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Lower Body Lift

A lower body lift is a surgical procedure that removes excess skin and OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow's Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling from the abdomen, hips, thighs, and buttocks to achieve a more contoured and tightened lower body appearance.

Lower Body Lift Surgery in London

A lower body lift — also known as a belt lipectomy, circumferential abdominoplasty or 360 abdominoplasty — is the most comprehensive surgical procedure for removing excess skin and fat from the lower torso. Unlike a standard tummy tuck, which addresses the front of the abdomen only, a lower body lift operates circumferentially — treating the abdomen, flanks, waist, outer thighs, lower back and buttocks in a single procedure through an incision that runs like a belt around the entire lower torso.

The procedure is most commonly performed after significant weight loss — whether through bariatric surgery (gastric bypass, sleeve gastrectomy, gastric banding), diet and exercise, or weight loss medication. After major weight loss, the skin often cannot retract to accommodate the body’s new shape, leaving loose, hanging folds of skin and fat around the entire midsection. A belt lipectomy removes this excess tissue definitively — no non-surgical treatment can achieve an equivalent result.

At Centre for Surgery, lower body lift surgery is performed under as a day case at our by GMC Specialist Register consultant plastic surgeons. Where the extent of skin laxity warrants it, we perform the lower body lift as a staged procedure — abdominoplasty in the first stage, followed by the buttock and thigh lift as the second stage — to optimise safety and recovery.

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What Is a Lower Body Lift (Belt Lipectomy)?

A lower body lift is a circumferential body contouring procedure — meaning the incision extends all the way around the lower torso, treating the front, sides and back in one operation. The procedure combines the elements of an extended abdominoplasty (front and flanks) with a buttock lift (lower back and upper buttock) and an outer thigh lift, all through the same circumferential incision.

The incision runs just above the pubic hairline at the front, extending around the hips and continuing across the lower back at the level where the lower back and buttocks meet. This placement means the resulting scar can be concealed within the underwear and bikini line in most cases.

The procedure addresses several interconnected problems that develop after massive weight loss:

A lower body lift is distinct from a standard tummy tuck in scope, and distinct from an extended tummy tuck in that it also addresses the posterior — the lower back and buttocks. It is the most comprehensive single-session option for lower body skin excess.

The procedure goes by several names which are used interchangeably: lower body lift, belt lipectomy, circumferential abdominoplasty, circumferential lipectomy, and 360 abdominoplasty. All refer to the same circumferential procedure.

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Lower Body Lift vs Tummy Tuck vs Extended Tummy Tuck

Choosing the right procedure depends on the distribution of skin laxity. Your surgeon will advise at consultation, but the following comparison explains the clinical distinctions.

Removes excess skin from the lower and mid-abdomen through a hip-to-hip horizontal incision. Includes muscle repair (diastasis recti plication) and umbilical repositioning. Does not address the flanks, lower back or buttocks. Appropriate where skin laxity is confined to the front of the abdomen.

Extends the horizontal incision around the hips to treat the upper outer flanks and waist. Appropriate where skin laxity spreads from the abdomen into the flanks. Does not address the lower back or buttocks.

Circumferential incision around the entire lower torso. Addresses the abdomen, flanks, waist, outer thighs, lower back and buttocks simultaneously. The most comprehensive option. Appropriate where skin laxity affects the entire lower body circumference — visible from front, sides and back. Longer operative time and recovery than the tummy tuck options above.

The key clinical indicator is posterior involvement — skin excess visible on the lower back and/or flat, descended buttocks. If a patient has significant skin laxity behind the hips as well as in front, a tummy tuck of any type will not address the posterior adequately. A lower body lift is the appropriate procedure.

Where the skin laxity is predominantly abdominal — with limited posterior involvement — an extended tummy tuck may be sufficient, and the surgeon will advise this at consultation. Where both horizontal and vertical abdominal skin excess is present, a may be more appropriate.

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Lower Body Lift Before & After Photos

Anterior view showing improved lower abdominal contour, waistline definition and reduced skin laxity following lower body lift surgery.

Anterior view showing comprehensive lower abdominal and waist improvement following circumferential abdominoplasty.

All photographs are taken with full written patient consent. A wider range of before and after images is available to view at consultation. Individual results vary.

Am I Suitable for a Lower Body Lift?

A lower body lift is appropriate for patients with circumferential skin laxity affecting the lower torso — front, flanks, lower back and buttocks — most commonly following significant weight loss. General suitability criteria:

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The Lower Body Lift Procedure

Lower body lift surgery is performed under as a day case at our . At Centre for Surgery, we perform the lower body lift as a staged procedure — the abdominoplasty is performed in the first stage, followed by the buttock and thigh lift as the second stage. This approach reduces operative time per session, minimises overall complication risk, and allows recovery from each stage before the next.

Preoperative marking

With the patient standing, the surgeon marks the incision line, the extent of planned skin resection at the front and flanks, and the new umbilical position. SAFElipo™ liposuction zones are marked where indicated.

Anaesthesia

TIVA is administered by a consultant anaesthetist. The patient is fully asleep throughout.

Liposuction

Where SAFElipo