710 Park Avenue, New York, NY

Lower Body Lift

The changes in physique, health and overall well-being that can be achieved with significant weight loss can be remarkable, however certain changes cannot be achieved with diet and exercise alone. Whether weight loss has been accomplished through strict adherence to diet and training, or through bariatric surgical procedures such as lap band or gastric bypass, excess inelastic skin and residual deposits of fat may remain.

Dr. Kolker truly listens to your wishes and goals. He is gentle in his approach, honest in his assessment, and unequivocally clear in his vision. He has an impeccable aesthetic eye, undoubtedly attributed to both his artistic background and very own sense of what is beautiful.A.H. / NYC
View Before & After Gallery

View Dr. Kolker's lower body lift gallery. These before and after photos will assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.

  • Lower Body Lift NYC
    Lower Body Lift New York City
  • Lower Body Lift New York
    Body Lift NYC
  • Lower Body Lift
    Lower Body Lift Before & After

A lower body lift describes the surgical process of removing excess skin and fat that remains after weight loss from the midsection and upper thigh region. Given the loss of skin elasticity (imagine an overstretched spring or Slinky), the skin will not always rebound after weight loss, particularly in the abdominal region, flanks, lumbar area, thighs, and gluteal regions. Through direct skin excision, fat excision, liposuction, and muscular strengthening, these areas of the torso, upper thighs and buttock region can be smoothed, slimmed and sculpted. While skin and fat excision after massive weight loss are extremely important, a lower body lift is so much more: it is an extremely delicate, aesthetic, and sculptural process that is geared to create the most beautiful and natural body contour.

Lower Body Lift with Dr. Adam Kolker

NYC Plastic Surgeon, Dr. Adam Kolker

Over the past two decades, the numbers of individuals achieving considerable weight loss has increased dramatically, as has the field of plastic surgery after weight loss. New York plastic surgeon Dr. Adam R. Kolker has been on the forefront of this discipline, developing the theory and practice of safe and aesthetic body contouring after weight loss. His approach to lower body lift is unique, in that the safest and most beautiful outcomes can be achieved through the necessary skin excision in addition to liberal contouring with fat removal and liposuction techniques. The entire midsection, including the anterior abdomen, the flanks and back, the upper thighs, and gluteal region, are treated as an “aesthetic unit”, and are always treated together to achieve the most gorgeous results. He has published the manuscript: “Maximizing aesthetics and safety in circumferential-incision lower body lift with selective undermining and liposuction” in the May 2009 issue of the peer-reviewed scientific journal Annals of Plastic Surgery, which illustrates his approach to abdominal contouring after massive weight loss with nuances and advancements in lower body lift technique.

To achieve the best lower body lift NYC has to offer, surgeon and patient must share the common goals of optimal preoperative health and fitness, and a desired outcome that is dramatic and natural in appearance. Considerably more than just skin and fat removal, lower body lift surgery requires vast experience, artistic perspective, meticulous technique, and adherence to the very highest safety standards. The plastic surgeon you choose can and will make a difference. Dr. Kolker will help to advise you regarding the best body lift procedure, or combination of procedures, to achieve your unique goals.

Lower Body Lift, Dr. Adam Kolker

Dr. Kolker's Message to Those Considering a Lower Body Lift

A lower body lift can be truly life changing. The removal of excess skin and fat alone can certainly make a big difference, but when approached aesthetically and comprehensively, the best lower body lift results can be achieved. Spectacular, beautiful, and natural outcomes can be attained in the right individual with maximal artistry, finesse, and safety.Dr. Adam Kolker

Planning Your Lower Body Lift

Lower body lift planning, and planning for any plastic surgery after weight loss, begins with optimization of health and fitness. While many considering lower body lift have already experienced massive weight loss, it is critical that you reach a weight loss plateau for a minimum of three months, and ideally six months or more. The body mass index, or BMI, is a metric that enables the calculation of relative body fat based on height and weight. The greatest acceptable BMI for lower body lift surgery, and for any plastic surgery after massive weight loss, is below 30 kg / m2. The ideal BMI for all candidates is 25, but for many this threshold is difficult to achieve. A BMI of 27.5 is a reasonable target for most.

After an in-depth consultation with Dr. Kolker in his office on Park Avenue in NYC, body lift options that are specific to your physical requirements and desires will be discussed in detail. The best lower body lift techniques will be uniquely paired with your anatomy and your goals. The available body lift techniques include:

  • Circumferential Dermolipectomy – An “extended abdominoplasty” which progresses circumferentially around the midsection (low circumferential incision lower body lift) with liposuction
  • Circumferential Dermolipectomy with Vertical Component – a fleur-de-lis incision anteriorly with a circumferential lower body lift incision with liposuction

The best lower body lift candidates include those with:

  • Excessive skin of the anterior abdomen, flanks and back
  • Significant inelasticity of torso skin
  • Localized excess fat of the midsection
  • Droop, sag, or cellulite of the thighs and buttocks
  • Bulge of the anterior abdomen
  • At a weight loss plateau

Before & After Gallery

View Before & After Gallery

View Dr. Kolker's lower body lift gallery. These before and after photos will assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome.

