Body Lift Cincinnati
One of the largest and most rewarding procedures in body contouring is known as a body lift. The term “body lift” is somewhat confusing due to multiple names such as total body lift, lower body lift, complete body lift, and others. A body lift consists of a thigh lift, a buttock lift, and possibly an abdominoplasty.
Which factors cause buttocks and thighs to become lax necessitating a body lift? Much has to do with genetics but another common cause is massive weight gain that can lead to overstretching of the skin. To assess whether you will benefit from a body lift, stand in front of a mirror and pull your lateral thigh and buttock up with both hands. If you are able to pull up a large amount of skin and you see significant improvement in the thigh/buttock area then you will benefit from a body lift.
For excess skin in the medial thigh area a medial thigh lift may be indicated. This procedure can be performed in combination with the lower body lift. The lower body lift starts with a detailed measuring and marking of the skin to be removed. If auto-augmentation of the buttocks is to be performed it will be designed at this time. After the patient is anesthetized they are placed in the prone position (facedown) and the body lift is begun. Basically all the tissue and skin inside the markings is excised and the incisions are sutured with both permanent and absorbable sutures.
It is important to reconstruct the superficial fascial system as this prevents spreading of the scar. The wounds are then glued together with dermabond and the patient placed in the supine position (lying on back). Next the abdominoplasty and medial thigh lift are performed if indicated. Four drains are usually used to drain excess fluid from the wounds. Sometimes more then 12 vertical inches of skin can be removed achieving remarkable tightening in the thighs and buttocks. This operation requires a 1-2 night stay in the surgery center and a 2-3 week recovery.
Complications consist mostly of wound healing, seromas, scarring, blood loss, and 3-6 months of swelling of the legs. Dr. Martin has over 12 years of experience performing body lifts and is considered an expert in this procedure.
Auto augmentation of the buttocks
With long term massive weight gain comes many physical changes including loss of buttock volume and shape, saggy buttocks, and loss of tissue over the sacral/ischial bones. These conditions are not only unattractive but can lead to problems with sitting comfortably. In this procedure the tissue above the buttocks that is normally discarded is turned into a flap and rotated into the buttocks. This restores shape, volume, and functionality to the buttocks. Fat grafting or buttock implants can also be used to enhance volume of the buttocks. We have found that when given the option, most patients having a body lift will choose to add a buttock enhancement using their own tissue. Dr. Martin is currently one of the few surgeons in the Tristate who is performing this procedure.
Medial thigh lift
One of the most difficult and least rewarding procedures in thigh lifting is the thigh crease medial thigh lift. Developed in the 1990’s, this procedure lifts the medial thigh and also reduces the amount of skin present. The scar is placed in the groin crease and continues back toward the buttock crease. This procedure remains effective for deformities of the upper one third of the medial thigh. The main complications with this technique are limited lifting of the middle and lower thigh and long term healing complications such as spreading of the lateral vaginal wall. Fortunately for weight loss patients, marked advances have been made in medial thigh lifting techniques. Most medial thigh lifts are now performed using longitudinal incisions placed toward the inner back of the thigh from the lower groin to the knee area. This is termed a longitudinal thigh lift and has remarkable results with minimal complications. The resulting scars are well tolerated and the main problems have been with persistent seromas and swelling of the legs. Also, there is less pull on the vaginal area due to the design of the flaps. To simulate a medial thigh lift, grab the medial thigh skin between both hands and pull towards the inside of the leg. If you see significant improvement in your medial thighs, you are probably a candidate for a medial thigh lift. With a 12 year experience in medial thigh lift techniques, Dr. Kurtis Martin has the knowledge and skill to achieve outstanding results.