Full Body Lift Procedure: Comprehensive Information

A full body lift is a series of surgical procedures designed to address multiple areas of the body affected by excess, sagging skin. This comprehensive approach is particularly popular among individuals who have experienced massive weight loss due to bariatric surgery, diet and exercise, or pregnancy. The procedure aims to remove excess skin and fat, tighten underlying tissues, and improve the overall shape and tone of the body.

Understanding the Full Body Lift

What is a Full Body Lift?

The term "body lift" encompasses a variety of body contouring procedures that lift and tighten the abdomen, inner and outer thighs, and sometimes the medial thigh and buttocks concurrently. A full body lift typically includes an upper and lower body lift to remove hanging, loose skin left behind after significant weight loss, age, or pregnancy. It addresses all areas from the bottom of the breast to the mid-thigh with a combination of skin tightening and fat removal or repositioning.

Why is it needed?

Significant weight loss, aging, pregnancy, sun damage, and genetic factors can contribute to poor tissue elasticity, resulting in sagging skin on various parts of the body. This excess skin can negatively impact a person's figure, body shape, and self-confidence. Sagging skin can drape under the arms, around the abdomen, thighs, and neck, hindering the ability to achieve desired results through diet and exercise alone. A full body lift aims to correct these issues by removing excess skin and fat while improving the tone and shape of the underlying tissue.

What areas can it address?

A full body lift can address several areas, including:

  • Abdomen: Tightening the abdominal muscles and removing excess skin (tummy tuck or abdominoplasty).
  • Buttocks: Lifting and reshaping the buttocks.
  • Thighs: Removing excess skin from the inner and outer thighs (thigh lift).
  • Back: Correcting excess skin on the upper back ("bra rolls").
  • Arms: Removing sagging underarm skin (arm lift or brachioplasty).
  • Breasts: Lifting and reshaping the breasts (breast lift).

Components of a Full Body Lift

A full body lift is not a one-size-fits-all procedure. Instead, it is customized to meet each patient's unique needs and goals. The specific components of a full body lift may include:

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Upper Body Lift

  • Arm Lift (Brachioplasty): Removes sagging skin and fat from the upper arms, addressing the "bat wings" appearance. An incision is typically made on the inside of the arm or armpit.
  • Breast Lift (Mastopexy): Removes excess skin and reshapes the breasts to create a more youthful and lifted appearance. Several techniques can be used depending on the amount of sagging and the desired shape. In some cases, breast augmentation may be performed simultaneously.
  • Back Lift: Corrects excess skin on the upper back, often referred to as "bra rolls." The excess skin is removed and the remaining skin is tightened to create a smoother, more contoured back.

Lower Body Lift

  • Tummy Tuck (Abdominoplasty): Removes excess skin and fat from the abdomen and tightens the abdominal muscles. An incision is made along the lower abdomen, from hip to hip.
  • Thigh Lift: Removes excess skin from the inner and outer thighs, resulting in a more toned and contoured appearance. Incisions are made along the thighs to lift and tighten the skin.
  • Butt Lift: Surgically removes skin from the buttocks to provide a more youthful behind using an incision near the hip area. We remove excess skin and lift the remaining tissue to secure the buttocks into a more lifted position.

Mid-Body Lift

This technique is similar to the lower body lift in removing excess fat and skin around the hips, buttocks, and thighs. However, a mid-body lift also addresses the abdomen at the same time. The procedure tightens underlying muscles for a flatter stomach and trimmer waistline.

Benefits of a Full Body Lift

A full body lift can provide numerous benefits for individuals who have excess, sagging skin due to significant weight loss or other factors. These benefits include:

  • Improved Body Contour: The procedure smooths the body's contours, creating a more toned and aesthetically pleasing appearance.
  • Reduced Excess Skin Folds: Excess skin folds can cause discomfort, irritation, and hygiene issues. A full body lift eliminates these folds, improving comfort and quality of life.
  • Eliminated Skin Irritation: By removing excess skin, the procedure reduces friction and irritation, preventing rashes and infections.
  • Increased Skin Elasticity: The procedure removes damaged skin, improving the overall elasticity and appearance of the remaining skin.
  • Easier Time Finding Clothing: Excess skin can make it difficult to find clothing that fits properly. A full body lift improves body proportions, making it easier to find clothes that fit and flatter the figure.
  • Enhanced Body Confidence: By addressing excess skin and improving body contours, a full body lift can significantly boost self-confidence and body image.

