South Florida Plastic Surgery Associates - Don R. Revis, MD

Lower Body Lift

Rejuvenating the Body After Extreme Weight Loss

A lower body lift is a surgical procedure to remove excess skin and fat from the abdomen, hips and lower back, to lift the buttocks and outer thighs and to tighten the underlying muscles of the abdominal wall. It is frequently combined with Liposuction, so you are also encouraged to also read our information on liposuction. A lower body lift is usually performed alone due to the length and extent of this procedure.

The combined effects of aging, gravity, childbirth, fluctuations in weight, and a loss of skin elasticity all contribute to loss of tone in the abdomen, buttocks and thighs as we age. A lower body lift can markedly improve the appearance of your abdomen, buttocks and outer thighs. 

Dr. Revis approaches the lower body lift procedure to meet your specific needs. This means adequately assessing three factors — excess skin, excess fat, and anterior abdominal wall muscle weakness. Each of these components will determine which procedure is best for you. 

If you are planning a future pregnancy or anticipate a significant loss of weight in the future, it is probably best to postpone your lower body lift until after these events have occurred to optimize your results.

Following a lower body lift, many patients experience an immediate improvement in their self-esteem and discover a greater self-confidence. In addition, many also find greater access to different clothing styles and fashions and are less self-conscious at the gym, around the pool, or at the beach.

If you think you might be a good candidate for a lower body lift, this page will give you a basic understanding of the procedure and the results you can expect. The cornerstone of Dr. Revis' approach is to individualize treatment to your specific circumstances and goals and to ensure that you have an adequate understanding of the issues involved so that you are able to make a fully informed decision. This will help you achieve the appearance you desire with the least invasive procedure available, thus creating a mutually rewarding experience.

Dr. Revis invites you to visit his office for a complimentary consultation to discuss the procedure in greater detail. You are also invited to email Dr. Revis with your questions, or we can mail you more detailed information regarding the procedure.

As you consider plastic surgery, one of the most important decisions you will make is choosing your surgeon. Our pledge to you is to provide the latest, state of the art cosmetic plastic surgery in a safe, compassionate and professional environment. Dr. Revis is a recognized expert in the field of post-bariatric plastic surgery and is double board certified by the American Board of Surgery and the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties.

Dr. Revis is also a member of the American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery and has been named among "America's Top Surgeons" by The Consumers' Research Council of America. He is also a member of the American Society for Bariatric Surgery and the International Federation for the Surgery of Obesity as well. Because of his experience and dedication to this subject, Dr. Revis was also selected to become a member of the Editorial Board of Obesity Help magazine.

Our goal is to provide you with the ultimate patient experience. Our well-trained staff will help you understand your procedure, our financial policies, the scheduling of your surgery, and your post-operative care. We are available to assist you during our regular office hours, Monday through Friday. Dr. Revis is also available 24 hours a day to post-surgical patients; he will give you his cell phone number after surgery so that you will always be able to reach him with any questions or concerns you might have during your recovery.

The Consultation

During your initial consultation, Dr. Revis will inquire about your medical history, prior procedures, medications, allergies, and your motivations for seeking plastic surgery. It is very important that you be thorough when providing your medical history, as this information helps to prevent complications during your care. When asked about medications, be sure to include any vitamin or herbal preparations, as these can affect your blood pressure and clotting ability. Honesty regarding your use of tobacco and alcohol is also very important, as these may have a profound impact on your recovery period and your ability to heal following your procedure.

After reviewing your medical history, Dr. Revis will discuss your concerns, priorities and motivations for pursuing plastic surgery, as well as your fears. After examining you, Dr. Revis will be able to offer advice and options to help you achieve the appearance you desire. He will explain the advantages and disadvantages of the different options you have before you. 

At the completion of your consultation, our Patient Coordinator will give you a written estimate of the cost of your procedure. At this time, you will also have the option to schedule your procedure if you so choose. The decision to undergo surgery is a very important one, and the final decision should be given very careful consideration. Dr. Revis realizes the importance of this decision, and at no time will you be pressured to make a decision. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation.

Where Your Procedure Will Be Performed

Dr. Revis has been granted staff privileges at five local hospitals and outpatient surgery centers. In the interest of the safety of his patients, he only performs surgery in fully accredited facilities with the proper services and staff. Dr. Revis usually performs body contouring following bariatric surgery at Broward General Medical Center or Imperial Point Medical Center (fully accredited hospitals) or the Imperial Point Surgery Center (a fully accredited ambulatory surgery center). The staff of these facilities are very experienced in the care of plastic surgery patients in general and specifically in the care of Dr. Revis' patients.

