To fit the middle parts of the body, in some cases, removing lipids is not enough, because the skin might not be flexible enough, and if the surgeon removes lipids excessively, the abdomen’s skin will be dangling. In these cases, lifting is the best option to fit the body’s middle parts. The lower body lift (Belt Lipectomy) is an excellent treatment to form loose and dangling skin, and remove lipids. This surgery is suitable for cases such as removing additional skin and creating and tightening the abdomen and lower parts of the Waist, sides, thighs, and buttocks. With this surgery treats the damages to the middle limbs of the body due to age increase, sunlight, pregnancy, weight changes, and genetic causes.

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The surgeon marks the desired area with lines and then the patient is generally anesthetized. The pattern of cut is in direction of the waist’s lower part and under the abdomen. The surgeon also removes some parts of extra lipid. In this surgery, muscles with empty spaces between will be tightened in their own positions. Then the skin covers the abdomen’s area and additional skin will be cut. With moving up the skin and stitching it, the thighs and butt move up too. The position of the belly button will be changed and replaced. Finally, the surgeon makes a new position for the belly button.

In belt lifting, some parts of the lipid are removed, but liposuction is a suitable surgery to remove all of the lipids. For patients who have too much lipid in the belly area, the surgeon operates both liposuction and full body lifting.

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Extended Abdominoplasty is suitable when the skin is loose and dangling in the abdomen and flanks. Unlike belt Lipectomy, in this surgery, the surgeon does not lift the waist and butt. Lifting of the lower body is the supplementary version of Extended Abdominoplasty.

In this method, the surgeon creates a cut under the bikini line and continues it to the flanks. If there are empty spaces between the muscles of the abdominal and sides, the empty space will be removed and the muscles will be tightened and get close together. To give a better form to the middle parts of the body, some additional lipids in the flanks and butt will also be removed by using this method. Then, the skin covers the surgery area, and additional skin and belly buttons are removed. Eventually, you have a new belly button with the same position as the old one. Another way is to relocate the natural belly button to a new location. In this surgery, since the surgery area is smaller than the surgery area in the lifting of the lower body, the recovery duration is shorter. Depending on the heaviness of surgery and simultaneity with liposuction, this surgery will be over within three to four hours.

Read More: Abdominoplasty in Iran

• The doctor analyzes the patient’s condition
• The doctor prescribes essential tests and analyzes the results
• The doctor talks to the patient about keeping the natural belly button or creating a new one
• It is necessary to stop smoking two weeks before the surgery
• Do not use medicines such as blood thinners (Aspirins), herbal medicines, and anti-inflation medicines, at least two weeks before the surgery, because it causes bleeding during the surgery and after that.
• Your weight should have been constant over the past twelve months before the surgery
• Do not intend to boost your weight because your skin is vulnerable after the surgery and it is prone to skin cracks

• The doctor marks the cut spots with some lines
• The patient goes into anesthesia condition
• The upper part of the butt will be cut and additional tissue will be removed
• The patient’s position on the surgery bed will be changed to start the in the abdomen area
• The surgeon cuts under the abdominal and sides and removes the additional lipid and skin, tightens the muscles, and stitches the area
• Depending on the volume of additional skin, this surgery takes two to five hours

• Since the lifting of the lower body is a complex surgery and the patient must be generally anesthetized, it is often necessary to be hospitalized for three days
• A little pain along with inflation, bruises, and redness are normal
• You might have bleeding after surgery which is normal
• The scar will have secretions for a while

Due to the offensiveness of this surgery, and the vastness of the surgery’s area, it is not far from expectations to confront a complicated and risky surgery. All surgeries have their own risks; however, these risks can be reduced by listening to the doctor’s advice and choosing an experienced and skilled surgeon. Some of the risks of lifting of the lower body are as follows;

• Bleeding
• The probability of lumpiness in the surgery area
• The probability of infection
• Leaving sore
• Feeling numb in the area of surgery which might be permanent
• Aggregation of liquid or blood under the skin
• Bad reaction to anesthesia

Changes in the skin quality and body shape and formation will be recognizable immediately after the surgery, but it takes several months for inflation to disappear. It almost takes several months to a year for the body to find its new form and after that, the patient can enjoy the new form of the body. Depending on treatment velocity, the sore will be disappeared within one to two years.

If your weight is constant and you live a healthy life, then the results are permanent. You cannot cease the process of getting old through these surgeries or any other surgery, because the skin will lose its flexibility and becomes looser and dangling by getting older.

• The bruises increase intensively after the surgery
• There are leakages and secretions after the surgery
• It is necessary to wear a particular tightener to help the abdomen to be flatter and to help reduce inflation. Some pipes are located in this tightener to discharge leakages
• It is necessary to start walking after surgery to prevent clogging blood in the veins

• The bruises will be reduced during the second week
• If the leakages are reduced, then the doctor removes pipes, and if not, this will be done in the third week
• Depending on the treatment process, the doctor analyzes your condition to determine the rate of activities you have permission to do. After removing pipes you will be able to have more activities easier than before
• Discomfort feelings will be reduced and perished after two weeks
• The stitches will be removed after two weeks

• The bruises and inflation start disappearing slowly
• The doctor removes pipes and the patient will be able to do the daily activities
• To recover completely, the patient needs to rest for at least three weeks
• If your job type is to sit behind a desk, you can go to work, but you have to be careful and you should not do normal activities

• The bruises will be disappeared completely in the fourth week
• Depending on the surgery’s heaviness, it takes four weeks to recover
• It is necessary to limit your activities for four to six weeks. After this, you can do your daily activities as common
• You can do heavy activities such as lifting something after four to six weeks
• You can start exercising after six to eight weeks
• The inflation will be disappeared after months
• The sore will be disappeared but not completely after a year

The cut that the surgeon uses is across the lower body and the accurate position of this cut depends on your preference, a little up or a little down. Generally, the position of the sore is under the belly and over the sex area and continues to the thighbones. After cutting the thighbones area, the cut continues to both towards the upper parts of the butt slowly. Although, the sore is permanent, however, you can hide it completely under your clothes.