Circular Abdominoplasty (Belt Lipectomy) in Obese Patients

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Circular abdominoplasty, belt lipectomy, 360° abdominoplasty and lower body lift are all synonyms of a body contouring procedure with the aim of sculpting the torso, modifying abdominal contour, loins and lower back contours. Apart from buttock lifting and affecting lateral thighs, these procedures tremendously affect patients’ waist size and body image. In the literature, different incision levels, different dissection extents according to the sex of the patient, with different areas of anatomical adherence and different modifications like buttock enhancement by de-epithelialized lower back flaps are described. Most of these operations target post-weight reduction patients. Still these procedures can be performed in obese patients, either after failed diet control, failed bariatric surgery or patients refusing GIT operations though seeking lifestyle modification through body contouring. A group of patients with obesity affecting pre-, intra- and post-operative course, with increased complication rate, when performed with a knowing what-to-do team takes about 3–4 hours. However, with the help of anaesthetists accustomed to this risky group of patients, it could be executed safely and efficiently.