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Belt Lipectomy Sydney: 360 Excess Skin Removal Surgery


Belt Lipectomy Sydney: 360 Excess Skin Removal Surgery

Dr Jeremy Hunt Theatre

What Is a Belt Lipectomy?

A belt lipectomy is a post weight loss surgery that removes the extra tissue (fat and skin) from your belly, waist (beltline), and back in one procedure. A circumferential lipectomy can surgically remove the stretched skin, loose fat, and correct the entire trunk from the chest area down to the hips and all the way around to the back.

There are a lot of reasons why you could put on a lot of weight. It could be pregnancy, lack of exercise, unhealthy eating habits, or simply genetics. When you gain weight, your skin stretches to make room for the extra fat hence losing some of its elasticity (tensile strength).

You can lose a lot of weight after gastric bypass surgery, sleeve gastrectomy, gastric banding, or childbirth. In many people, however, the skin does not completely retract after massive weight loss. This can result in flaps of extra sagging skin and fat hanging from the belly, hips, and lower back. Getting a belt lipectomy can help you get rid of excess skin.


How Is a Belt Lipectomy Different from an Abdominoplasty?

An abdominoplasty or tummy tuck and a belt lipectomy are both procedures that remove extra skin and fat flaps after major weight loss. They both aim to contour the trunk and make the body more proportional.

A belt lipectomy is different than an abdominoplasty since:

  • A tummy tuck – abdominoplasty removes skin and fat from the front of the stomach only whereas a 360 abdo also removes tissue on the sides, hips, and back
  • An abdominoplasty also tightens the abdominal muscles while the circumferential abdominoplasty doesn’t usually involve split muscle tightening (Diastasis recti)
  • A circumferential abdominoplasty may not reposition the navel as the traditional abdominoplasty does
  • A belt lipectomy can lift the buttocks and outer hips, unlike an abdominoplasty

A 360 belt lipectomy is a better surgical option for you than an abdominoplasty if you have excess skin and fat on your belly, hips, and back. If you just have a mummy pooch in the front lower abdomen, then a mini abdominoplasty or traditional full abdominoplasty might be better options for you than a 360 abdo.

Benefits of Belt Lipectomy Surgery

After getting rid of heavy flaps of skin and fat by a belt lipectomy surgery you’ll have:

  • Better mobility: you’ll be able to move around better with the loose skin flaps out of the way
  • Fewer rashes and skin irritation: you’ll get rid of the chafing caused by saggy skin flaps
  • Fewer skin infections: you won’t have extra skin folds where bacteria can grow causing unpleasant smells

Even after massive weight loss, remnant overhanging skin flaps can obscure the great results.

With a circumferential lipectomy, Dr Hunt helps his patients complete their weight loss journey and achieve the aesthetic results they’ve been aiming for.

Am I suitable for Belt Lipectomy Surgery?

You can benefit from circumferential lipectomy surgery if:

  • You’ve had dramatic weight loss that resulted in loose skin on your belly, hips, and lower back
  • You’re having health problems related to the overhanging excess skin flaps (rash, irritation, infection, pain)
  • You’ve reached a stable weight (goal weight) through diet, exercise, or weight loss surgery and are looking to contour your body, especially the midsection
  • You’ve already had children and are not planning on getting pregnant in the future

Ideally you will have a BMI below 30, but some patients between a BMI or 30-35 may be acceptable. Please aim to be near your ideal weight before surgery as having extra weight increases risks of surgical complications.

All in all, a 360 abdominoplasty is an option for extreme weight loss patients who want to shape and contour their entire midsection.

Belt Lipectomy Surgery Dr Hunt

About Belt Lipectomy Surgery

A belt lipectomy surgery is performed while you’re under general anaesthesia.

