A belt lipectomy improves the shape and tone of the underlying tissue that supports fat and skin. Excess sagging fat and skin are removed to treat conditions caused in part by poor tissue elasticity. Exercise cannot always achieve desired results for people who have loose, sagging skin and uneven contours. 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.

What it won’t do:
Belt lipectomies are not intended strictly for the removal of excess fat. Liposuction alone can remove excess fat deposits where skin has good elasticity and is able to naturally conform to new body contours. In cases where skin elasticity is poor, a combination of liposuction and body lift techniques may be recommended

Belt Lipectomy surgery risks and safety information
The decision to have a belt lipectomy 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. Your plastic surgeon and/or staff 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 or potential complications.

Possible risks of body lift surgery 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 revision surgery
• Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal

Is it right for me?
Before you decide to undergo a belt lipectomy, your weight must be relatively stable. Women considering future pregnancies should postpone this surgery since pregnancy may diminish the results. Patients with a BMI (body mass index) of more than 30 will be asked to lose weight by diet or exercise before commencing with surgery.

Good candidates for body lift surgery are:
• Individuals with significant soft tissue looseness in one or multiple body areas
• Healthy individuals who do not have medical conditions that can impair healing or increase risk of surgery
• Non-smokers
• Individuals with a positive outlook and realistic goals for what body lift surgery can accomplish
• Individuals committed to leading a healthy lifestyle including proper nutrition and fitness

Belt Lipectomy procedural steps
What happens during body lift surgery?
Step 1 -Anesthesia
Medications are administered for your comfort during the surgical procedure using a general anesthesia.

Step 2 – The incision
Incision length and pattern depend on the amount and location of excess skin to be removed, as well as personal preference and surgical judgment. A circumferential incision around the body removes an apron of excess skin and fat and repositions and tightens tissues.

Step 3 – Closing the incisions
Sutures close the skin incisions.

Belt lipectomy recovery
After your belt liepctomy is completed, dressings or bandages will be applied to the incisions. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect. You will be given specific instructions that may include: How to care for your surgical site(s) following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon.
The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary. Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

The results will be long-lasting
The results of a belt liepctomy are visible almost immediately. However, it may take as much as one to two years, or more, for the final results of the  belt liepctomy procedure to fully develop. Scars will remain, but the overall results are long-lasting, provided that you maintain a stable weight and general fitness. As your body ages, it is natural to lose some firmness. However, most of your initial improvement should be relatively permanent.

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