Types of Anesthesia

Anesthesia is an essential part of any surgical procedure and must be performed safely. General anesthesia is the deepest form of anesthesia. You are asleep, feel no pain, and will not remember the procedure. This form of anesthesia is required for a lower body lift procedure.

The prevention of post-operative nausea and vomiting is also a focus of Dr. Revis' approach to lower body lift surgery. To improve your overall experience and ensure you feel better faster following your lower body lift, he has developed a technique that has resulted in a very low incidence of post-operative nausea and vomiting. You will be given an intravenous dose of Zofran at the beginning of your operation. Zofran is a new drug which is currently the best medication available to prevent nausea and vomiting. Dr. Revis feels it is a very important component of his overall approach to make sure that your experience is as pleasant as possible.

Dr. Revis will discuss all of these options with you more thoroughly at the time of your consultation, and please ask him about anything you do not understand.

Details of the Procedure

Lower body lift surgery usually takes five to seven hours to perform. After you are properly anesthetized, Dr. Revis will make the incisions necessary for removal of excess skin and fat. This incision resembles a tummy tuck incision across the lower abdomen but also extends all the way around the waist and actually meets in the middle of the back over the lower spine/upper pelvic region.

Lower Body Lift Pre-Op Markings - Front View Lower Body Lift Pre-Op Markings - Side View Lower Body Lift Pre-Op Markings - Back View
Example of Pre-Operative Markings for a Lower Body Lift

After the incision has been made, Dr. Revis gently elevates the skin and fat off of the underlying muscles of the abdominal wall. If needed, these muscles are tightened using sutures. Some patients have hernias in the abdominal wall, and these may also be repaired during a lower body lift.

After the muscles have been tightened, Dr. Revis removes excess skin and fat and redrapes the skin over the underlying muscles. Four drains are typically placed beneath the incision. These slender, rubber tubes assist in draining any fluid that may accumulate beneath the incision and delay your healing. Dr. Revis may also chose to use a new product called Tissue Glue. This product helps your body heal and minimizes the fluid that may empty into your drains, allowing the drains to be removed earlier or may make drains unnecessary.

The incisions are carefully closed to minimize your scar. Dr. Revis uses a technique in which all of the sutures are placed beneath the skin and are absorbed by your body. Not having to undergo suture removal has improved patient comfort and satisfaction.

A sterile dressing is applied to the incisions, and an abdominal binder is placed around your waist. This binder helps support your incision during healing, decreases post-operative swelling, and helps decrease any bruising that may occur.

Products to Help You Heal

SinEcch Arnica Montana is a natural product from Sweden which has been shown in clinical studies to reduce post-operative bruising and swelling. Begun the evening prior to surgery, this product is continued for four days post-operatively.

Scarguard MD A combination of hydrocortisone, silicone and Vitamin E, this product is painted on your scars topically like nail polish beginning three weeks after surgery, and it helps your scars fade so that they fade as much as possible.

These products are available for purchase in our office. Please ask us about these products and others if you have any further questions about whether or not these would be beneficial for you during your healing period.

After Your Procedure

Lower body lift surgery is performed in a hospital with an overnight stay required. During your stay, you will have a PCA (Patient Controlled Analgesia) Pump to administer pain medicine to yourself intravenously. You will also receive intravenous antibiotics and an anti-nausearmedication for the duration of your stay.

After discharge from the hospital, the antibiotics that were prescribed during your preoperative visit (usually Augmentin) should be taken twice daily until it is gone. The pain medication prescribed by Dr. Revis during your preoperative visit (usually Lortab or Vicodin) should be taken fairly regularly, every four hours or so (when you are not asleep, of course). Most patients find that they are able to transition to Tylenol after three or five days. It is not safe to drive a car within 24 hours of taking pain medication, as your reflexes and alertness may be altered. 

You should plan to take it easy following your surgery. No strenuous activities, heavy lifting (over 20 pounds), aerobic exercises, swimming, contact sports, tennis, or golf should be planned for the first three weeks. As Dr. Revis monitors your recovery, he will advise you when it is safe to resume specific activities.

You should plan to wear the abdominal binder for three weeks following surgery. Dr. Revis will remove the drainage tubes when the drainage is appropriately low enough to allow drain removal.

The Results You Can Expect

You will notice an improvement in your abdominal contour immediately. However, your shape will continue to improve in the following weeks as the mild swelling subsides. You should be up and walking the day following surgery, although your abdomen will be sore for several days. You should able to resume your normal daily activities within one to two weeks following surgery, and you should be able to resume all of your physical activities within three to four weeks of surgery.

Lower Body Lift Before & After Photos

Please call (954) 630-2009 for further information or email Dr. Revis.



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