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The term belt lipectomy describes a combination of procedures designed to enhance the contour and appearance of a patient’s abdomen, waist, lower back, buttocks, and thighs. Belt lipectomy combines abdominoplasty, lateral and anterior thigh lift, buttocks lift, and sometimes liposuction, in a manner that coordinates the result to achieve more than can be delivered by any of these procedures individually.
Techniques for altering body contour have evolved significantly over the past century. Although liposuction is still, and probably will always be, the most commonly performed body contouring technique, it has limitations, especially in the area of skin retraction. In patients who have skin that will not conform to underlying structures after liposuction, skin & fat excision (dermolipectomy) is still required to effect the desired body contour.
Who requires belt lipectomy?
This is a cosmetic procedure often done for fat deposits areas that are non-responsive to exercise. The process also works perfectly for people who have lost a lot of weight and as a result have loose skin; or it is suitable for the post-pregnancy body contour process.
Currently, abdominoplasty is best used in patients with deformity limited to the anterior (front part of) abdomen. For patients who have a more generalized deformity of the trunk, abdominoplasty is inadequate.
Thus, to treat the trunk as a unit, circumferential management is required. If the circumferential excess is mild to moderate, combining abdominoplasty with liposuction may achieve the desired contour. However, as the lateral and posterior excesses increase, there is a greater and greater need to extend the excisional component of the procedure around the trunk, eventually leading to the need for circumferential resection.
There are many names in the literature for circumferential dermolipectomy/torsoplasty:
Circumferential or extended panniculectomy, central body lift, and lower body lift or belt lipectomy.
What exactly does a belt lipectomy involve?
Belt lipectomy or truncal body lift is 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 loose “love handle” skin that continues onto the lower back. The advantage of 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 begins with the patient in the prone position (belly down) and requires the body be turned onto the back (supine) 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.
Belt lipectomy is done under general anesthesia and the duration of the surgery ranges from 5-6 hours.
Contraindications:
  • Patients with significant intra abdominal contents.
  • Patients with significant medical or psychiatric problems.
  • Patients with lymphedema of anterior abdominal pannus.
  • Patients must achieve stable weight loss, preferably for a 1-year period.
Indications of the procedure:
  • Patients with massive weight loss,
  • Patients with massive weight loss who underwent anterior-only procedure,
  • Patients without massive weight loss in the range of 26 to 29 body mass index (BMI), and
  • Normal weight patients who desire a significant improvement in their lower trunk overall
Possible Side Effects & Complications:
  • The higher the presenting patient’s body mass index (BMI), the higher the risk of postoperative complications, and the less impressive the results. The converse is also true: the lower the BMI, the lower the risk of complications, and the better the results.
  • The most common complications are small wound separations and seromas.
  • Breakdown of the suture line above the buttocks (because of the patient’s tendency to bend at the waist when performing normal hygiene which strains the suture closure pulling it apart). This usually leads to a wider scar in the posterior surgical area. Some numbness of the area above and sometimes below the incisions, residual looseness and irregularity of the skin, and all the usual common side effects of any surgical procedure.
How quickly will I recover?
Recovery is prolonged because of the requirement of avoiding bending at the waist for a month until adequate healing has occurred.
It is advised to take at least two week’s rest and later one may get back to routine work.
Results are typically very satisfying.
At La Midas, our experts diagnose the need for body contouring treatment and devise targeted procedures to provide you an overall well-shaped body from head to toe.




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