Prof. Dr. Özay Özkaya
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Belt Lipectomy

Belt lipectomy, also known as circumferential body lift, is a highly effective aesthetic surgery that removes excess skin and fat from the abdomen, outer thighs, and buttocks, enhancing overall body contour. This procedure is particularly beneficial for individuals who have experienced significant weight loss and seek to achieve a firmer, more sculpted appearance. Read more for details on the procedure, recovery process, and expected results.

What is Belt Lipectomy?

Belt lipectomy, also known as a circumferential body lift, is a surgical procedure designed to remove excess skin and fat from the mid and lower abdomen, outer thighs, flanks, and lower back, resulting in a firmer, more sculpted body contour. During the procedure, abdominal muscles are tightened, improving overall body tension and posture.

This is not a weight-loss surgery; rather, it is a body contouring procedure intended for individuals who have already lost significant weight. To achieve the best results, patients are encouraged to reach their target weight before surgery. Typically, belt lipectomy is recommended for individuals with a Body Mass Index (BMI) below 30.

Belt Lipectomy Surgery

Preoperative Preparation

Before the surgery, your doctor will conduct a thorough health assessment, including necessary tests, to ensure you are fit for the procedure. If you smoke, you will be required to quit at least three weeks before the surgery, as smoking can significantly impair wound healing and increase the risk of complications. Similarly, blood-thinning medications such as vitamin E and aspirin should be discontinued at least one week before the procedure to minimize bleeding risks. Avoiding excessive sun exposure is also important to maintain skin resilience.

A detailed preoperative marking will be performed to plan the incision sites, and pre- and post-surgery comparison photos will be taken. Additionally, nutritional guidance and supportive treatments will be recommended to help you prepare for the surgery effectively.

Belt Lipectomy Surgery

Belt lipectomy is performed under general anaesthesia and typically lasts 5 to 7 hours. During the procedure:

  • An incision is made below the navel, extending around the waist to the lower back and hip creases.
  • The incision is strategically placed to be easily concealed by underwear.
  • Excess skin and fat tissue are removed, and the incision is closed with hidden sutures beneath the skin.
  • One or two surgical drains (thin tubes) are placed to prevent fluid accumulation.
  • A medical compression garment (corset) is applied to support the healing process.
  • A urinary catheter is often used during the procedure for patient comfort.

Postoperative Recovery

  • To reduce tension on the incision site, patients are instructed to follow specific lying and sitting positions as advised by the surgeon.
  • A compression garment is worn during the first few weeks to minimize swelling and improve healing.
  • Fluid diet is recommended initially, followed by soft foods as tolerated.
  • Mild pain and discomfort are expected in the first few days but can be effectively managed with prescribed painkillers.
  • Surgical drains are usually removed within 1 to 4 days.
  • The stitches are dissolvable, so no removal is necessary.
  • The compression garment should be worn for 4 to 6 weeks, and heavy physical activities must be avoided during this period.

Who Is a Good Candidate for Belt Lipectomy?

Belt lipectomy is particularly beneficial for individuals who have lost significant weight after bariatric surgery but are left with excess skin and contour irregularities. This procedure not only enhances aesthetic appearance but also improves physical comfort, reducing issues like skin irritation, chafing, and mobility restrictions.

Results and Healing Process

  • Initial results are visible immediately after the procedure, with further refinement occurring over the following months as swelling subsides.
  • As the body adjusts, the final contour becomes more defined, providing a more sculpted and proportionate physique.
  • Patients often report a boost in self-confidence, as well as improved ease of movement in daily activities. 

Prof. Dr. Özay Özkaya

Aesthetic, Plastic, and Reconstructive Surgery Specialist

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Harbiye Mahallesi, İnayet Apt, Teşvikiye Cd.
No:43, Kat:2, 34367 Şişli / İstanbul

Monday - Saturday : 10:00 - 19:00

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