight in the hospital after your surgery.
Recovery is prolonged because of the requirement of avoiding bending at the waist for a month until adequate healing has occurred.
Results are typically very gratifying.