When you have significant weight loss, your body can change in ways that diet and exercise alone can’t fix. Even after you reach a healthy, stable weight, you might still have loose skin on your abdomen, hips, lower back, buttocks, and outer thighs. A lower body lift treats all of this excess skin together, rather than just focusing on the front of the abdomen.
At PURE Cosmetic Center in Boston and Chelmsford, Dr. Jane Tsui customizes lower body lift surgery to your body, focusing on where the extra tissue is and the shape you want to keep or enhance. The aim is to create a smoother, firmer body shape that looks balanced and natural.
Many of our high-profile patients prefer to be private with their cosmetic procedures and prefer that their photographs not be placed online. At your consultation, you will be shown photographs of patients who have given us permission to display their before and after pictures.
Schedule ConsultationA lower body lift, sometimes called a belt lipectomy or circumferential body lift, is a type of plastic surgery that removes extra skin and reshapes the lower body. This procedure can target the abdomen, waist, hips, lower back, buttocks, and outer thighs using an incision that goes around the lower torso.
People often choose this procedure after losing a lot of weight, having weight loss surgery, pregnancy, repeated weight changes, or as skin becomes looser with age. Dr. Jane may also tighten your abdominal muscles or use liposuction to remove extra fat and help the treated areas blend smoothly, depending on your needs.
A lower body lift is most useful when sagging skin extends beyond the abdominal area and continues around the sides or back. It may improve:
Removing extra skin can make it easier and more comfortable to move and wear clothes. Treating the whole lower body, not just the front, also helps your body look more balanced. If loose skin wraps around your waist, fixing only the front can leave the rest looking uneven.
A lower body lift can help both the thighs and buttocks, but it works differently for each. Removing skin from the hips and lower back lifts the remaining tissue upward, which can raise sagging buttocks and tighten the outer thighs.
The inner thighs are a bit different. If you have a lot of loose skin on both the inner and outer thighs, you might need two procedures or a separate thigh lift, since the lower body lift doesn’t affect the inner thigh as much.
It’s also important to think about the size of the buttocks. Removing extra skin and lifting the area can improve its position, but it does not make the buttocks fuller. Dr. Jane looks at both shape and volume to keep everything in proportion with your waist, hips, and thighs.
Many patients consider lower body lift surgery after significant weight loss or bariatric surgery leaves behind skin that no longer contracts around their new body shape. Others develop substantial laxity from aging, pregnancy, or repeated changes in weight.
A good candidate is usually someone who is at a stable weight, in good health, and realistic about what the procedure can accomplish. Your medical history is also important. Some health conditions, poor nutrition, smoking, or ongoing big changes in weight can raise the risks of surgery and healing.
You don’t need to lose a certain number of pounds to qualify. What matters most is how much extra tissue you have, where it is, your health, and whether your weight is stable enough for lasting results.
After losing a lot of weight, you might have extra skin in several places. You may be thinking about a lower body lift along with an arm lift, thigh lift, breast lift, or other breast surgery. However, not all procedures need to be done at the same time.
Dr. Jane looks at how much skin needs to be removed, your medical history, nutrition, how long surgery will take, and how extensive your recovery might be. Sometimes, it makes sense to combine procedures. Other times, it is better to do them in stages so your body has more time to heal.
Planning is especially helpful if you have several concerns and are not sure where to begin. A consultation lets you talk about your priorities, learn which procedures work well together, and leave with a clear treatment plan instead of figuring it out alone.
Lower body lift surgery is usually done with general anesthesia. Dr. Jane decides where to make the incision based on where your loose skin is and how much needs to be removed. For a full lower body lift, the incision goes around your waist. Extra tissue is removed, and the remaining skin and tissue are lifted and secured higher. Depending on your body, Dr. Jane may also repair abdominal muscles or use liposuction to remove extra fat and shape the area.
Dr. Jane utilizes internal quilting sutures to minimize post-operative swelling and eliminate dead space where fluid can otherwise collect during the early recovery phase. By carefully anchoring the underlying tissues directly to the deeper muscle fascia, these dissolvable sutures provide essential structural support while promoting smooth, even contouring as the body heals.
The incisions are closed in layers. Stitches support the deeper tissues, and stitches, tapes, or skin glue may be used on the surface. Drains may also be placed to prevent fluid from building up while you heal.
Because scars are an inevitable part of surgery, every patient deserves full clarity on incision placement before moving forward. The incision is usually placed low across your abdomen and goes around your hips and lower back. Whenever possible, Dr. Jane places the incision as low and hidden as possible, often near the underwear line so clothing or swimwear can cover most of the scar. The scar is permanent, but it usually softens and fades over time. For many people, the choice is whether removing loose skin and improving body shape is worth having a longer scar. Dr. Jane will talk honestly with you about this before surgery.
