Body Lift Articles

The cost of a body lift can vary significantly based on the scope of the procedure and additional expenses. According to the American Society of Plastic Surgeons (ASPS), the average cost of a lower body lift surgery is $9,449, but that only covers the surgeon’s fee. It doesn’t include things like anesthesia, operating room, and other associated costs. Meanwhile, RealSelf reports an average cost of $16,425 for a body lift, with patient reviews indicating a range from $10,300 with insurance to as much as $40,000 out of pocket.

As with any surgery, the body lift comes with possible complications and potential revisions as it lifts and tightens the entire lower part of the body. The good news is that most complications are relatively minor and can be handled post operatively in the office setting.

In general, possible complications from the Body Lift procedure include: fluid accumulation, hematoma, seroma, infection, poor wound healing (wound separation), asymmetry, unfavorable scarring, numbness or other changes in skin sensation, fat necrosis and deep vein thrombosis (primarily associated with General Anesthesia).

Plastic surgery doesn’t have to be painful. If you are having a cosmetic surgery procedure ask your plastic surgeon about pain pumps. These types of pumps use local anesthetics, not narcotics. Pain pumps eliminate pain, reduce nausea, and result in much quicker recovery.  

Five levels of anesthesia used in Cosmetic Surgery are:

• local anesthesia only
• local anesthesia with valium
• IV sedation moderate, also known as Twilight Anesthesia
• IV sedation with propofol- deep sedation
• General Anesthesia with a ventilator

The Body lift procedure removes excess skin from the stomach, hips, and buttocks. Patients who have experienced a large weight loss (from Ozempic, Wegovy, Semaglutide or Tirzepatide, or from Gastic surgery) are the typical candidates for the procedure. The Body lift is a Tummy tuck, an outer thigh lift, and a buttock lift performed in the same operative session.

Getting the best results for a Body lift is a function of  the surgeon’s surgical markings, and taking out the right amounts of fat and skin. Surgical markings will seal the fate of how the wound is closed. Taking out too much fat and skin can be a big problem for the closure. If the top layer closer is too tight, the wound will separate post operatively. I believe that the Lockwood technique provides the best method for excising precisely the right amount of fat and skin.

The average amount of operating room time required for the Lower body lift procedure is 7-8 hours and it can be performed under general anesthesia or IV sedation. With the procedure taking so long, it is normal to ask yourself these questions: ‘How can risks be reduced with a Body lift?”, “Can the choice of anesthesia reduce the risks?”

Exparel is a long acting local anesthetic which is injected into the operative area at the end of the procedure. Like the pain pump, it focuses just on the operative area, and does not disseminate to the entire body like a narcotic does. The function of the Exparel is to numb the area of surgery so you do not feel pain. With cosmetic surgery, patients only need the one injection, and the pain control lasts for about 3 days. Similar to the pain pump, patients take fewer narcotics post operatively, because the pain is more controlled.

In 2006, I gave a lecture on the Body lift procedure to other surgeons in my hospital. In gathering the information for my talk, two things struck me when reviewing the literature published by other physicians. In summary, the current literature concluded that: 1) Surgeons are still reporting complications with the Body lift procedure. These complications include wound separations and seromas 2) Plastic Surgeons are still “learning about the procedure” My impression is that surgeons are having these problems because they do not use the Lockwood technique of body lifting. I use the Lockwood technique and feel very confident with the procedure and my results. Let me give you a brief history about the Body lift procedure, and how Dr. Ted Lockwood evolved the procedure.