Belt Lipectomy/ Centra Bodylift

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It has an overall more superiorly based wedge of excision when compared with a lower body lift.

Advantages

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There are some advantages of Lower body Lift:

1)it lifts the trunk
2)it leads to waist narrowing
3)it improves the buttock contour
4) it demarcates the lower back from the buttock

Disadvantages

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There are some disadvantages :

1)the high position of scar out of swimwear/underwear
2) thigh reduction is not as aggressive
3)the high position of scar out of swimwear/underwear
4) thigh reduction is not as aggressive

Patient Evaluation

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Massive weight loss patients present with multiple areas of deformity. That include arms, breast, upper back roll, thighs, face and lower trunk with hanging panniculus. Detail weight history is important in evaluation. A plastic surgeon in Lahore also takes a careful history of the medical problem. That includes diabetes, heart problem, high blood pressure, bleeding disorder, smoking, DVT, previous surgery, Bariatric surgery, psychiatric problems. Subsequently, on examination, important points to be evaluated include:

Degree of skin laxity
Amount of subcutaneous fat
Translation of pull
Presence of scar
Waist definition
Presence of abdominal or back rolls
Degree of recti diastasis
Presence of hernia
Asymmetry
Degree of buttock projection and ptosis
Degree of anterior and lateral thigh lipodystrophy and ptosis

The best plastic surgeon selects the appropriate patient. He discusses all the procedure to the patient with all detail including outcome and complication. He advises necessary investigations for fitness.

Goal Of Surgery Include

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There are some goals of LowerBodyLift:

1) Elimination of panniculus / flattening the abdomen
2) Elimination of mons pubis ptosis and redundancy
3) Creation of waist definition
4) Lifting the anterior and lateral thighs
5) Elimination of lower back rolls
6) Lifting the buttock
7) Creation of better buttock contour

Procedure

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Lower body lift surgery performs under general anaesthesia. Before the body surgery, a plastic surgeon makes marks in standing position. The body lift surgery performs after infiltrating of local anaesthesia. This procedure helps the incision site to decrease bleeding during surgery with less pain postoperatively. A plastic surgeon makes dissections. He also removes the excess skin and subcutaneous tissue. plication of recti muscle also does if it is required. Hemostasis secured. He makes a new position for the umbilicus and places the drain. Plastic surgeon closes the wound with dressing. He also applies the compression garment. This body lift surgery performs
1) with its prone position
2) supine position
3)During surgery.
DVT prophylaxis also does in this surgery.

Post Operative Care And Recovery

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The patient is advised in postoperative care not to move or by staff unless completely awake. After that patient is advised to ambulate in a way to avoid tension on a wound to prevent dehiscence. Follyes Cather and drains remove after 1-2 days. A plastic surgeon in Lahore gives him a pain killer and antibiotics. The patient discharges home after 2-3 days. However, for the first-week patient ambulates bent at the waist and then allowed to straighten up over next week. Activity is restored after 2 weeks with regular non-physical work in 4 weeks. Compression garments are continued for 4-6 weeks for better results. Initial swelling and bruising are resolved in 1-2 weeks but edema is better in 3 months with more good results in 3-6 months. Final contouring is achieved about 1-year post-surgery.

Complications

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As a general rule higher the BMI, higher the complications rate. However, with good care preoperative, intraoperative and podtoperstive care the complication can be minimized. So, these complications may include

Bleeding
Hematoma
Infection
Seroma
Wound dehiscence
Tissue necrosis
DVT
Asymmetry
Scar widening


All of these complications are in the range of 3-10 percent. But these can be managed in a conservative way.

Cost Of Lower Body Lift In Lahore, Pakistan

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However, Cost of lower body lift depends upon conditions and combination of operation/ Range is Rs:230,000 to Rs:250,000 rupees