15835 Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock

Name of the Procedure:

Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock
Common Name(s): Buttock Lift, Lipectomy, Excisional Body Contouring

Summary

The excision of excessive skin and subcutaneous tissue from the buttock area, commonly known as a buttock lift or lipectomy, is a surgical procedure aimed at removing sagging skin and excess fat to improve the contour and appearance of the buttocks.

Purpose

This procedure addresses issues such as sagging or drooping skin on the buttocks due to significant weight loss, aging, or genetic factors. The goal is to enhance the shape and firmness of the buttocks, resulting in a more toned and aesthetically pleasing appearance.

Indications

• Loose or sagging skin on the buttocks due to aging or massive weight loss
• Excess fat deposits in the buttock area that are resistant to diet and exercise
• Disproportionate or asymmetrical buttock contours
• Patient's desire for improved buttock aesthetics for confidence or comfort

Preparation

• Patients may need to fast for a specified period before the procedure
• Adjustments in current medication may be required
• Pre-operative assessments including blood tests, imaging, and a physical exam by the surgeon
• Smoking cessation is advised to promote better healing

Procedure Description

1. Administration of anesthesia: General anesthesia or local anesthesia with sedation is used.
2. Making incisions: Incisions are typically placed in natural skin folds to minimize visible scarring.
3. Removal of excess tissue: Excess skin and fat are excised to reshape and firm the buttocks.
4. Closing the incisions: Incisions are closed using sutures, and dressings or bandages are applied.
5. Application of compression garments: To support the newly contoured buttocks and reduce swelling.

Duration

The procedure typically takes between 2 to 4 hours, depending on the extent of tissue removal and any additional procedures performed concurrently.

Setting

This procedure is generally performed in a hospital or an outpatient surgical center equipped for such operations.

Personnel

• Lead Surgeon (Plastic Surgeon)
• Anesthesiologist
• Surgical Nurses
• Surgical Technologists

Risks and Complications

Common risks include:

• Infection
• Bleeding and hematoma
• Scarring
• Asymmetry or irregular contour

Rare complications may include:

• Deep vein thrombosis (DVT)
• Necrosis of the skin
• Prolonged swelling or numbness

Management of complications typically involves medications, additional surgeries, or other medical interventions.

Benefits

• Enhanced buttock shape and contour
• Improved skin tightness and firmness
• Increased self-confidence and body image Results are often visible immediately, with full benefits realized as swelling subsides and healing progresses.

Recovery

• Initial recovery involves rest and limited movement
• Compression garments are worn for several weeks
• Pain management with prescribed medications
• Guidelines on wound care to prevent infection
• Follow-up appointments for suture removal and monitoring

Full recovery typically takes 4 to 6 weeks. Patients should avoid strenuous activity and heavy lifting during this time.

Alternatives

• Non-surgical options like targeted exercise (though less effective for significant sagging)
• Liposuction alone (does not address skin laxity)
• Fat grafting (to enhance volume without skin excision)

Compared to a buttock lift, alternatives may offer less dramatic improvements in skin tightness and contour.

Patient Experience

Patients can expect some discomfort, swelling, and bruising post-procedure, which can be managed with pain medications. Use of compression garments aids in reducing swelling and promoting proper healing. Most patients can return to daily activities within a few weeks, though the full recovery period is longer.