Recovery takes more time than with smaller cosmetic procedures because the incision goes around your body. You can expect swelling, tightness, bruising, and discomfort at first, and healing happens over weeks instead of days. You may need to wear compression garments to support the area and help with swelling. If you have drains, you’ll receive clear instructions on how to care for them, change bandages, and watch for any problems. Dr. Jane may also give you medicine for pain or other recovery needs.
You’ll be encouraged to walk soon after surgery to help your circulation and lower the risk of blood clots, but you should avoid heavy lifting and hard exercise for several weeks. Most people need about two to three weeks off work, depending on their job, and normal activities come back slowly. Swelling and scars take much longer to fully settle.
It’s a good idea to have help at home during the first part of your recovery. Preparing meals in advance, eating healthy, and arranging help with kids, pets, driving, and chores can make things much easier.
You’ll notice a change right away because the extra skin is gone, but swelling may hide some of the results at first. Your body shape will keep improving as the swelling goes down and tissues settle. Final results appear slowly over several months, and scars can keep changing for a year or more. Keeping your weight steady with regular activity and a healthy diet can help you keep your results.
Yes, but the best combination depends on your body and health. Liposuction can be added to treat extra fat. If you have lost a lot of weight, you might also think about an inner thigh lift, arm lift, breast lift, or another body contouring surgery. Having more surgery isn’t always better. Some procedures work well together, but others can make surgery too long or recovery too hard. Dr. Jane will help you decide whether to combine procedures or do them in stages for safety.
Lower body lift surgery needs careful planning because changing the abdomen, waist, lower back, buttocks, and thighs can affect the balance of your whole lower body. Dr. Jane Tsui has undergone rigorous training with world-renowned pioneers in post-weight-loss body contouring. Her extensive training and experience have given her a deep understanding of the unique challenges and nuances involved in body contouring after weight loss. Further, it allows her to incorporate refined techniques that focus not only on removing excess skin, but on creating a beautiful, balanced silhouette with the most stream-lined recovery possible.
At PURE, Dr. Jane takes a personalized approach instead of using a one-size-fits-all method. In your consultation, she will look at where your loose skin begins and ends, any scars you have, how fat is distributed, buttock size, abdominal muscles. Most importantly, she will discuss YOUR aesthetic goals, and what matters most to you.
PURE also offers before-and-after photos from past patients during your consultation if you want to see possible results. In fact, Dr. Jane encourages patients to ask for and compare unedited before-and-afters, so that they feel confident going forward with the procedure.
If you have loose skin around your abdomen, waist, back, buttocks, or outer thighs, a consultation can help you figure out if a tummy tuck, lower body lift, thigh lift, or a combination is best for you.
At PURE Cosmetic Center in Boston and Chelmsford, Dr. Jane will look at the area you want treated, talk about your goals and medical history, show you where incisions might be, explain recovery and risks, and go over which procedures fit your body. You will also get a personalized cost estimate after your surgical plan is set. Contact PURE Cosmetic Center to schedule your lower body lift consultation with Dr. Jane.
The terms are commonly used interchangeably. A belt lipectomy or circumferential body lift removes excess skin around the lower torso and can improve the abdomen, waist, hips, buttocks, and outer thighs.
They can overlap, but the terminology is not standardized. A lower body lift generally includes circumferential skin removal with lifting of the buttocks and outer thighs, while “360 tummy tuck” may be used differently by different plastic surgeons.
A complete lower body lift commonly includes abdominal skin removal as part of the circumferential procedure. Abdominal muscle tightening may also be performed when needed.
Not completely. A lower body lift has a stronger effect on the outer thighs. Significant inner-thigh laxity typically requires a dedicated inner thigh lift.
There is no universal number. You should generally be near a healthy weight you can maintain and no longer experience significant weight fluctuations before surgery.
Potentially. The important factors are weight stability, overall health, nutrition, medications, and whether you are medically ready for surgery. Dr. Jane can review these issues individually.
In some cases, yes. Previous abdominal surgery does not automatically rule out a body lift, but existing scars and the remaining loose skin will affect how the procedure is planned.
Expect soreness, tightness, and discomfort early in recovery. Prescribed medications and positioning can help, and discomfort generally improves as the incisions begin to heal.
The most noticeable swelling improves during the first several weeks, but some residual swelling can persist for months. Final results become clearer as the tissues continue to settle.
The scar extends around the lower torso and is permanent. Dr. Jane places it as discreetly as anatomy allows, often near the underwear line, and it generally fades over time.
Cost can vary based on the extent of skin removal, whether liposuction or other procedures are included, anesthesia, facility fees, and the complexity of your surgical plan. PURE Cosmetic Center provides a personalized estimate after your consultation.
Your beauty is a symphony. Don’t trust it to anyone less than a true performer and a master at his craft. Chelmsford and Boston plastic surgeon, Dr. Dave Lee brings the virtuosity of a concert pianist and the artistry of a renowned plastic surgeon to each procedure. Schedule a consultation today to discover why patients across New England are singing the praises of Dr. Lee and his staff at PURE Cosmetic Center.