Circumferential Abdominoplasty After Significant Weight Loss in Newcastle, Maitland & Hunter Valley Australia
Book Online NowSignificant weight loss, often achieved through bariatric surgery or dedicated lifestyle changes, can leave behind excess skin that cannot be improved with diet or exercise alone. This sagging skin can cause physical discomfort & skin irritation. Circumferential abdominoplasty, also referred to as a 360-degree abdominoplasty, body lift or belt lipectomy, is a surgical procedure aimed at removing excess skin and fat from the abdomen, hips, thighs, and buttocks. This procedure is just one of the many types of abdominoplasty options available for post-weight loss patients, each tailored to the individual’s needs.
Key Takeaways
- Circumferential Abdominoplasty (360-Degree Body Lift, lower body lift surgery): This comprehensive procedure removes excess skin and fat from the abdomen, hips, thighs, and buttocks.
- Dr. Bernard Beldholm’s Expertise: With a focus on post-weight loss body contouring, Dr. Beldholm provides a range of abdominoplasty options, including circumferential body lift, to address the unique needs of patients with loose skin post weight loss.
- Various Abdominoplasty Options: Circumferential abdominoplasty is just one of several techniques, including lower body lifts and upper body lifts, each tailored to target different areas of the body affected by excess skin and fat.
- Ideal Candidates: Suitable for individuals who have lost a significant amount of weight and are dealing with excess, hanging skin that cannot be improved through diet or exercise alone. Candidates should have maintained a stable weight for at least six months and be in good general health.
- Comprehensive Body Contouring: The procedure can be combined with other treatments like liposuction, tummy tucks, and thigh lifts.
- Recovery and Results: Recovery takes time, and post-surgery care is essential for the best outcomes. Compression garments, pain management, and follow-up appointments are key to a smooth recovery and enhanced final results.
Understanding Body Lift Surgery
Belt lipectomy, also known as a circumferential body lift, is a transformative procedure designed to address vertical excess skin that often results after significant weight loss. Unlike other body lift surgeries, belt lipectomy focuses on lifting and tightening the areas of the body affected by sagging skin in the vertical direction. This procedure not only targets the abdomen but also helps lift the lateral thigh area, flanks, and buttocks, providing a comprehensive solution for reshaping the lower torso.
Book Online NowThe main benefit of belt lipectomy is its ability to remove excess skin around the body’s circumference. However, it’s important to recognize that belt lipectomy is most effective for patients dealing with vertical skin excess. For individuals who have excess horizontal skin, particularly in the abdomen, a Fleur de Lis abdominoplasty may be a better option. The Fleur de Lis technique focuses on both vertical and horizontal skin excess, providing more comprehensive results for patients with significant sagging in the abdomen.
While belt lipectomy offers several aesthetic benefits, it is not suitable for all post-weight loss patients. The decision between belt lipectomy and Fleur de Lis abdominoplasty should be based on the patient’s specific concerns, skin excess, and desired outcomes. Understanding the benefits as well as the limitations of belt lipectomy is crucial for choosing the right procedure to achieve the best results.
Ideal Candidates for Body Lift Surgery
There are several important factors to consider when determining whether a patient is suitable for body lift surgery:
- Health Conditions: Certain health conditions may affect the healing process and influence whether a patient is a good candidate for surgery. Conditions such as bleeding disorders, diabetes, and smoking can interfere with healing and increase the risk of complications. It’s essential that patients have stable health to ensure a smooth recovery and optimal results from surgery.
- Location and Extent of Skin Excess: The ideal candidates for a body lift procedure are those with vertical excess skin, particularly in the circumferential areas, including the lateral thigh and buttocks. These patients typically have sagging skin that can be effectively addressed by the surgery. If there is significant fat present, liposuction may be added to further refine the body contours.
Complementary Procedures
Complementary procedures can significantly enhance the results of body lift surgery by targeting additional areas. These procedures include liposuction, thigh lift, hernia repair, diastais recti repair and scar revision, each offering unique benefits that contribute to comprehensive body contouring.
Liposuction
Dr. Beldholm typically treats two main types of post-weight loss patients: those who have achieved their ideal BMI and have minimal excess fat, and those who still carry additional external fat. For patients with external fat—fat that is located just under the skin—liposuction can be a valuable complement to body lift surgery. Liposuction is highly effective in removing stubborn fat deposits, refining the shape of areas that may still show signs of excess fat despite significant weight loss.
In these cases, liposuction can be performed simultaneously with body lift surgery to create a more balanced appearance.
For patients with internal fat—fat located deeper within the body—further weight loss may be necessary before proceeding with surgery. While liposuction is effective for external fat, it cannot address deeper fat stores. Dr. Beldholm works closely with these patients to help them achieve their goals through ongoing support and guidance.
By combining liposuction with body lift surgery, Dr. Beldholm offers a comprehensive approach that addresses both excess skin and fat. This integrated approach often results in improved aesthetics, leading to greater satisfaction with the overall outcomes.
