Lower body lifts are a group of surgical procedures performed to enhance the contour about the thighs, hips, buttocks, and lower back. These procedures are typically necessary for situations where there is excess, lax tissue present as a result of significant weight loss as may occur following gastric bypass surgery. Lower body lifts involve the removal of various amounts of skin and fat with advancement or “lifting” of the adjacent tissue in order to restore an optimal smooth, flat contour in the area of treatment. Supplemental liposuction is frequently performed in order to improve the uniformity of fatty tissue thickness and enhance the transition to the adjacent areas. These procedures are typically performed under general anesthesia on an outpatient basis in a State Licensed, Nationally Accredited Ambulatory Surgical Facility (see ‘about Keystone Surgery Center’). Operative and post-operative recovery times vary based on the extent of the original contour deformity. However, most patients can comfortably return to routine daily activities about two weeks following surgery. Skin re-draping and contour restoration are facilitated by the use of a compression garment following surgery.
For many patients, restoration of appropriate lower body proportion through a lower body lift may be the solution to restoring harmony with upper body dimensions, thereby allowing clothes to fit properly. In this way, enhanced body image and self-confidence are possible.
When considering a lower body lift, or indeed any cosmetic procedure, be sure to select a qualified, experienced plastic surgeon, certified by the American Board of Plastic Surgery (ABPS). As a board-certified plastic surgeon with over 15 years of clinical practice experience and member of the American Society of Plastic Surgeons (ASPS) and American Society of Aesthetic Plastic Surgery (The Mark of Distinction in Cosmetic Plastic Surgery® ASAPS), Dr. Robert Kimmel welcomes the opportunity to help you achieve your goals for cosmetic enhancement and enjoy a happier, more confident lifestyle.
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Although Dr. Kimmel completely customizes these combination procedures to fit the needs of the individual patient, there are some general guidelines involved in recovery. Parts of these procedures, such as the lower incision that wraps around the body, require lengthy recovery times. You can expect your recovery to take from one to two months, and you probably won’t be able to drive for about one full month, due to the hip incision. Here’s a list of timeline milestones, although these can vary with different patients.
One thing to consider before opting to have a lower body lift is to arrange someone to help you full time around the house for the first two weeks after your surgery. You can’t do any lifting or push for four to six weeks. If you have small children, a spouse, friend, or relative will need to take over for a couple of weeks.
This isn’t to paint a gloomy picture, but it is important to remember that Dr. Kimmel is going to be performing three procedures in one surgical session. You’ll have an involved recovery, but it is only a single recovery.
Buttock Lift – Before and After Photos
You can expect moderate swelling in your abdomen area. This will last from six to nine weeks. Try and limit your salt intake, as this can lead to prolonged swelling that would otherwise resolve.
Any time an incision is made a scar forms. This is simply the healing process. That said, lower body lifts with Dr. Kimmel create some lengthy incisions and subsequent scarring. These will look quite angry and red in the early part of your recovery, but don’t worry; that is normal. Dr. Kimmel works hard to place your incisions where they can be hidden under clothing. As long as you try and limit the pressure placed on your incisions they will become less and less noticeable, fading as much as possible in about one year. After your surgery, we will discuss various products that you can apply to your incision scars to help them heal as inconspicuously as possible.
This is a major surgical procedure, so it involves all of the risks associated with surgery: reaction to anesthesia, excessive bleeding, poor wound healing, infection, fluid accumulation, and the potential development of blood clots.
Specific to lower body lifts, there is a risk of asymmetry and uneven incision healing. There can be burning along the incisions, but this typically passes as the nerves adjust. There is a risk of persistent pain and swelling beyond the usual timeframes. You may develop persistent swelling in the legs. There can also be recurrent looseness of areas of your skin.
However, Dr. Kimmel is a board-certified plastic surgeon with extensive training and experience. His expertise minimizes the risks involved with these surgeries.
You’ll need to follow our protocols at Keystone Surgery Center prior to your surgery. These include stopping the taking of blood thinners, anti-inflammatory medications, and most supplements for at least a few days prior to your surgical session. If you smoke, you’ll need to stop for at least two weeks prior to surgery and two weeks afterward, as smoking affects incision healing by decreasing circulation.
Your main preparation for these procedures with Dr. Kimmel is to prepare for your recovery. This is no time to be the Lone Ranger; it’s time to call in family and friends to help out around the house. Remember, you can’t do any lifting or push for four to six weeks. For the first two weeks, you’ll be mostly in bed.
Heading into your lower body lift, you’ll need to fill your pain medication prescriptions and really set up a recovery nest where you can hunker down and lay low. If your bedroom is upstairs, you may want to sleep downstairs for the first couple of weeks. Get plenty of entertainment ready: books, Netflix, an iPad, and anything else to help pass the time. The key to a successful recovery is taking it easy and letting your body focus on healing. This thought needs to guide your preparations for your surgery.
While tummy tuck and thigh lift each target a specific area, a lower body lift is a more comprehensive procedure that addresses multiple regions in one surgery. Tummy tuck focuses solely on the abdomen, tightening muscles and removing excess skin from the midsection. Thigh lift improves the contour of the inner or outer thighs by removing sagging skin. In contrast, lower body lift combines elements of both procedures and also includes lifting and tightening around the flanks, buttocks, and lower back.
Lower body lift can reduce the appearance of stretch marks, especially those located on areas of skin that are being removed. However, it’s important to understand that it won’t eliminate all stretch marks, particularly those outside the excision zones. Cellulite is more complex. It’s caused by fibrous bands under the skin, and while a lower body lift may slightly smooth dimpling in some areas, it’s not a targeted cellulite treatment. If you’re concerned about these issues, Dr. Kimmel may recommend complementary treatments that can be performed separately or after recovery.
Timing is key when planning body contouring after weight loss. It’s typically recommended to wait until your weight has stabilized for at least six months before undergoing lower body lift. This ensures the results are long-lasting and reduces the risk of complications. If you’ve lost a significant amount of weight — either through bariatric surgery or diet and exercise — and are left with sagging skin around your waistline, buttocks, and thighs, lower body lift could be the next step in your transformation.
Liposuction and lower body lift address different concerns. Liposuction removes excess fat but does not tighten loose or sagging skin. Lower body lift removes and tightens excess skin while also reshaping the area. In many cases, the procedures are performed together — liposuction first to remove stubborn fat, followed by a lift to contour the body and tighten the remaining skin. During your consultation at Keystone Cosmetic Surgery Center, Dr. Kimmel will evaluate your skin elasticity, fat distribution, and overall goals to recommend the best approach.
The cost of a lower body lift depends on several factors, including the extent of the procedure, operating time, and whether liposuction is included. Because it’s customized to each patient’s needs, a consultation is necessary to receive an accurate estimate. Keystone Cosmetic Surgery Center offers flexible financing options to help make your transformation more accessible.
Dr. Robert Kimmel is a board-certified plastic surgeon with three decades of experience helping patients reshape and refine their bodies after significant weight loss. His meticulous surgical technique, artistic eye, and commitment to natural-looking results have made him a trusted provider for body contouring procedures in the Pottsville and Hazleton, Pennsylvania areas.