Basically, the objective is to remove a 20 to 25 cm strip of skin from around the body at the waist.
The procedure is performed in two phases of equal duration :
- the first phase with the patient lying on their stomach is to treat the hips, buttocks and sides of the thighs ;
- the second phase with the patient lying on the back is to treat the abdomen, pubis and upper thighs.
These two phases are usually performed during the same procedure but they can also be done several months apart to reduce the enormity of the procedure.
The procedure begins with liposuction of the hips and saddlebags with the patient lying on their stomach. The excess skin is then removed and the skin of the buttocks and sides of the thighs is stretched upwards.
Depending on the case, the volume of the buttocks can be increased by using the fat located on the hips. This hip fat is remodelled to be used as prosthesis.
In case of excess skin on the outside of the thighs, a complementary vertical incision along the outer aspect of the thighs can be performed to further improve the result of the silhouette (complementary lateral body lift).
The patient is then turned over onto their back on the operating table while under anaesthesia.
Whilst the patient is lying on their back the surgeon performs another liposuction session (abdomen, pubis, upper thighs). Then at the end of the procedure an abdominoplasty is performed to remove excess skin and tighten the skin of the abdomen, pubis and upper thighs.
The procedure is performed under general anaesthesia. The duration varies between 4 to 6 hours.
Hospitalisation ranges from 4 to 6 days.