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Belt Lipectomy


  • A belt lipectomy is surgery to remove extra skin and tissue from your abdomen (stomach), back, and buttocks. This surgery is also called a circumferential lipectomy. You may have loose skin and fat if you have lost a lot of weight. You may want a belt lipectomy to help make parts of your body look flatter or smoother. During a belt lipectomy, your caregiver will make incisions (cuts) around your abdomen and lower back. You may have liposuction to suction out extra fat. Extra fat on your thighs or pubic area may also be removed. Your pubic area is between your abdomen and the top of your legs.
  • It may take a year or more for you to notice all of the results of your belt lipectomy. Having this surgery may help improve the shape of your abdomen, waist, thighs and buttocks. Your abdomen may become slimmer and you may no longer have rolls of fat on your back. You may have a lower risk of getting a skin infection. You may be able to fit into your clothes better. You may also feel better about the way you look.


Take your medicine as directed.

Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.
  • Pain medicine: You may need medicine to take away or decrease pain.
    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.
    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.
    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.
  • Antinausea medicine: This medicine may be given to calm your stomach and prevent vomiting.

Ask for information about where and when to go for follow-up visits:

For continuing care, treatments, or home services, ask for more information.

  • You may need to see your caregiver a couple of times a week for about a month after your surgery. He will check the fluid in your drains and may take your drains out. Your caregiver will check to see if your surgical site is healing well. He may take out your stitches or staples. If you have a seroma, your caregiver may need to do an imaging test, such as an ultrasound. A seroma is a pocket of fluid that may need to be drained. Tell your caregiver about any new symptoms that you may have.


You will need to sit or walk bending slightly bending over for about a week after your surgery. Your caregiver will tell you when you may sit or walk straighter. Ask your caregiver if it is OK to drive. Your caregiver will also tell you when it is OK to return to your normal daily activities.


Your abdomen and other surgery sites may remain swollen for a month or more after your surgery. Ask your caregiver for ways to help you feel comfortable while you still have swelling.


You may need to wear tight clothing after your surgery. Ask your caregiver about the best clothing to wear and about how long you need to wear them.

Quit smoking:

Your surgical wounds may not heal as well when you smoke. It is never too late to quit smoking. Smoking harms the heart, lungs, and the blood. You are more likely to have a heart attack, lung disease, and cancer if you smoke. You will help yourself and those around you by not smoking. Ask your caregiver for more information about how to stop smoking if you are having trouble quitting.


  • You have a fever.
  • Your wounds are swollen, red, or have pus coming from them.
  • You have bruises that are getting larger.
  • You have pain that does not go away, even with medicine to decrease it.
  • Your stitches come apart.
  • You have chest pain or trouble breathing that is getting worse over time.
  • You have questions or concerns about your belt lipectomy, medicine, or care.


  • Your leg is swollen or painful.
  • You have bleeding that does not stop.
  • You have trouble breathing.
  • You have chest pain.
  • You suddenly feel lightheaded and have trouble breathing.
  • You have new and sudden chest pain. You may have more pain when you take deep breaths or cough. You may cough up blood.
  • Your leg feels warm, tender, and painful. It may look swollen and red.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.