Ideal Candidates for a Full Body Lift

The best candidates for a full body lift are individuals who:

  • Have lost a significant amount of weight and have excess, sagging skin on multiple areas of the body.
  • Are in good overall health and do not have any medical conditions that could impair healing or increase the risk of complications.
  • Have maintained a stable weight for at least six months to a year before surgery.
  • Are non-smokers.
  • Have realistic expectations about the outcome of the surgery.
  • Are committed to maintaining a healthy lifestyle after surgery, including proper nutrition and exercise.

Patients with diabetes, lung disease, heart disease, or other serious medical issues may not be good candidates for this procedure. Women considering future pregnancies should also postpone a body lift, as pregnancy can diminish the procedure's results.

Consultation and Preparation

The Consultation Process

The first step in considering a full body lift is to schedule a consultation with a qualified and experienced plastic surgeon. During the consultation, the surgeon will:

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  • Evaluate your overall health and medical history.
  • Discuss your goals and expectations for the surgery.
  • Examine the areas of your body that you would like to address.
  • Explain the different options available to you.
  • Develop a personalized treatment plan that is tailored to your specific needs.
  • Discuss the risks and benefits of the surgery.
  • Answer any questions you may have.

Preparing for Surgery

To ensure the best possible outcome, it is essential to follow the surgeon's instructions carefully before surgery. These instructions may include:

  • Getting lab testing or a medical evaluation.
  • Adjusting or stopping certain medications.
  • Stopping smoking well in advance of surgery (typically three weeks before and three to six weeks after).
  • Avoiding aspirin, anti-inflammatory drugs, and herbal supplements that can increase bleeding for at least one week.
  • Maintaining a stable weight for several months before surgery.
  • Arranging for someone to drive you to and from surgery and to help you with household tasks for the first few days after surgery.

The Full Body Lift Procedure

Anesthesia

Full body lift surgery is typically performed under general anesthesia to ensure the patient's comfort and safety. In some cases, awake surgery techniques with local anesthesia may be used.

Incisions

The length and pattern of the incisions will depend on the amount and location of excess skin to be removed, as well as the specific procedures being performed. Incisions are strategically placed to be concealed under clothing whenever possible.

Skin and Tissue Removal

The surgeon will remove excess skin and fat from the targeted areas and tighten the underlying tissues. Liposuction may be used to remove excess fat deposits and improve body contour.

Closing the Incisions

The incisions are closed with sutures, skin adhesives, or tapes. Deep sutures within the underlying tissues help to form and support the newly shaped contours.

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Duration

Body lift surgery can take four to seven hours to complete, depending on the extent of the procedures being performed.

Recovery and Results

Post-Operative Care

After surgery, dressings or bandages will be applied to the incisions. Small, thin tubes may be placed under the skin to drain any excess blood or fluid that may collect. Patients will need to wear compression garments to support the incision sites and help the body maintain its new contours.

The surgeon will provide specific instructions on how to care for the surgical site(s), medications to take or apply, specific concerns to look for, and when to schedule follow-up appointments.

Recovery Timeline

Recovery time from a body lift can vary significantly, depending on which treatments you undergo.

  • Lower and upper body lifts: About two to three weeks.
  • Mid-body lifts: About four to five weeks.
  • A full body lift: About six to seven weeks.

It is very important to have assistance at home for the first several days following the surgery.

Results

The results of a body lift are visible almost immediately. However, it may take several months for the swelling to subside and the final results to become apparent. Scars will fade over time, but they are permanent.

The results of a body lift are long-lasting, provided that you maintain a stable weight and a healthy lifestyle.

Risks and Complications

Like all surgical procedures, a body lift carries certain risks and potential complications. These include:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Fluid accumulation or seroma under the skin
  • Poor wound healing
  • Skin loss
  • Blood clots
  • Numbness or other changes in skin sensation
  • Anesthesia risks
  • Skin discoloration and/or prolonged swelling
  • Fat necrosis (death of fatty tissue deep in the skin)
  • Major wound separation
  • Asymmetry
  • Recurrent looseness of skin
  • Pain, which may persist
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery
  • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal

Choosing a qualified and experienced plastic surgeon can minimize these risks.

Cost of a Full Body Lift

The cost of a full body lift can vary depending on the extent of the surgery, the geographic location, and the surgeon's fees. Most health insurance plans do not cover body lifts, as they are considered cosmetic procedures. However, some insurance providers may cover the cost of excess skin removal after massive weight loss.

Financing plans and payment options may be available to help patients pay for surgery.

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