Among the tummy tuck options I offer my Dallas patients is a procedure that is not as well known as traditional abdominoplasty. It’s called the belt lipectomy, or circumferential tummy tuck, and it can be used to address areas beyond the abdomen, including the hips and buttocks.
The belt lipectomy removes a strip of excess fat, skin, and tissue from around the waist, lower back, and upper abdomen. The width and length of the excised tissue resembles a belt, thus the name of the procedure. The width of the belt removed depends on the amount of excess tissue.
Once the tissue is excised, the skin on the upper abdomen and lower back is pulled down and the tissue from the lower abdomen, hips and thighs is pulled up. I also tighten the underlying fascia and muscles of the abdominal wall, creating a foundation for a flatter and smoother profile that balances the person’s physical appearance.
The first week after surgery, a patient will have some pain and discomfort that’s controlled with medications. Additionally, a patient will need to wear compression garments and engage in light activity to speed the healing process. Drains are removed 3 to 5 days after surgery, and sutures the second week. Patients can resume aerobic exercise after 3 weeks and stretching and resistant exercise after 6 to 8 weeks. Results become more visible as swelling decreases, with a noticeable difference after 3 months.