Washington, D.C. (202) 785-4187
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Lower Body Lift

Lower body lifts tighten thighs and buttocks by removing excess tissue from the lateral hips and inner thighs. A lower body lift helps complete your body's transformation after significant weight loss. In Washington, D.C., Dr. Paul G. Ruff IV often combines a tummy tuck or liposuction with lower body surgery to remove saggy and unattractive skin.

If you live in Alexandria, Reston, or the surrounding region and have undergone bariatric surgery, request a consultation to talk with Dr. Ruff about lower body surgery. Or call our office at (202) 785-4187 and a member of our knowledgeable staff will schedule a consultation

Before & After Lower Body Lift

Before photo
After photo

Before

After

For more photos of our patients, please view our photo gallery.

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Are You a Good Candidate for a Lower Body Lift?

Lower body lift surgery is best suited for people who are generally healthy and in relatively good shape but have loose lower body skin or significant amounts of lower body fat that does not respond to dieting or exercise. You may be a good candidate for this procedure if you have one or more of the following conditions:

  • Excess or loose, sagging lower body skin
  • Lower body muscles that have been weakened by pregnancy or aging
  • Excess fat that is concentrated beneath the lower body skin

If you have not yet reached your desired weight, you should most likely postpone your lower body lift surgery because you may need another procedure to remove excess skin that results from additional weight loss.

Paul G. Ruff IV
M.D., F.A.C.S.

Personalized, compassionate patient care is the foundation of West End Plastic Surgery's philosophy. Our board-certified surgeon, Dr. Paul G. Ruff IV embraces innovative techniques to ensure our patients get the best treatments available.

Meet Dr. Ruff Request a consultation

Meeting With Dr. Ruff

Prior to scheduling your lower body lift, you will meet at length with Dr. Ruff and his staff at West End Plastic Surgery to evaluate your physical health, to discuss your specific goals for the procedure, and to ensure that you have a realistic view of the results that can be achieved with surgery. In addition, Dr. Ruff will work closely with you to determine which combination of procedures will most likely give you the surgical results you desire.

Dr. Ruff and his staff will:

  • Review the various lower body treatments with you
  • Clearly discuss the potential risks of the lower body lift procedure
  • Outline in detail how the surgery is performed and what you can expect before, during, and after the procedure
  • Answer all your questions

You will be asked to provide:

  • Details about your medical history
  • A list of all medications you currently take, including over-the-counter medications such as aspirin, vitamins, and herbal supplements
  • Information regarding your tobacco and alcohol use

How the Procedure Is Performed

Your surgery is usually performed at the hospital, where you spend 1 to 2 nights recovering after the surgery. The procedure is performed using general anesthesia and takes about 4 to 5 hours to complete, depending on the extent of the surgery. The surgery may last longer if additional procedures such as a tummy tuck are performed at the same time.

The nature of the surgery requires the doctor to make long incisions; the length of the incisions depends on the amount of excess skin being removed. Depending on the extent of the procedure and your individual anatomy, the scar may stretch across the upper buttock and the outer and inner thigh. Whenever possible, the incisions are positioned in the most inconspicuous positions possible and, in many cases, you will be able to wear a bathing suit without the resulting scars being visible.

Once the incisions are made, Dr. Ruff removes crescent-shaped segments of skin and fat from the buttock and thigh areas. The remaining skin and tissue are lifted to achieve a tighter and smoother affect. Dr. Ruff then stitches the incisions closed and gauze dressings are placed over them. Temporary drains may be put in place to help drain excess fluid from the area of the surgery. A firm-fitting body garment is placed over the surgery site to provide support to the area.

What To Expect After Your Surgery

Activity When
Shower or Bath 2 to 3 Days After Surgery
Back to Work 2 to 3 Days After Surgery
Driving 2 to 3 Weeks After Surgery
Strenuous Activity 6 to 8 Weeks After Surgery
Fading of Scars Several Months to 1 Year

Before & After Photo Gallery

We're as thrilled with our patients' results as they are. Check out our before-and-after photo gallery and see for yourself the kind of work our talented surgeons do.

Immediately After Your Surgery

You will spend 1 to 2 nights in the hospital recovering from your lower body lift. It is important that you have someone to drive you home and to stay with you for the first few days. There may be moderate pain during the first few weeks after your surgery. Pain medication will be prescribed to alleviate as much post-surgery pain as possible. Though you may not be able to stand up completely straight for at least a week after surgery, it is important to start moving and walking within a day of surgery.

