Massive weight loss patients unfortunately have variable amounts of loose skin and subcutaneous fat deposits. After losing large amounts of weight(usually exceeding 100 pounds), these patients are often “wearing the skin of two people.” Not uncommonly, patients complain of “large aprons” of skin and fat that hang from the lower abdomen. This can result in hygiene concerns and cause difficulty with obtaining properly fitted clothing. In addition, many patients will have loose hanging skin around their backs, hips, and upper abdomen as well. The circumferential body lift has various forms that can improve these areas, see also Lower Body Lift/Thigh Lift Section. The surgical procedure usually takes between 4-6 hours with a recuperation time of 1-2 weeks. Dr. Wallach has presented at national meetings and published plastic surgery journal articles on circumferential abdominoplasty procedures.
As an expert in the field of plastic surgery, one of the most rewarding aspects of my career has been listening to my patients stories about how having plastic surgery has changed their lives.”
Surgical Techniques To Improve The Abdominal Region, Lower Back, and Buttocks
a) Circumferential Abdominoplasty – A circumferential abdominoplasty treats the abdomen, the hips, the buttocks, and the lower back. It combines a full abdominoplasty performed in conjunction with a buttock lift. The hips and even the upper thigh can be improved by this technique. The abdominal diastasis is usually repaired to tighten the central abdominal wall, and the mons pubis is elevated. The final incision is kept low on the abdomen and extends around the back at the level of the buttock crease. This procedure usually takes 4-5 hours and patients need 1-2 weeks to recuperate.
b) Fleur-De-Lis Circumferential Abdominoplasty – This is a variation of the circumferential abdominoplasty in which the laxity is more severe. A vertical excision component is added to the circumferential abdominoplasty procedure because of laxity in the central and upper abdominal region. The effect is to narrow the upper abdominal girth and improve the laxity in the midline. The resulting abdominal incision closure looks like an inverted “T”. The back incison is the same as in the cirumferential abdominoplasty. The procedure takes 4-6 hours and patients need 1-2 weeks to recuperate.
c) Mons Pubis Reduction – Mons pubis laxity occurs with massive weight loss and can be a cause of hygiene problems. It is treated during an abdominoplasty, a circumferential, or a fleur-de-lis procedure. Elevation of this area is performed to re-create a youthful mons region in both men and women and to improve hygiene. The final incision closure is usually transverse and is part of the abdominal closure. If the mons is very wide, a vertical excision can be added to the transverse incision line. Liposuction is occasionally performed to de-bulk the region as well. This is treated as part of the circumferential or fleur-de-lis procedure but can be performed as an isolated procedure as well.
If you would like more information about Dr. Wallach and his success with New York City Circumferential Abdominoplasty procedures, we hope that you will not hesitate to contact our Manhattan offices at (212) 861-6400 or by mail at 1049 5th Avenue, Suite 2D in New York, NY 10028; or using our contact form to request additional details.
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