A belt lipectomy or total body lift is an operation usually performed in patients who have lost large amounts of weight and are left with sagging skin at the lower abdomen, hips and lower back area. It is the best operation to tighten the lower body across its entire circumference. A body lift also has the advantage of lifting the outer thigh and mons pubis areas. Most massive weight loss patients experience significant buttock deflation. A body lift can accentuate buttock flattening, and is therefore best combined with gluteal (buttock) augmentation.
A lower body lift is a 5-6 hour operation performed under general anaesthetic in an accredited hospital. Dr Sanki will carefully draw the incision plans on the patient’s skin before they are anaesthetised. The operation then begins with the patient in the prone (face down) position to allow excess skin and fat from the lower back and buttock area to be removed. At this point, a “purse-string gluteoplasty” can be performed. This operation improves the projection and shape of the buttock area by contouring the patient’s existing lower back skin and fat into hemi-spherical flaps. The flaps are then tucked under the buttock skin, and the wounds are carefully closed.
The patient is then carefully turned to lie on their back while they are still anaesthetised. A classic or fleur de lis abdominoplasty will then complete the operation by removing excess lower abdominal skin, tightening the six pack muscle and reshaping and repositioning the belly button.
Recovery from Lower Body lift surgery
Most patients require 5-6 nights in hospital following this operation and are able to return to work after 3 weeks. While in hospital, a team of physiotherapists, nurses and anaesthetists will help guide the patient’s recovery. An abdominal binder is used to compress the skin flap down onto the muscle wall in its new location. This helps to reduce swelling and drainage. Drains are removed before the patient goes home.
Dr Sanki, our facial plastic surgeon, will meet with you in a 45 minute consultation in our rooms in Kogarah. The consultation will address your concerns about the appearance of your face and your goals for treatment. The consultation will be performed with sensitivity to your opinions and thoughtfulness to your concerns.
Dr Sanki will help identify the parts of your face and neck that you like and don’t like in order to determine what operation best suits you. Your skin, facial muscles and bone structure will be analysed. Clinical photographs will be taken, and analysed with you.
A facelift is an operation of moderate duration and risk and so requires a thorough medical workup beforehand and will be performed in a licenced hospital facility in Sydney’s south. It is important to determine if you have any medical conditions that could interfere with safe facial surgery.
Written information will be provided to you, so that you can consider your options. If a facelift is appropriate the benefits and risks of surgery will be discussed in detail. You should consider facial plastic surgery carefully, and you will have the opportunity to see Dr Sanki in another consultation in Kogarah should new questions arise after your first visit.
Face and necklift surgery are often complemented by blepharoplasty, brow lift, fat grafting and injectables. A consultation with our skin care specialist regarding your skin care regimen and non-surgical rejuvenation is recommended. It can help to deal with the superficial signs of skin ageing such as dryness, pigmentation, fine lines and rosacea.
Dr Sanki performs facelift surgery under a general anaesthetic in a licenced hospital in Miranda, Kogarah or Hurstville . Local anaesthetic is also used during the surgery to minimise bruising and assist in your post-operative pain control.
There are different types of face and necklift. All involve much more than tightening the skin. This gives the most natural and harmonious appearance to the face, rather than a tight, windswept appearance. Our Shire and Southern Sydney patients seek to achieve a healthy, fresh, un-operated look with their facial plastic surgery.
There is currently a vogue to offer simple thread inlay lifts. These can be useful, but in general the duration of effect following facelift is proportional to the extent of the original surgery.
There are three different parts of the face that can be addressed, and different camouflaged incisions are used for each:
- A facelift improves the contour of your face and the wrinkles around the jawline and cheeks. It involves an incision that starts in front of the ear, curving around the earlobe and into the hair behind your ear. This allows the scars to be concealed by natural crease lines and your hair.
- For patients requiring significant contouring of their neck (necklift), the same incision is employed in addition to an incision just under the chin. This allows the neck muscle (platysma) to be tightened to restore a sharper contour between your chin and neck.
- In patients requiring the wrinkles of the eye to be addressed, the facelift incision is carried up into the hair next to your temples.
Dr Sanki is experienced in all three variations of the facelift operation and will recommend which procedure you would benefit from the most.
The skin and the underlying tissues (SMAS) are elevated separately. When the SMAS is tightened it recontours and elevates the underlying fat of the face. This sunken fat is what causes jowls and the deepening of the crease extending from the nose to around your mouth (nasolabial fold). The muscle at the neck (Platysma) is tightened to help lift fallen neck fat and restore the youthful angle between the chin and neck.
All of the incisions are repaired with fine, precise suturing.
At the completion of surgery, a padded dressing is applied to your face and neck. This helps control bruising and pain and allows the recontoured tissues to adhere to their new position.
A consultation with a qualified Plastic Surgeon is the best place to get the right advice. More information on facelift is available online at the Australian Society of Plastic Surgeons and Australasian Society of Aesthetic Plastic Surgeons websites. You can view a video of the procedure there.
Body Lift Examples
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