Lower Body Lift & 360 Body Lift Surgery

Types of Body Lift Procedures

1. Lower Body Lift (Belt Lipectomy)

• Focuses on the abdomen, waist, hips, outer thighs, and buttocks.
• Removes excess skin and fat from the lower torso.
• Improves buttock contour and lifts the lower body.

2. 360 Body Lift (Circumferential Body Lift)

• Includes everything in a lower body lift plus a full tummy tuck.
• Removes excess skin and tightens both the front and back of the torso.
• Provides a more dramatic waistline definition and back contouring.

3. Extended Lower Body Lift

• Ideal for patients with extreme skin laxity after massive weight loss.
• Extends beyond the lower body lift to include the upper thighs and pubic area.
• Often combined with thigh lifts and other post-weight loss procedures.

What happens before body lift surgery?

Before undergoing a body lift, patients must:

• Maintain a stable weight for at least 6 months.
• Undergo medical evaluations to ensure they are healthy for surgery.
• Stop smoking and avoid certain medications to promote healing.
• Plan for assistance during recovery, as this is a major surgical procedure.

What happens during body lift surgery?

A lower or 360 body lift is performed under general anesthesia and typically takes 4 to 6 hours, depending on the extent of skin removal.

The general steps include:

1. Incision Placement – A circumferential incision is made around the waistline, extending across the lower back and abdomen.
2. Skin & Fat Removal – Excess skin and fat are removed from the abdomen, hips, and buttocks.
3. Muscle Tightening (if included) – In a 360 body lift, abdominal muscles may be tightened for a flatter stomach.
4. Buttock and Thigh Lifting – The remaining skin is repositioned to lift and sculpt the lower body.
5. Closing the Incisions – The skin is sutured and smoothed, and compression garments are applied.

Liposuction may also be used to enhance contouring and improve final results.

What Is a 360 Body Lift and How Is It Different From a Lower Body Lift?

Both procedures address excess skin around the lower body, but they work differently and suit different patients. A lower body lift focuses on the front and sides the abdomen, outer thighs, hips, and buttocks using an incision that runs along the waistline. It’s the right choice when skin laxity is concentrated in those areas and the back doesn’t need significant attention. A 360 body lift, sometimes called a circumferential body lift, extends that same approach to go all the way around. The incision wraps continuously around the entire midsection, allowing the surgeon to address the lower back and flanks at the same time as the abdomen and thighs. The result is a transformation that’s visible from every angle, not just the front. Patients who’ve lost a substantial amount of weight whether through bariatric surgery or a sustained lifestyle change, tend to benefit most from the 360 approach because weight loss typically affects the whole torso, not just one side. During your consultation at BodEvolve, Dr. Frenzel will assess where the skin laxity is most pronounced and recommend which version of the procedure addresses your specific anatomy rather than defaulting to one option for everyone.

How Much Does a 360 Body Lift Cost?

The cost of a 360 body lift varies more than most procedures because the scope of each surgery is genuinely different from patient to patient. At BodEvolve, the total investment typically ranges between $15,000 and $30,000 or more, depending on how much skin removal is involved, whether the procedure is combined with other surgeries such as a thigh lift or arm lift, how long the operation takes, anesthesia fees, and facility costs. Patients combining a 360 body lift with additional contouring procedures in one session may pay more upfront but less overall compared to staging multiple separate surgeries over time. Financing is available through CareCredit and Alphaeon Credit, both of which offer payment plans that make it easier to plan around your budget without delaying surgery once you’ve reached a stable weight. The most accurate number comes from a consultation, where Dr. Frenzel can review exactly what your plan involves and build a detailed quote from there. Calling the office or booking online is the starting point.

What to Expect From Your Compression Garment After 360 Body Lift Surgery

The compression garment is one of the less-discussed parts of 360 body lift recovery, but patients consistently say it’s one of the things they wish they’d been more prepared for. After a circumferential procedure, you’ll be wearing a full compression garment around your entire midsection for approximately four to six weeks. In the first two weeks, when swelling is at its peak and the incisions are still settling, the garment is on essentially around the clock, you remove it only to shower, and even then briefly. It feels tight, and that tightness is doing a job: reducing fluid accumulation, supporting the repositioned tissues, and helping your skin conform to its new contours as healing progresses. By weeks three and four, most patients find it more manageable and start to feel the difference between wearing it and not. The final two weeks are usually part-time, particularly at night or during activity. The garment itself matters, a poorly fitted or low-quality garment affects results. Our care team provides specific guidance on what to wear, how to care for it, and when to transition out of it so that nothing about that process is left to guesswork.