The Total Body Lift procedures aims to return a three-dimensional correction of body shape after massive weight loss. It addresses every part of the body that commonly accumulates fat and surplus skin, including the arms, breasts, abdomen, hips, thighs, and buttocks. Total body lift is a tandem of operations that are performed to correct the whole body. The total body lift is typically performed in two stages: an upper and a lower stage.
Of all the available methods for weight loss, bariatric surgery is currently the most effective method for sustainable weight loss and resolution of obesity-related complications. More people are opting for the surgical alternative with its consistent track record of success.
Bariatric surgery involves drastic reduction of food consumption by means of restricted food intake, malabsorption of the food, or a combination of both interventions. The number of bariatric operations has risen each year with an estimate of 205,000 procedures performed in 2007, according to American Society for Metabolic and Bariatric Surgery. The popularity of bariatric surgery has led to an increasing population of post-bariatric patients who require body contouring surgery. According to statistics released by the American Society of Plastic Surgeons, about 66,000 body contouring procedures were performed in 2007.
Bariatric surgery or massive weight loss (MWL) leaves a spectrum of changes that most patients find unpleasing. The nature and degree of the changes that occur after weight loss are determined by the patient's gender, age, pre-bariatric weight, the actual weight loss, and genetic predisposition of the patient. As we gain weight, the skin is all too accommodating in expanding and stretching in order to meet the body's growing size. With cycles of weight gain and loss, expansion of the soft tissues of the body can adversely affect the skin dermal elasticity, as well as the underlying connective tissue stability. It is this connective tissue mesh that is responsible in holding the skin tightly against the underlying muscle structures. This results in skin stretch marks and inability of the skin to undergo contraction with weight loss.
After the weight loss, many patients experience significant changes in the form, shape, and contour of their arms, upper chest, breasts, back, buttocks, abdomen, thighs, and calves. Many of these changes follow a predictable course. The female physique embodies the true sense of a three dimensional shape in space. It not only represents curves in a 2 dimensional hour-glass form, but also curves that are appreciated as the bust in the front and the buttock in the back. Unfortunately, the conventional body lift procedure is a purely one-dimensional correction of the vertical tissue laxity. It does not correct for the circumferential laxity nor for the lack of contours and projections. Orange County Plastic Surgery performs his signature Body Contouring Procedure that aims to return a three-dimensional correction to the tissue laxity. This involves correction of both vertical and circumferential laxity, as well as the third dimension of projection and contour. The latter is most applicable to the breasts, the lower back, the buttocks and the abdomen.
Typically, Orange County Plastic Surgery performs his signature "High-definition Body Lift" in 2 to 3 stages. This involves about 16 hours of team surgery in total. By using trained physician assistants, Orange County Plastic Surgery is able to complete each stage of the surgery in about 6-7 hours. Depending on the patient's desire or what produces the best outcome, one stage will address the lower body and another stage the upper half. The lower body correction often requires a circumferential abdominoplasty (also known as a belt abdominoplasty), lower body lift, buttock lift and buttock reshaping, as well as thighplasty. The circumferential abdominoplasty corrects for the abdominal laxity in front and the lower back laxity, as well as the waist fullness. The lower body lift is a procedure that elevates the outer thighs. The buttock sag and laxity are corrected with a buttock lift, and the volume lost is replaced through your own lower back excess tissues. Thus buttock projection that defines feminine beauty and sensuality is returned and at times even enhanced. The buttock augmentation uses lower back excess tissue to augment the often deflated and sagging buttocks. This combination of procedures can take anywhere from 6 to 7 hours of surgery.
During the subsequent stage, the remaining body contouring procedures (including an extended arm lift, an upper body lift, and breast reshaping) are completed. The second stage is best undertaken once all the incisions of the first stage are fully healed and the nutritional reserves of the patient replaced. In Orange County Plastic Surgery's practice, most patients typically wait between 3 to 6 months for the second stage. The extended arm lift corrects for the significant arm skin and tissue laxity. The upper body lift can be performed as a vertical incision on the outer chest or a horizontal incision on the back. The choice depends on the degree of back tissue laxity and the patient's desires and aversions of scars. Finally, Orange County Plastic Surgery finishes the breast reshaping by performing a breast lift together with either a breast reduction or augmentation, as necessary. Breast augmentation can be achieved through the use of a breast implant or the use of local redundant back and side tissue- a procedure that has been developed by Drs Hurwitz and Agha, specifically for the weight loss patients. This novel procedure, termed "the Spiral flap" has been published in several Plastic Surgery and Breast Surgery textbooks.