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Body Contouring Surgery in Melbourne

Body contouring after weight loss can bring about truly life-changing results


Modern cosmetic body-contouring procedures at our Melbourne, Victoria practice can bring about truly life-changing results. You may have:

  • Experienced weight loss through your own efforts or with the help of bariatric (weight-loss) procedures such as Gastric Banding or Gastric Sleeve or Bypass Surgery – and you may want to complete your weight loss journey with a body-contouring procedure
  • Struggled with stubborn fat deposits resistant to diet and exercise, and want tackle this issue head-on with the help of liposuction
  • Or you may simply want to change the shape and size of certain areas of your body, helping to produce a more cosmetically appealing figure.

With 20 years of body cosmetic surgery experience, Mr. Richard Maxwell has the surgical expertise necessary to provide expert guidance. Should you decide that body contouring surgery is right for you, Mr Maxwell will give you the expert care, precision planning and the individualised attention you deserve.

Prior to losing a large amount of weight people are naturally focused on their weight loss goal and do not give any consideration to what shape their bodies will be in after their desired weight loss has been achieved.

As a result, whilst the outcome on the scales is gratifying, the presence of significant amounts of loose skin both look unsightly and can cause considerable discomfort when wearing clothes.

weight loss and the scale

Body Contouring after Weight Loss

For these men and women body contouring surgery provides them with a shapely body to complement  their reduced weight. There is a saying that ‘the bariatric surgery makes a patient healthy, but the body contouring surgery makes them happy’.

body contouring surgery after weight loss


What happens after weight loss when there is redundant skin or stubborn areas of accumulated fat?

  • Some weight loss patients only need to target one specific area of the body in order to achieve their body-contouring goals.
  • Others may need to deal with a number of problem areas, with the surgery spread over a number of operations.
  • A significant proportion of patients undergo all of the major body contouring procedures in a number of operations spread out over 12 – 18 months.
  • This requires a huge commitment from the patient, but the results are truly life-changing.

The main body contouring surgery procedures performed are:

  1. Lower body lift (Circumferential ‘Belt’ Lipectomy’)
  2. Upper body lift (breast lift, lateral chest/back reductions)
  3. Brachioplasty (arm reduction)
  4. Inner thigh lifting (reduction)
  5. Facelift/neck lift

When you book a consultation at our Melbourne clinic, Mr. Maxwell will help you choose the body lift and contouring procedure or procedures that best meet your needs and will ensure that your goals are met safely and effectively.


The best results of body lifting/body contouring by far are achieved in patients who have reached or nearly reached their ideal weight = Body Mass Index (BMI) of 20 – 30. But very dramatic improvements can be made in patients whose BMI is higher than 30.

The Body Mass Index (BMI) is calculated by dividing your weight in kilograms by your height in metres squared.

  • Normal: 20 – 30
  • Overweight: 25 – 30
  • Obese: 30 – 35
  • Morbidly Obese: >35

Lower body lift (Belt Lipectomy Abdominoplasty/Tummy Tuck)

The introduction of the circumferential ‘lower body lift’ (circumferential or ‘belt’ lipectomy) in the late 1990’s revolutionised the surgical treatment of the massive weight loss patient.


The Lower Body Lift (Belt Lipectomy)

The Lower Body Lift (Belt Lipectomy) is a circumferential procedure consisting of an abdominoplasty (tummy tuck) in the front, and lifting of the buttocks and the backs and outer parts of the thighs. The buttocks in particular can be dramatically improved. Liposuction (Suction-Assisted Lipectomy = SAL) is often performed in conjunction with this procedure.

Buttocks lift with a Belt Lipectomy helps reshape the lower hip and buttocks area as well as the belly

The buttocks in patients who require a belt lipectomy also tend to be very flat in addition to drooping after weight loss. Fat from other areas can be harvested (suctioned) using liposuction and then transferred (grafted) into the buttocks to produce a much more rounded or pleasing buttocks shape.

The Lower Body Lift can be combined with other contouring procedures such as Brachioplasty (Arm Reduction), Breast LiftBreast Reduction, Breast Enlargement, Lateral Chest /Back Skin Tightening (Wedge Lipectomies) and Inner Thigh Reduction also known as Inner Thigh Lift.

The Belt Lipectomy procedure

A Lower Body Lift surgery (such as a Belt Lipectomy) takes 4 to 6 hours on a thiner patient and longer on a bigger patient. Liposuction nearly always has to be performed during the surgery as well as skin excision.  Liposuction needs to be performed BEFORE the excess skin can be excised.

The patient is turned by the Surgery Team, from front to back, half way through the Belt Lipectomy operation. All the wound closures are performed with buried dissolvable sutures. Whilst the use of multiple suction drains has been standard for many years, as much as feasible, Mr. Maxwell uses as few drains as possible, or no drains when feasible, which helps makes the patient’s post-operative recovery period just a bit easier.

At the end of the Belt Lipectomy procedure, a custom compression garment is fitted and is worn for a minimum of 4 weeks (6 weeks if liposuction/abdominal hernia repair have been performed.)

Recovery: Please note that you’ll be given SPECIFIC post-op recovery instructions for your surgery by Mr Richard Maxwell, Melbourne Plastic Surgeon

Patients are encouraged to sit out of bed and walk a little on the first post-operative morning. A blood transfusion may be required to optimise recovery, especially where the body lift has been combined with another contouring procedure. Discharge from hospital can vary from patient to patient, but is typically around the 5th  post-operative day.

belt lipectomy; tummy tuck garments


If drains are used, and are still draining at the time of discharge, the patient may go home with the drain tubes in-situ (in place); otherwise they may remain in Hospital until the drainage has fully ceased.

Once at home, walking is encouraged and very gentle movement is important.

However, more vigorous exercise and heavy lifting are held off for at least 8 weeks post-operatively after a lower body lift (Belt Lipectomy) – sometimes longer.
  • 3 – 4 weeks off work are usually required

Upper Body Lift: Contouring and Reducing Redundant Skin or Fat in the upper body or upper torso, breast and arm areas

An UPPER BODY LIFT as a term often includes breast rejuvenation surgery such as:

It also tends to be performed in sequence with an upper arm reduction (Arm Lift or Brachioplasty).

Some practitioners include arm reduction surgery (Brachioplasty) in this grouping. Search our menus and our blogs for more information on these procedures.


belt lipectomy; reading about tummy tuck types weight loss tips

NEXT STEPS for a Consultation with Melbourne Plastic Surgeon Mr Richard Maxwell

Book your Initial Surgery Consultation

  • Email us or Call on (03) 8849 1462 to arrange your surgeon consultation appointment.
  • A Referral from your GP or specialist is helpful but NOT essential – you can have a consultation without a GP Referral
  • Book a consultation with your Surgeon by paying the Consultation Fee (usually $200)

Visit our FAQs pages, learn more about your procedure, have a look at the photo Galleries and patient reviews

Want more information before scheduling your Plastic Surgeon consultation?

  • Request more information about the procedure – call or contact us
  • Book a Complimentary Nurse Consultation (FREE)
  • Organise a phone call with Patient Advisor (FREE)
  • Attend our Regular Practice EVENT (FREE) – meet Surgeons, Patient Care Advisor and speak to other past patients
  • Organise a Skype call consultation with a Surgeon (available for Interstate patients)
  • Speak with a past patient that has had the procedure – contact us
  • Browse our Frequently Asked Questions including including how to choose a Surgeon for your procedure

Please contact us using this form to arrange to book a consultation with our Specialist Plastic Surgeon or to speak with our Patient Care Advisor.

Send an enquiry form today or phone (03) 8849 1462 during Clinic Hours.

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