Thighplasty (Thigh Lift)
A thigh lift primarily refers to an inner thigh lift, which is designed to remove loose, excess skin in the inner thigh area. Many post-weight loss patients experience discomfort and rubbing, especially during physical activities like exercise. This procedure helps alleviate those issues by tightening the skin and improving the shape of the thighs.
Depending on the patient’s needs, the thigh lift can be performed with or without liposuction. If there is excess fat in addition to loose skin, liposuction can be added to enhance the results. For patients with more skin than fat, a thigh lift alone is typically sufficient.
An external thigh lift, which addresses the outer thigh, is usually performed through a side lipectomy or as part of a circumferential abdominoplasty. This helps further refine the shape of the thighs and hips for a more balanced overall appearance.
Hernia Repair
Hernia repair can be seamlessly integrated into body lift surgery, addressing any hernias that may have developed as a result of significant weight loss. This surgical procedure involves repairing weakened or torn muscle tissue, often in the lower abdomen, to prevent further complications and ensure optimal healing.
Incorporating hernia repair into the body lift allows patients to address all underlying issues in a single surgical session while achieving comprehensive body contouring.
Diastasis Recti Repair
Diastasis recti repair is a crucial component of body contouring surgery, particularly for patients who have experienced significant weight loss or pregnancy. This condition, characterized by the separation of abdominal muscles, can be effectively addressed during a tummy tuck or body lift procedure.
The surgical repair involves suturing the separated muscles to tighten and strengthen the abdominal wall, enhancing both the appearance and functionality of the abdomen. This repair not only improves core stability and functional strength but also contributes to a smoother and firmer abdominal contour.
Scar formation
The formation of scar tissue is a natural part of healing, as the body produces collagen to close incisions. However, the appearance and type of scars can vary, with some patients developing hypertrophic or keloid scars, which are raised and can extend beyond the original incision area. Surgical scar revision involves removing excess tissue and rearranging healing tissues to enhance the scar’s appearance, providing a more aesthetically pleasing result.
Effective scar management begins even before surgery, with patients advised to maintain a healthy diet and hydration to facilitate healing. Post-operative care is crucial, including proper wound management to prevent infection and minimize scar visibility.
Non-surgical options like laser therapy and topical treatments can also significantly improve the appearance of scars by promoting healthy skin cell growth and minimizing discoloration. Regular follow-ups with Dr Beldholm ensure that any concerns are addressed promptly, contributing to the overall success of the scar revision process.
The Surgical Process
Dr. Beldholm typically conducts a minimum of two consultations with patients. The first consultation is charged, while the second is complimentary. During these consultations, the focus is on understanding the patient’s concerns, expectations, and desired outcomes. Dr. Beldholm takes the time to carefully review the areas of excess skin and fat, tailoring the procedure to meet each patient’s unique needs.
The patient coordinator will provide a detailed quote and work directly with the anaesthetist and hospital to ensure everything is in place for the surgery. For patients travelling from outside the area, Zoom consultations are available; however, one in-person consultation is required to assess the patient’s individual needs thoroughly.
A key element of achieving a successful result is selecting and customizing the operation based on the location of the excess skin and fat, as well as any medical conditions that could potentially hinder the healing process. Dr. Beldholm ensures that every step of the planning process is focused on providing the best outcome for each patient. The surgery itself is performed at Maitland Private Hospital, a well-equipped facility offering excellent care and support throughout the procedure and recovery.
Recovery and Healing Process
The recovery and healing process following body lift surgery with Dr. Bernard Beldholm is a crucial phase that requires careful attention and management to ensure the best possible results. Dr. Beldholm personally sees patients each day in the hospital during their stay to monitor progress, manage pain, and address any potential concerns. After discharge, patients are asked to return to Dr. Beldholm’s practice for follow-up visits as part of their continued recovery.
The first two weeks following surgery are an intense period of care. During this time, wound care is a key focus, with treatments like Healite LED light therapy and regular dressing changes. These measures are critical for promoting healing and preventing complications. Dressing charges will apply as part of this ongoing care. The primary goal during this period is to detect any signs of complications or infection early and to manage them aggressively to avoid long-term issues. This proactive approach ensures the final result is as optimal as possible.
Patients are also required to wear compression garments throughout the healing process, typically for the first four weeks post-surgery. These garments help reduce swelling and support the surgical site while promoting healing and minimizing fluid accumulation (seroma).
While light activities may be resumed around the two-week mark, it’s essential for patients to avoid heavy lifting and strenuous activities to prevent compromising the healing process. Regular follow-ups with Dr. Beldholm ensure that any concerns are addressed promptly, contributing to a smooth recovery and the best possible long-term outcome.
