Belt Lipectomy (Individual Result May Vary)

PATIENT 47-BL

  

  

  

  

  

This is a middle-aged female who has had multiple pregnancies which has resulted in stretched out abdominal wall musculature.   The loose skin from her pregnancies persists and has led to a fold across the abdomen, flanks, and upper back.  This loose skin causes the mons to descend inferiorly.  The loose skin is best addressed by excision techniques.  There are no treatments that would tighten up this amount of loose skin as well as surgery.  She underwent a belt lipectomy which is excision of skin and subcutaneous fat around the circumference of the torso.  This is combined with liposuction which has helped address the folds of the upper back and gave her a more feminine “S” shaped contour on her backside.  The abdominal wall laxity was repaired to give her a more flattened, youthful figure.  In addition, the fat suctioned from her abdomen, flanks, and back was injected into her buttock to give her a more rounded appearance.  Post operative pictures are 2 months following the procedure.  She had a completely uneventful recovery.  The scars are flat and soft and continue to improve.  She has resumed all activities except exercises that stress the abdominal muscle repair.  She has gotten a very nice result and is very pleased.

PATIENT 46-BL

  

  

  

  

This is a lady that desires some cosmetic improvement of her waist area.  When someone has loose skin and extra fat in the waist area, there are several methods that we treat this.  One is an abdominoplasty.  An abdominoplasty excises skin in the front of the abdomen as well as tightens the muscles.  The other technique we use is a belt lipectomy which is an abdominoplasty combined with the excision of loose skin in the lateral portion of the abdomen, flank area, and the lower back area.  This procedure also helps tighten the buttocks area.  The recovery of the period of these two procedures is essentially the same.  There is more scarring with a belt lipectomy.  The scars are quite red for the first 3-6 months and then when the redness subsides, they are not very noticeable.  Usually they can be hidden by a swimsuit.  Since you wear clothes 99% of the time, scars are really negligible.

This shows a lady before and after a belt lipectomy.  As you can see, the scars are still quite red. 

PATIENT 45-BL

   

   

   

   

This is a 50YO lady from Enterprise, Alabama.  She is interested in some cosmetic improvement of her abdominal area.  When I examined her, she had a lot of loose skin and extra fat in the abdomen.  Also, she had a lot of rolls in the upper back with very thick flanks.  I could not correct all this at one time.  Her main goal was to tighten the abdomen and flatten the abdomen and get rid of the hanging skin and fat and decrease some of the bulk and fullness in her flanks.  She underwent a belt lipectomy.  This is a special kind of abdominoplasty where you actually excise skin and fat going all the way around the waist area.  By doing this, it allows you to tighten the skin in the lateral portion of the abdomen or sides of the abdomen as well as the front of the abdomen.  It also helps shape the upper buttocks area. 

This gives a better result when people have loose skin in the side of the abdomen and lower back area.  The recovery is the same whether you do a belt lipectomy or abdominoplasty. 

Pre and post-op pictures are shown where we excised the excessive skin and fat in the abdomen, sides, and lower back area.

Later, if she desires to, we can address the rolls in the upper back. 

In some cases when there is a lot of overlap of skin in the pubic area with rashes underneath the skin, insurance will pay a portion of this procedure.  In order to get this approved, we have to take pictures of the rashes and write a letter to the insurance company.

PATIENT 44-BL

  

  

  

  

This is a middle-aged lady that has lost a significant amount of weight with diet and exercise.  She wants improvement in her truncal contour specifically the loose skin on her abdomen and fullness across her flank and upper buttocks.  She had a prior breast reduction.  She underwent a belt lipectomy which removed the fold of skin on the abdomen and the excess skin across her flanks.  Part of this procedure tightens the abdominal muscles and gives a more youthful appearance to the abdominal contour.  It elevates, triangulates, and flattens the mons pubis to get a more youthful appearance.  The excision and suctioning of the flanks improves the contour of her buttocks and actually tightens the cellulite appearance on the buttock and upper thighs.  She is extremely pleased with her new contour.  This has allowed her to wear more attractive clothing and accentuates her more feminine figure. 

PATIENT 43-BL

  

  

This is a 38YO lady that desires some cosmetic improvement of her waist area.  She has a lot of loose skin on the abdomen and looseness of the buttock as well as flattening of the buttocks.  She underwent a belt lipectomy and fat grafting to the buttocks area.  We were able to uplift the buttocks as well as remove the excessive fat in the flank and sacral area.  Now her clothes fit her much better in the front and also posteriorly and she no longer has sagging, loose pants.

PATIENT 42-BL

  

  

  

  

  

This is a young lady who has had several pregnancies delivered by C-sections.  She has lost a good bit of volume in her breasts over time and has developed a rounded, stretched out abdominal contour.  She wished augmentation to a D cup with upper pole fullness and a flattened more contoured abdomen.  Also, she had moderate flank collections.  She underwent bilateral breast augmentation with saline implants, abdominoplasty, and suctioning of the flanks.  She had dual plane placement of 450cc implants.  She had some small wound healing issues is the suprapubic area that ultimately healed in secondarily and revised at a later sitting.  The photographs are shown post operatively 2 months after the suprapubic scar revision.  She is now a D cup with sensate nipples.  She has a nice contour of the abdomen and flanks as well as nice buttock projection.  The abdominoplasty scar is low so that it can be hidden by intimate apparel.  Her breast size is nicely proportioned in relation to her shoulder width and now defined waist.

PATIENT 41-BL

  

  

This is a 50YO lady that had a lot of asymmetry in her flank area.  She had a lot of bulging in the flank.  It is quite asymmetrical.  The buttocks were very flat.  She underwent a belt lipectomy and fat grafting to the buttocks.  She has a much better shape to her posterior side.  Her flanks look really good and she is now curved in where she was bulging out.  You can tell from the side view how flat her abdomen is now.  She had a very protuberant abdomen prior to the surgery. 

She says this has changed how she wears clothing and can now wear any type of clothes that she desires.

PATIENT 40-BL

  

  

  

  

This is a 40YO lady that had trouble losing weight in the abdominal area.  She has a large hanging abdominal panniculus.  She has a lot of thickness in her flanks and buttocks area.  She underwent a belt lipectomy.  This has removed all the loose, hanging flat of the abdomen.  It has also thinned and elevated the mons pubis.  On the posterior view, she now has a good shape to her waist and doesn’t have the excessive fullness in the upper buttock and flank area.  Also, we have been able to help some of the rolls in the lower chest and upper back area. 

She says that now her clothes fit much better and she much more confident in her appearance.

PATIENT 39-BL

  

  

  

  

This is a 35YO lady that desired some cosmetic improvement of her waist and buttock area.  Preoperatively, she had a very thick flank area with large rolls between the flanks and the bra area.  Also, her buttocks were some flattened.  She underwent a belt lipectomy and fat grafts to the buttocks.  Now her abdomen is flat and she has a much better shape to her waist area. 

This has greatly improved how her clothes fit.  It allows her to have a much more varied wardrobe.

PATIENT 38-BL

  

  

This is a young female who wished some improvement in her torso. She wanted primarily some improvement in her buttock and flank and her abdomen to a lesser degree. She underwent a belt lipectomy with abdominoplasty which involved removal of the fat and skin from the flank area with fat injections into the buttocks to give her a more rounded buttock appearance. She is shown several months after her surgery with a much more defined feminine contour of her backside and a more rounded buttock projection and contour. This is a nice result from a Brazilian butt lift type procedure.

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