  • First, your surgeon will make an incision low in your belly just above your pubic area. The incision will extend all the way to the back where your butt and lower back come together (like a belt)
  • Then, the skin and fat layers are separated from the underlying muscle layer. Excess fat and skin flaps are cut and removed
  • Next, your surgeon will pull down the remaining skin and fat of your abdomen, back, and sides while pulling up the skin of your outer thighs and buttocks. This flattens any irregularities and gives your whole mid-section a slimmer and smoother contour
  • After that, the upper and lower skin edges are sutured together
  • Finally, a sterile wound dressing will be applied and you will be transferred to the recovery room to wake up

The 360 belt is major surgery and can take around 4-6 hours to complete.


Recovery after a Belt Lipectomy

Recovery after body contouring surgery differs from one person to another, but you can expect the following after your belt lipectomy:

  • Drainage tubes will be placed at your incision site for several days to collect extra fluid
  • You’ll have swelling that starts to go down 3-6 weeks post-belt lipectomy. Most of the swelling disappears 2-3 months after the surgery
  • You’ll likely be asked to wear compression garments to control the swelling during your recovery period
  • Bruising that peaks during the first two weeks and then starts to fade within a month
  • Pain and discomfort are most noticeable during the first two to three days following 360 abdo and then start to subside

Most patients take around 4 weeks to return to normal activity and 6 weeks to resume strenuous exercise after a circumferential lipectomy. Make sure you follow your surgeon’s recommendations for a smoother and faster recovery after belt abdominoplasty.

Belt Lipectomy Cost Sydney - How much does Belt Lipectomy surgery cost in Sydney NSW? Prices & Fees

Belt Lipectomy is a complex surgical intervention. Hence, the cost varies from one patient to another. Anaesthetist fees and hospital fees also impact the price depending on the time in theatre.

To find out the estimated price of belt lipectomy surgery in Sydney please contact Dr Hunt’s team. After your first consultation, Dr Hunt will give you a more precise estimate of the surgery costs.

Is belt lipectomy surgery covered by Medicare or private health insurance?

If you meet the strict Medicare criteria, you might be eligible for a partial rebate by medicare or health insurance subsidy for plastic surgery.

You can also learn more about possible Medicare & Health Fund coverage, a Belt Lipectomy Surgery Payment Plan, or the costs for body contouring surgery on our Surgical Costs page.

Take the next step today

With over 20 years of experience as a plastic surgeon, Dr Jeremy Hunt aims to get optimal results using different surgical techniques.

Join the thousands of past patients today by booking a consultation with Dr Hunt at your earliest convenience.

Next Step – Fill in the Enquiry form or call Dr Hunt’s Team on 1300 157 200.


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Book your First Surgery Consultation

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Phone the team or email to Book your consultation

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Bring a friend or relative to help discuss the information
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Considering Belt Lipectomy Surgery?

What is the difference between 360 liposuction and a belt lipectomy?


Liposuction removes unwanted fat using a suction device (cannula). It does not remove skin flaps or excess skin rolls. A belt lipectomy, on the other hand, surgically excise the excess tissue and tighten the overlying skin.

Which is better: a belt lipectomy or an abdominoplasty?


It depends on where your skin problem area is. If you want to get rid of saggy skin located on the abdomen, then a tummy tuck – abdominoplasty might be better for you. Whereas if you also want to tighten things up around your waist, back, and butt, then a belt lipectomy might suit you better.

What should I expect during my belt lipectomy consultation?


During a belt lipectomy consultation, your surgeon will take a look at your medical history and review your overall health. Then your plastic surgeon will discuss with you your goals and surgery options to help you decide whether a belt lipectomy is the right choice.

What are potential risks and complications of Belt Lipectomy Surgery?


All surgery comes with some potential risks and complications:

  • Hematoma (build-up of blood under the skin)
  • Seroma (build-up of fluid under the skin)
  • Wound infection
  • Numbness around the incisions



About Dr Jeremy Hunt

Dr Hunt has worked with thousands of patients across his 20-year career. This is reflected in his role as Spokesperson for the ASPS – Australian Society of Plastic Surgery. Dr Hunt is also a Fellow of the Royal Australasian College of Surgeons (FRACS) and Supervisor of Plastic Surgery Training at Sydney Children’s Hospital.

Dr Hunt has a strong interest in helping his patients achieve their desired results by employing the most appropriate practices for each individual patient.