Wednesday July 26 , 2017

Total Body Lift

The Benefits of Total Body Lift Surgery

Individuals who exhibit generalized skin laxity over the entire surface of their body benefit from a total body lift operation. This procedure addresses each part of the body that can succumb to an accumulation of fat and excess skin, such as the arms, abdomen, breasts, hips, thighs and buttocks, following massive weight loss. The excess skin can be uncomfortable and cause severe chafing. A total body lift procedure is a group of operations that are performed to correct the tissue laxity of the whole body. Some plastic surgeons prefer to execute the procedure in one setting, while other surgeons like to split the total body lift into an upper and lower body lift. Even though the total body lift is done in separate stages, the results are the same, if not better.

What is a Total Body Lift?

The female form epitomizes a 3 dimensional shape in space. It represents a 2 dimensional form with the curves that make up the hourglass figure, as well as curvature from the side, as shown with the bust in front and the buttocks in back. The body lift surgery is 1 dimensional when correcting the vertical tissue laxity of the body. It does not aim to correct the circumferential, or horizontal, laxity and fails to take into account contour or projection. The high definition total body lift was designed and developed to make a 3 dimensional correction to the body's tissue laxity. This special technique allows for correction to both vertical and circumferential laxity but also for contour and projection, which creates the 3 dimensional form. Correction to the circumferential laxity is relevant for the breasts, abdomen, lower back and buttocks

How is Total Body Lift Surgery Planned?

Total body lift surgery takes roughly 14 to 16 hours to complete using an entire surgical team. In our practice, the surgery may be split into two or three stages, depending on the wish of the individual or what is best for a successful outcome. One stage of the total body lift operation addresses the lower body while a second stage addresses the upper body. Each stage of the surgery lasts approximately 6 to 7 hours.

Lower Body Contouring

In our practice, the end goal of the lower body lift is to reshape the body to have a 3 dimensional contour. It also aims to place the incisions low enough on the abdomen so that they are well hidden when a woman wears a bikini.

The first stage of the lower body lift begins on the back. The upper and lower incisions of the lower body lift are made on the lower back and upper buttocks. In between these two incisions, the tissue from the lower back is mobilized as flaps for augmenting the upper buttocks area. To accommodate for the tissue flaps, pockets are created under the upper buttocks area for the required size. The flaps are then turned into the buttocks pockets and secured in position with sutures. The buttocks are lifted and the lower body lift incisions are brought together and closed with three layers of absorbable sutures. This technique corrects the tissue laxity and sagging buttocks by adding more volume to the buttocks using the excess lower back tissue. Many individuals achieve a more curvy and full buttocks since this procedure enhances its projection.

The lower body lift operation continues with the outer thigh lift. A special instrument is used to selectively elevate the outer thigh tissue over the thigh muscles, going as far as the knee region. The thigh is then lifted and secured with deep stitches to the underlying muscles at an elevated position. Next, the outer thigh incisions are again closed in three layers in continuity with the buttock lift incision. At this point, the spiral thigh lift is initiated on the back. This specially designed technique starts below the buttocks by excising the excess upper thigh tissue at the infra-gluteal crease, or the buttocks fold. The thighs from the back are then lifted to a higher position and secured to the underlying tissue. Finally, the infra-gluteal crease is precisely reconstructed with three layers of sutures. Once the incisions are closed, the patient is carefully turned over onto his/her back. The tummy tuck and monsplasty are next completed while the patient is in his/her front. Finally, the spiral thigh lift is completed by extending the back incisions. The infra-gluteal incision and the thigh incisions are extended through the groin crease and upper inner thighs, where excess inner thigh tissue is removed. The inner thighs are then elevated and secured with deep sutures to the underlying muscles Colle's fascia (a strong layer of connective tissue over the thigh muscles at the groin crease). The groin crease is then reconstructed as for the infra-gluteal crease with multiple layers of suturing.

Upper Body Contouring

The second stage of the total body lift often includes an upper body lift, extended L-brachioplasty and breast reshaping. The upper body lift is either done as a vertical incision, called a crescent upper body lift, or a horizontal incision, called a transverse upper body lift. The crescent upper body lift is performed on the outer chest, while the transverse upper body lift is performed on the back. Whether the crescent or the transverse procedure is used depends upon how much laxity is occurring in the back tissue, the orientation of the laxity and the goals, and the desired aesthetics of each individual. The L-brachioplasty is designated to correct any significant skin and tissue laxity of the arms. These procedures can take a combined 6 to 7 hours to perform.

For best results, it is recommended that the second stage of a total body lift operation be performed only after the healing of the incisions from the first stage. Typically, the second stage is done about 3 to 6 months after the first stage, giving the body an adequate amount of time to restore its nutritional reserves to a healthy status.

Third Stage of Total Body Lift

The required procedures and techniques needed for a successful total body lift are typically done in two stages. But occasionally, a third stage is needed for facial rejuvenate surgery or additional procedures.

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