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Belt Lipectomy

There are five groups of patients that are good candidates for belt lipectomy. The first group is divided into two subgroups.

  1. Post Weight Reduction
    1. Not at ideal body weight
    2. At ideal body weight
  2. Surgery on Front (Belly) Only
  3. 30-50 lb. Weight Loss
  4. Normal Weight
  5. After Overly Aggressive Liposuction
 

Belt Lipectomy | Iowa

Belt Lipectomy | Iowa

Notice: This section contains graphic medical images.

 

1. Post Weight Reduction

The first group is made up of patients who have had a significant amount of weight loss due to gastric bypass surgery, intestinal bypass surgery or a dramatic change in eating and exercise habits. The range of weight loss is from 60 to 350 pounds and the patients will end up with varying degrees of hanging tissues of the face, breast, back, trunk and thighs. Many are disheartened because they worked hard to lose the weight, but still have not attained a normal body contour. The trunk is the area most likely to show significant body contour distortions which includes hanging skin and fat of the belly, hanging pubic tissues, outer thigh excess, hip excess, back rolls, and an ill defined large buttocks. If a traditional tummy tuck, or abdominoplasty, is performed on this type of patient, there will be a limited improvement of the belly with persistence, and maybe even an accentuation, of the hip, back, and buttocks deformities (see Figure 4). Many of these patients will also need procedures on the arms, inner thighs, breasts, and back in addition to the belt lipectomy.

 

Belt Lipectomy | Iowa

Figure 1. This composite photo shows a patient who had a belt lipectomy performed after losing a significant amount of weight. (The upper three pictures are of the patient prior to surgery and the lower three pictures are of the same patient after surgery.) Note the improvement in the belly, pubic area, hips, back, outer thighs, and buttocks.

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Belt Lipectomy | Iowa

Figure 2. This composite photo shows a patient who had a belt lipectomy performed after losing a significant amount of weight. (The upper three pictures are of the patient prior to surgery and the lower three pictures are of the same patient after surgery.) Note the improvement in the belly, pubic area, hips, back, outer thighs, and buttocks.

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Belt Lipectomy | Iowa

Figure 3. This composite photo shows a patient who had a belt lipectomy performed after losing a significant amount of weight. (The upper three pictures are of the patient prior to surgery and the lower three pictures are of the same patient after surgery.) Note the improvement in the belly, pubic area, hips, back, and buttocks.

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Belt Lipectomy | Iowa

Figure 4. In this composite photo, the patient lost a large amount of weight and refused a belt lipectomy electing to only have a tummy tuck. (The upper three pictures are of the patient prior to surgery and the lower three pictures are of the same patient after surgery.) Note that the front of the patient is improved, but the overall result is far inferior to similar patients who underwent a belt lipectomy (see Figure 1, Figure 2, Figure 3, and Figure 5, Figure 6, Figure 7, Figure 8, Figure 9, and Figure 10.) The sides and back areas are actually made worse after the tummy tuck.

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The Post Weight Reduction group can be further divided into two subgroups based on the extent of weight loss:

 
  1. Not at ideal body weight
    (click for more photos)
 
  1. At ideal body weight
    (click for more photos)

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2. Patients Who Had Only the Front Done

This is a group of patients who have had surgery performed on the front of their trunks, or belly area, but decided that to attain more of a complete improvement which includes the sides, hips, back, and buttocks (see Figure 17 and Figure 18).

 

Belt Lipectomy | Iowa

Figure 17. This composite photo is of a patient who had a tummy tuck performed elsewhere but was unhappy with the lack of improvement in her hips and buttocks. She underwent a belt lipectomy. (The upper three pictures are of the patient prior to surgery but after the tummy tuck, the lower three pictures are of the same patient after belt lipectomy). Note the significant difference in the smooth contour of the hips and the lifted buttocks.

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Belt Lipectomy | Iowa

Figure 18. This composite photo is of a patient who had a tummy tuck performed elsewhere but was unhappy with the lack of improvement in her hips and buttocks. She underwent a belt lipectomy. (The upper three pictures are of the patient prior to surgery but after the tummy tuck, the lower three pictures are of the same patient after belt lipectomy). Note the significant difference in the smooth contour of the hips and the lifted buttocks.

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