  • Lower Body Lift Before and After Photos
    Lower Body Lift Before and After Photos
  • Lower Body Lift Before and After Photos
    Lower Body Lift Before and After Photos
  • Lower Body Lift Before and After Photos
    Lower Body Lift Before and After Photos

Hear From Dr. Kolker's Patients

Dr. Kolker truly listens to your wishes and goals. He is gentle in his approach, honest in his assessment, and unequivocally clear in his vision. He has an impeccable aesthetic eye, undoubtedly attributed to both his artistic background and very own sense of what is beautiful.A.H. / New York

Preparing for Body Lift Surgery

As previously stated, one of the most important considerations in preparation for your NYC lower body lift is a regimen of exercise and diet and the achievement of excellent health and fitness, as well as the lowest sustainable BMI. All pre and postoperative instructions will be reviewed at an office visit two weeks prior to surgery. Prescriptions will be given at this visit, and any questions that remain will be answered. Routine laboratory work and medical clearance will be arranged.

The Lower Body Lift Procedure

Lower body lift surgery is most often an inpatient procedure. Performed at the Mount Sinai Hospital in NYC, body lift surgery takes approximately six hours. There are myriad factors upon which the best lower body lift techniques are selected. In general, the skin and soft tissue excess is predominantly vertical in nature, and as such, most can be well-treated with a circumferential dermolipectomy (a circumferential lower body lift). When abdominal bulge is present in these cases, repair of diastasis recti (the reestablishment of continuity of the rectus abdominus muscles) is performed. Similar to abdominoplasty techniques, the umbilicus (navel or belly button) is transposed. Suction-assisted lipectomy (liposuction) is a technique used during lower body lift to reduce regional fat excess and to sculpt the midsection to accentuate natural contours and further refine the results. On rare occasions when marked skin and soft tissue excess is both vertical and horizontal in nature, a fleur-de-lis abdominoplasty technique is added to the circumferential body lift approach. The On-Q anesthetic delivery system is used in all cases, with which you will go home, that dramatically lessens discomfort postop.

Recovery

Most will spend one night in-hospital or surgical facility. Discharge will be on the morning following surgery. The On-Q catheters are removed approximately 4 days following body lift, and the closed suction drain tubes are removed approximately seven to ten days after surgery. Dr. Kolker recommends taking two weeks off from work, however in instances where the workload is “light”, with minimal lifting or strain, nine to ten days may be feasible. Virtually all sutures are dissolvable; hence no suture removal will be required. Abdominal binders are not used. Some swelling is anticipated for approximately two weeks, which resolves significantly by six weeks. Most swelling is expected to resolve by twelve weeks following lower body lift.

Dr. Kolker recommends taking two weeks off from work and strenuous activity, however on a select basis, return at 8 to 10 days may be possible. Resumption of light activities and lifting of light children begins at 7 to 10 days. As all sutures are dissolvable and placed beneath the skin surface, suture removal is not required. Swelling is generally present for approximately two weeks after lower body lift, resolves substantially at six weeks, and final shape is reached approximately 12 weeks after surgery.

Exercise after Body Lift

Light exercise (elliptical, treadmill) resumes approximately two weeks after lower body lift, and more vigorous exercise resumes at four to six weeks. There are no restrictions for cardio, strength or core exercise past 12 weeks.

Aftercare

You will be seen periodically by Dr. Kolker during the first weeks following body lift surgery, at the six-week and twelve-week points, and again at one year. Dr. Kolker and his staff are always available to you during your recovery.

More Questions

This website and others can provide a very basic overview of plastic surgery after weight loss, and the lower body lift procedure process. It cannot replace an in-person consultation, and recommendations formulated in consideration of your physical requirements and your desires made by an experienced, board-certified plastic surgeon. There are tremendous differences in the physical manifestations of massive weight loss, in the individuals themselves and their unique desires, and in the plastic surgeons that undertake correction. No two are the same, and your choice of the best plastic surgeon to care for you absolutely makes a difference. Body lift surgery far supersedes the simple removal of excess skin and fat; it is a craft that requires great experience, fastidiousness, artistry, and a passion for achieving the most beautiful results. We invite you to discuss lower body lift in New York with Dr. Kolker, and we look forward to warmly welcoming you to our practice.

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