The First 24 to 48 Hours After Your Surgery

During the first 24 to 48 hours after your procedure, you will feel tired from the anesthesia and will experience a good deal of discomfort in the area of the surgery. Pain medication will alleviate much of the discomfort. There will be visible bruising in the area of the surgery and swelling will be severe; the bruising and swelling may take 3 to 4 months to completely disappear. Your discomfort level will improve rapidly after the first 2 days.

To facilitate the healing process, it is important to start moving and walking within a day of your surgery. You will wear an elastic body garment for 4 to 6 weeks after your surgery to provide gentle, healing pressure, to provide stability, and to help reduce the risk of blood clots.

The First 2 Weeks After Surgery

You will notice a marked improvement in your discomfort level during the first few weeks after your surgery.

The drains that were inserted into the surgical area will be removed within 5 to 10 days of your surgery. Upon release from the hospital, you will be instructed on how to take care of the drains, which are used to allow fluid to drain from the surgical area. Most of the stitches used are dissolving; any non-dissolving sutures used will be removed within 5 to 10 days after surgery.

Small amounts of bleeding and oozing are normal in the first few days after surgery. If you see more than just a slow staining of the gauze dressing, apply pressure to the area with your hand for 20 to 30 minutes to stop the bleeding. If this does not stop the bleeding, call West End Plastic Surgery. Heavy bleeding is rare, but if it does happen, call right away.

Resuming Your Normal Routine

Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines:

  • Swelling and bruising gradually disappear within 3 to 4 months of surgery.
  • You can most likely return to work or school within 2 to 3 weeks after your procedure. If your work is strenuous, plan to stay home from work for 4 to 8 weeks, depending on how you heal and the type of work you do.
  • You can most likely return to your physical exercise program within 6 to 8 weeks of your lower body lift. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise.
  • The scars caused by the incision should be protected from sunlight for at least a year after surgery.

Things to Be Aware of After Your Surgery

  • Your scars may actually appear to worsen during the first 3 to 6 months after surgery; this is a normal part of the healing process. Within about 9 months of your surgery, your scars will flatten and lighten in color.
  • Healing does not always occur evenly from side to side, and your thighs may heal at different rates and in different ways.
  • You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several months to disappear.
  • The skin in the area of your surgery may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance.
  • You may notice a tingling sensation in the surgical area. This feeling is a result of the healing of the nerves in the area and will go away within several months of your procedure.

What Are Possible Side Effects or Risks?

Like all surgical procedures, there are risks associated with lower body lifts. During your initial consultation with Dr. Ruff, your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre- and post-surgery instructions provided to you. Dr. Ruff and his staff will be with you every step of the way to ensure a safe and pleasing outcome.

Some possible side effects include:

  • Infection
  • Loss of sensation
  • Damage to sensory nerves
  • Areas of wrinkling or slight depression in the skin
  • Changes in the asymmetry of the thighs
  • Scarring

How Long Will the Results of Your Lower Body Lift Last?

Lower body lift surgery can dramatically tighten sagging thigh, hip, and buttock tissue to nicely enhance the appearance of the hips, flanks, buttocks, and upper lateral thighs. The results are generally permanent; however, large weight gain or pregnancy will affect how long the results last.

Questions You May Have

Are there other procedures that could be done along with lower body lift surgery to enhance the overall appearance of my buttocks and upper thighs?

Abdominoplasty, or tummy tuck surgery, is often performed in conjunction with lower body lift surgery. Liposuction is sometimes used in addition to lower body lift surgery to enhance the overall appearance of this area. Dr. Ruff is a specialist in the Washington, D.C. area certified to perform LipoSelection®, a much gentler form of liposuction that can be used to remove fat in the lower body region.

Will my insurance coverage pay for my lower body lift?

Except in rare cases where lower body lift surgery is considered essential to future health, lower body lift surgery is considered cosmetic surgery and, therefore, is not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during your initial consultation.

Are there alternatives to lower body lift surgery?

Options for improving the look of your buttock and upper thigh region include weight loss and exercise, especially toning exercises. LipoSelection may also greatly enhance the look of your lower body.

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West End Plastic Surgery 2440 M Street Northwest #200
Washington, District of Columbia 20037 (202) 785-4187 Monday–Friday: 8 a.m.–4:30 p.m. Get Directions
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