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Belt LipectomyBelt Lipectomy Overview

Through a horizontal incision on your lower abdomen, continuing around your back circumferentially – excess skin and subcutaneous fat are removed from the abdomen and lower back.  Also through this incision, your abdominal wall muscles are sutured together to improve your abdominal contour.  There are no sutures to remove as they are all internal.  The resultant scars are a horizontal scar all the way around your waistline and a small scar around your belly button.  Surgical drains are usually used.   The total operating room time varies depending on the number of additional body contouring procedures such as liposuctionbrachioplasty and/or a medial thigh lift.

Facts About Belt Lipectomy

Typical Age

25-60 years old


$1500-$17000 This is an estimate & prices may vary.  An exact price will be given at your consultation appointment.


Excess abdominal skin and subcutaneous fat that continues around the back in addition to abdominal wall muscle laxity.  If the problem is a falling (lax) buttock and lateral thighs, a lower body lift may be a more appropriate procedure.  If there is minimal to moderate skin and fat excess on the flanks and back then an abdominoplasty with or without liposuction may be the more appropriate procedure.


To improve lower body contour (waistline).




Patients should be at a stable weight, healthy, nutritionally replete with good protein stores, and avoid any nicotine-containing substances.


General anesthesia


  Hospital stay

Most patients go home on the day of surgery.

. Positioning

After a belt lipectomy, you will need to be cognizant of undue tension on the incision because bending forward or backward may place too much tension on the back or front incisions, respectively.


You will need someone to help take care of you after surgery as you will not be able to lift children, heavy items, etc.


You are encouraged to walk around the house as much as possible after surgery to help reduce the risk of DVT and thromboembolism.


After 48 hours you should remove your dressings and take a shower.


Two weeks for light exercise and four weeks for regular exercise. Patients should wait six weeks for abdominal exercises.


Wait four weeks because you don’t want to stress your incisions or increase your blood pressure during the early healing period.


Most patients should plan to take seven-to-10 days off of work, depending on their type of work.  Your doctor will be able to give you a recommendation based on your lifestyle at your consultation.


Can persist for 3-6 months


Usually subsides after 2-3 weeks

Follow-up Appointments

Follow-up appointments will be scheduled by your doctor according to your treatment plan.

Risks & Complications

Hematoma, Seroma, Infection, Poor scarring, Dehiscence, Delayed wound healing, Skin necrosis, Asymmetry, Numbness, Thromboembolism, Contour irregularities, Need for revision, complications related to anesthesia.

Performed by: Dr. Butler, Dr. Leveque, Dr. Patterson


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