Circumferential Torsoplasty

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Circumferential Torsoplasty Procedure

Circumferential Torsoplasty also known as a Body Lift, or a Belt Lipectomy, is a combination of surgeries to improve the look and shape your abdomen, legs, hips, back, buttocks, chest and arms. The excess is circumferential (circular) in nature.

Circumferential Torsoplasty is like a facelift for the trunk.  Other names for this procedure include Torsoplasty, Central Body Lift, Lower Body Lift, Circumferential Panniculectomy, and Circumferential Lipectomy.

The Circumferential Torsoplasty surgery is designed for those people whose body is prematurely showing the signs of age through a loss of tightness and excess of skin and fat throughout the body.  Any number of factors can cause loose hanging tissue such as pregnancy, aging, genetic skin conditions, and rapid weight loss.  A Circumferential Torsoplasty procedure can help sculpt your body back to normal. A Circumferential Torsoplasty procedure is not a weight loss tool, it is a sculpture process designed to tighten skin, not shrink size.  Those with an excessive BMI (Body Mass Index) or a high body fat percentage should consider weight loss options before undergoing a Circumferential Torsoplasty.   The procedure consists of removing the excess skin from the treatment areas; liposuction may also be employed to remove fat from the region. The muscles and skin in the area are then tightened to regular body levels. The results are a body with the firmness and smoothness that you have not seen in years.

Best candidate for Circumferential Torsoplasty surgery is a person who has lost a massive amount of weight, either through Bariatric Gastric Bypass surgery, Gastric Banding or a weight loss diet. Such a person may have lost 80-300 pounds, but is left with folds of surplus skin on their breasts, backs, trunks and thighs. A person who has lost this much weight may require corrective plastic surgery for their entire body, in order to normalize their body contour. Circumferential Torsoplasty is not a surgical treatment for being overweight. Obese individuals who intend to lose weight should postpone all forms of Body Contouring surgery until they have been able to maintain their weight loss. This is often performed 12-18 months after Gastric-Bypass surgery. Circumferential Torsoplasty surgery is usually performed on both men and women, and may involve lifting other areas of the body such as upper arms, buttocks and thighs. Liposuction is often used to add additional contouring of the areas.

People who are not able to lose 30 or 40 pounds through diet or exercise also may opt for Circumferential Torsoplasty surgery.   Instead of tummy tucks, which might create an imbalanced contour, people in this category choose to have their whole trunk altered. Normal weight women in their 30s and 40s, often many years past giving birth, also opt for Circumferential Torsoplasty surgery to remove remaining post-baby weight and additional weight that came naturally with age. Some patients select Circumferential Torsoplasty surgeries to correct overly aggressive liposuction surgeries.

Although the steps of the Circumferential Torsoplasty procedure differ depending on the needs of the patient, the surgery is performed on the stomach first, removing excess skin from the belly button to the pubic area and then tightening the abdominal wall muscle. This is the area that is most often loosened by pregnancy or weight loss. The fat and skin from above the belly button is pulled down and sutured in place, and the belly button is pulled out to its normal position. The incisions are made around the entire circumference of the body. The position of the incisions varies from person to person, but is usually hip to hip, front and back. The excess skin between the incisions is removed. The incisions are then pulled together and closed. The procedure continues with the rest of the body parts, and often involves liposuction on the outer thighs. In all, the body lift surgery can take anywhere between 3 and 7 hours.

A Circumferential Torsoplasty is a major surgical procedure and requires significant recovery time. Most patients remain in the hospital for one to three nights. Pain and discomfort are first managed with intravenous or intramuscular medications, and later with oral pain medication. A specific dietary plan may be encouraged. The doctor will supply a complete instruction list that must be followed to reduce the risk of complications.

Drainage tubes are inserted, which will require personal home care for up to two weeks. The doctor may provide you with a medical compression garment to wear at all times except while bathing, which you should keep wearing until your doctor lets you know it is no longer needed. Dressings are generally removed two days after surgery and showering is allowed at that time.

Restrictions on your activities could include no exercise and no lifting of five pounds or more. Walking is encouraged after surgery; however, further exercise is not recommended until sufficient healing has occurred. Most people require four to six weeks recovery before returning to normal activities, and generally from six to eight weeks before exercising. There cannot be any pressure placed on the treated area. Approximately 75 percent of the swelling dissipates at six weeks and 90 percent at three months.

In every medical procedure there is a possibility of complications, which can cause a longer recovery period. The most common Circumferential Torsoplasty complications include seromas (fluid accumulating under the skin) and small skin separations. Your surgeon will help to resolve these issues. Some patients experience reduced sensation in the treated area, which can be permanent. Infection, bleeding, and blood clots are much less common. The abdominal scars will appear to worsen during the first weeks or months, and may take up to 18 months before they flatten and lighten in color. The scars never completely disappear, but can be hidden by clothing. Ask your doctor to explain the risks and treatments for complications.

A Circumferential Torsoplasty procedure may or may not be covered by your insurance carrier so it's important that you discuss this both with your insurance carrier and with your plastic surgeon beforehand. If the insurance does not cover a Circumferential Torsoplasty procedure, the price can range from $10,000 to $15,000, up to $25,000 to $30,000.

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