Revision High-Definition Lower Body Lift™ Following Previous Belt Lipectomy Elsewhere From 2019 - October 2024

And that has to do with the fact that a belt lipectomy, in my experience, and I've done probably more body lifts than most people on the planet, has to do with the fact that it's not the same as a thorough, comprehensive body lift, at least the body lift that we do. Many surgeons cut the skin and the fat underneath and suture the tissues together and close the incision.

As an example, you get an incision here, you get an incision here, the fat is removed, and this is closed. Okay? The problem is that all of the skin and fat that resides lower down is not elevated. When you cut the skin and fat here, this fat down here is still attached to the muscle here. So initially, it moves up, and it looks better because you're removing the excess tissue, but you're not elevating, you're not lifting the tissue.

So it's not a true body lift, and therefore, the phraseology of belt lipectomy actually suits that procedure. It just means that you're removing the lower abdominal skin and closing the incision, just like a panniculectomy. A panniculectomy removes the lower abdominal tissue and closes the incision. There is no repositioning of the tissue. There is no muscle tightening when it comes to a panniculectomy.

A belt lipectomy is like that, or a lower body lift that is not done correctly is like that, because excess skin and fat are removed, and the tissues are closed. It doesn't do repositioning. It doesn't do a true body lift.

In her case, we're going to be dissociating the fat and the skin from the muscle all the way down to here and then elevating it. So we are repositioning it. This is like a deep plane facelift versus a skin-only facelift. So when they came up with the idea of facelift, initially, they only removed skin. It never lasted, and therefore, over the past 50 years, facelifts have been technically advanced, and now we have deep plane facelifts, where we go under the muscle, where we go under the fat and elevate that.

This is a concept that we have pioneered since 2005. All my body lifts are repositioning body lifts, meaning that we go under, elevate, anchor, and then we close and remove the excess skin. And therefore, you get a much better and lasting result.

So these are her incisions here and here. We're going to be removing those. We're going to be tightening her lower abdomen, and we're going to do a thorough, comprehensive outer and thigh front lift.

And when we come to her back, her incisions are asymmetrical. You see, it starts up here and finishes down here. Keep on rotating, sweetheart. Let me get you 90, please. Give me one second. Okay.

When it comes to her back, you'll appreciate that her incision is slanted. Again, it starts close to this incision here and then ends up close to this lower incision here. So it's coming down. It's a straight, more or less straight line. We're going to change that. We're going to make it a beautiful V-shaped incision. We're going to demarcate the lower back from the upper butt, and our incision is going to finish at that junction.

We're going to be cutting more skin and elevating everything up again. Again, we would have to do this because it was a belt lipectomy. If it was done correctly, we would never have this much excess skin. The tissues were not repositioned, so that over time, the tissues pull the skin down, and you lower the scar and also create skin stretching, which is what you see. So you lose some of that effect and the result. So we'll be correcting all of those for her.