
Overview
A body lift, also known as a circular lower-body lift, is a plastic surgery procedure that removes significant excess skin from:
- of the abdomen
- des flancs
- lower back
- hips
- of the gluteal region
It is primarily intended for patients with significant skin laxity, most often following:
- significant weight loss
- bariatric surgery
- repeated weight fluctuations
- or noticeable signs of skin aging
A body lift can simultaneously improve the appearance of the abdomen, waist, and buttocks in a single procedure, when medically indicated.
In Paris, Dr. Alexandre Vairinho offers personalized care following a comprehensive morphological analysis.
Explanation of the technique
A body lift involves removing excess skin in a circular pattern around the lower torso to tighten the entire silhouette.
The procedure is then performed in two surgical stages.
The first step of the procedure involves lifting the buttocks to improve their position and shape. Excess skin is then removed from the lower back, above the buttocks, and along the sides to also tighten the outer thighs. When there is insufficient volume in the buttocks, fat from the hips can be mobilized and repositioned to reshape the area and enhance the projection of the buttocks. Due to the low number of lymphatic vessels in this area and the limited incisions, made using mattress sutures, the placement of drains is generally not necessary.

The second stage of the procedure is performed while the patient is lying on their back on the operating table, allowing the abdomen to be tightened and love handles to be corrected. Turning the patient over is a critical step in the procedure. This maneuver is performed according to a strict protocol and with the utmost care. Once the patient has been turned, a new surgical preparation is performed following a rigorous antiseptic protocol in order to begin the second phase of the surgery.
The ventral phase corresponds to a standard abdominoplasty. It tightens the lower abdomen while lifting the pubic area and the front of the thighs. The procedure typically begins with liposuction, which facilitates tissue mobilization while minimizing tissue separation. The surgeon then connects the incision made during the posterior phase, resulting in a continuous circular scar.
The placement of drains is generally not necessary, as the surgical technique preserves the numerous lymphatic vessels in this area, and tissue separation is minimized through the use of mattress sutures.

The procedure often begins with liposuction of the thighs and hips to reduce volume and loosen even more excess skin. The excess skin is then surgically removed.
Principles of a bodylift
The procedure may involve:
- removal of excess abdominal skin
- tissue tightening
- improved buttock contour through a lifting effect
- additional liposuction in certain areas
- correction of associated abdominal wall defects
The specific technique depends on your anatomy and the extent of the looseness.
Scar
A body lift results in a circular scar located:
- around the lower abdomen
- extending down the sides and back
It is positioned as much as possible within the underwear. Like any surgical scar, it fades over time but remains permanent.
Overview of the procedure
The process for a body lift begins with a comprehensive specialist consultation to assess the patient’s body type and the extent of excess skin on the trunk and lower body.
During this consultation, a comprehensive clinical examination is conducted to assess the distribution of excess skin, tissue quality, and the overall harmony of the body’s contours. An evaluation of weight stability is also essential, as the procedure is generally considered after significant, stable weight loss has been achieved. Any potential medical risk factors are also identified to ensure the safest possible treatment.
This consultation provides an opportunity to discuss realistic goals for the procedure and determine the most appropriate surgical strategy. You will receive detailed medical information, and a personalized estimate will be provided, in accordance with the legally required cooling-off period.
Medical photographs may be taken to aid in preoperative analysis and to monitor results.
Before the procedure, a preoperative evaluation is ordered and a consultation with the anesthesiologist is scheduled.
A body lift is performed in a clinic under general anesthesia. This procedure involves removing excess skin and tightening the tissues across the entire abdominal and lumbar regions, thereby improving the contour of the abdomen, flanks, lower back, and buttocks.
La durée opératoire est généralement comprise entre 3 et 5 heures, selon l’importance du relâchement cutané et les éventuels gestes associés. Une hospitalisation de 2 à 4 nuits est habituellement nécessaire afin d’assurer une surveillance post-opératoire adaptée.
Postoperative Care and Expected Results
After the procedure, a period of gradual recovery is necessary. In the first few days following surgery, it is common to experience:
- edema
- bruises
- a feeling of tension
- more pronounced fatigue during the first few days
- discomfort during the first few steps
A compression garment is prescribed for several weeks to support the tissues and aid in healing.
Activities are gradually resuming :
- gentle walking: started early and encouraged
- sedentary work: generally after 3 to 4 weeks
- sports activities: usually after 6 to 8 weeks
Un suivi post-opératoire rapproché est organisé afin de surveiller la cicatrisation et l’évolution des résultats.
Le bodylift permet une amélioration globale et harmonieuse du bas du corps. Les bénéfices attendus sont notamment :
- elimination of excess abdominal skin
- improved waistline
- lower back stretch
- improved buttock contour thanks to the lifting effect
- greater freedom of movement
- improved everyday comfort
The results gradually improve in the months following the procedure, as swelling subsides and the tissues soften. Maintaining a stable weight is an important factor in ensuring long-lasting results.
FAQ
Frequently Asked Questions About Body Lifts
It is primarily intended for patients with significant excess skin in the lower body, most often following significant weight loss after which their weight has stabilized.
No. This is a procedure for skin and body contouring, not a weight-loss technique.
Yes, the scar is long because it’s circular. It’s positioned as low as possible so it can be hidden under underwear, and it will gradually fade over time.
In certain cases of post-bariatric surgery involving significant excess skin, partial coverage may be available depending on current medical criteria.
Recovery is gradual and takes several weeks. A full return to normal activities depends on individual progress and post-operative recommendations.
>> This page is intended to provide general information. Only a consultation with Dr. Vairinho will allow for an accurate assessment of your situation and the recommendation of an appropriate treatment plan. A personalized quote is provided only during a consultation.