Managing Scars Post-Surgery
Managing scars is an integral part of the healing process following body lift surgery. Scar formation is a natural outcome, but Dr. Beldholm takes proactive steps to minimize the visibility and impact of scars from the outset. Effective scar management begins before surgery, with careful attention to nutrition, which is essential for healthy skin healing. Proper nutrition provides the body with the necessary vitamins and nutrients to support tissue repair and reduce the risk of complications.
During surgery, Dr. Beldholm carefully manages the tension in the incision to ensure the best possible scar formation. By using deep sutures, he helps support the incision, which aids in the proper healing of the skin and minimizes strain on the wound.
Following surgery, Dr. Beldholm employs PICO dressings to improve wound management, ensuring that the healing environment is optimal. You will also get Healite II treatment during your first 2 weeks of healing. Early identification and management of complications such as wound breakdowns or infections are key to improving the long-term appearance of the scar.
From four weeks onward, Dr. Beldholm recommends the use of silicone strips, which have been shown to reduce scar visibility and promote smoother, flatter healing. These strips help hydrate the scar area and are essential for long-term scar management.
By combining careful surgical techniques, proactive post-operative care, and the use of proven scar management products, Dr. Beldholm ensures that patients achieve the best possible aesthetic result. This comprehensive approach reduces scar prominence & enhances healing.
Risks and Complications
Like any major surgery, body lift surgery carries certain risks and complications, which Dr. Beldholm takes great care to discuss with his patients during the consultation process. One of the primary concerns is excessive bleeding, which may require a blood transfusion during or after the procedure, depending on the amount of skin removed. Infections are another potential risk, and in such cases, antibiotics or additional surgical intervention may be required to address the issue effectively.
Additionally, patients may experience allergic reactions to materials used during the surgery, such as sutures or dressings, though Dr. Beldholm ensures that every effort is made to minimize this risk. Another serious complication that can occur is the formation of blood clots or haematomas under the incision sites, which could require further surgical intervention to resolve. In rare cases, severe complications such as heart attacks or strokes may occur due to blood clots that form during or after the surgery.
Mobility restrictions due to tightened skin around the operated areas can also pose challenges during the recovery period. Dr. Beldholm emphasizes the importance of realistic expectations and thorough pre-surgery discussions to help patients prepare for the potential risks and understand the recovery process. He ensures that each patient is well-informed in their decision to proceed with surgery. Regular follow-ups are essential to address any concerns early on and avoid long-term complications, contributing to a smoother recovery and more satisfying final results.
Final Conclusions by Dr Beldholm
Body lift surgery is a transformative procedure designed to address the excess skin and fat that often remain after significant weight loss, whether from bariatric surgery or lifestyle changes. It focuses on reshaping and tightening areas of the body affected by sagging skin, ultimately improving both appearance and comfort. However, like any major surgery, there are inherent risks, including bleeding, infections, blood clots, and complications related to healing.
When I meet with patients, I carefully assess each individual’s needs to determine the best approach for their surgery. This includes considering the location of excess skin and fat, any underlying medical conditions, and the patient’s overall health. My goal is always to customize the surgery to meet the unique needs of the patient and provide the best possible results.
I believe that early intervention in managing potential complications is key, particularly during the first two weeks of recovery. This period is crucial for wound care, scar management, and closely monitoring for signs of infection or other issues that could affect healing. I ensure my patients receive the highest level of care before, during, and after surgery to achieve optimal outcomes.
In my experience, with the right preparation, realistic expectations, and attentive post-operative care, body lift surgery can significantly enhance a patient’s appearance & comfort. Clear communication and collaboration are essential, and I am committed to supporting my patients every step of the way, helping them achieve the results they have worked so hard for.
Learn more about the recovery process following circumferential lipectomy
Learn more about the potential complications associated with circumferential lipectomy
Learn more about the costs of circumferential lipectomy
Frequently Asked Questions
What is body lift surgery used for?
Body lift surgery is primarily utilized to enhance a patient’s appearance and comfort following substantial weight loss, whether from bariatric procedures or lifestyle changes. This surgical intervention targets excess skin and tissue, reshaping affected areas for a more contoured physique.
What areas of the body can a body lift improve?
A body lift can effectively enhance the shape and contour of the abdominal region, hips, buttocks, and thighs, providing a more toned appearance. This procedure targets multiple areas to achieve overall body improvement and aesthetic enhancement.
Who are ideal candidates for body lift surgery?
Ideal candidates for body lift surgery are those who have experienced significant weight loss and are left with excess, sagging skin that cannot be improved through diet and exercise alone. This procedure is best suited for individuals who have achieved stable body weight and are seeking to enhance their physical appearance and comfort.
What should patients expect regarding scarring after the surgery?
Patients should expect visible scarring after the surgery; however, surgeons will strategically position scars to minimize their visibility. This careful planning helps enhance the overall aesthetic outcome.
What are some possible benefits of body lift surgery?
Body lift surgery can result in tighter, smoother skin, improved mobility, and a more contoured appearance while reducing discomfort and rashes. These benefits can significantly enhance one’s quality of life.