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Circumferential lifting


The circumferential facelift is an increasingly frequent surgical procedure aimed at removing excess skin and fatty tissue in patients who have undergone severe weight loss, for which an abdominoplasty operation would not be sufficient.


As with any cosmetic surgery procedure, a careful pre-operative assessment is necessary before the circumferential lift, which will allow the surgeon to perform a customised and more effective procedure. First of all, a precise physical examination and the collection of the patient's medical history must be carried out. The evaluation of the anamnesis includes checking the current weight and body mass index. In addition to these elements, it is important to be aware of any previous surgical procedures, particularly bariatric surgery, the patient has undergone, nutritional disorders, pre-existing diseases and medication intake, as well as gastrointestinal, cardiac and pulmonary history.

Obviously, it is necessary for the patient to be informed about all the details of the operation, the post-operative course and the results that can be obtained, which vary depending on body conformation, bone structure, fat distribution and any pre-existing scars.


The circumferential facelift surgery is performed under general anaesthesia, lasts about 2-3 hours and requires at least 2 nights' hospitalisation in the clinic. Thanks to an incision along the entire circumference of the body, the surgical procedure removes excess skin from the lower torso, improving the contour and profile not only of the abdomen, hips and lumbar region, but also of the lateral surface of the thighs and buttocks.

It is a painless procedure that guarantees optimal results in most cases. Frequently, this type of operation is combined with other types of surgical procedures such as, for example, the insertion of buttock prostheses, which gives the body a harmonious profile.


Every patient who undergoes a circumferential facelift receives single-dose antibiotic therapy during the operation, which is extended to at least 5 days after the operation. At the end of the operation drains are placed to drain any fluid collections during the days of hospitalization and will be removed by the time of discharge.

Post-operatively, the patient must wear an abdominal bandage to ensure compression of the entire operation site, which will be maintained for about 30 days. After 3-4 days after surgery, the patient is usually able to be fully mobilised. For the first 8 weeks it will be necessary to suspend intense sports and physical activity and exposure to sun and heat.


For this type of operation, the incision is made along the entire circumference of the lower torso, in front immediately above the pubis, posteriorly immediately above the groove between the buttocks. The surgeon's task is to customise the scar in such a way that it is placed very low and remains hidden inside the bottom.


Who can undergo circumferential facelift surgery?
The circumferential facelift is indicated for those who have the need to remove excess skin, which is an inevitable consequence of significant weight loss. On the other hand, the operation is not recommended for patients who present an inappropriate health condition at the preoperative surgical examination or anaesthesiological examination, as well as for women who are planning to become pregnant.

Is there an ideal age for undergoing a circumferential facelift?
The circumferential facelift has no age limit in adults, but as it is a relatively lengthy surgical and anaesthesiological procedure, it becomes less and less common with advancing age and over the age of 65 to undergo this type of operation. It is in any case preferable to postpone the operation in women planning future pregnancies. The required weight loss should be completed before the operation, and patients should have a stable weight for at least 6-12 months.

Can the circumferential facelift be combined with other cosmetic surgery procedures?
Yes, the circumferential facelift can be combined with other surgical procedures. Very often it is proposed in combination with the gluteoplasty operation because, when excess skin is traced anteriorly and posteriorly, there is a flattening and a reduction of the profile, specifically of the gluteal region. In these cases, inserting gluteal implants from the same access performed for the circumferential lift guarantees an absolutely optimal quality of the overall result.
Exceptions are those cases in which, due to special risk conditions for the patient, it is preferred to avoid multiple surgeries: this is why a careful preoperative assessment is essential.

What are the risks and/or complications of circumferential facelift surgery?
The circumferential facelift is one of the most complex operations in plastic surgery, so it is essential that it is performed by an experienced surgeon, supported by a trained team, as well as in qualified and safe facilities. Relying on fully equipped and authorised facilities allows any rare complications such as bleeding, seroma, wound dehiscence and infection to be managed and resolved.
The results of the operation are optimal and the risks of complications are absolutely reduced, provided that the patient has been properly examined beforehand and properly followed up post-operatively. Strictly adhering to the instructions given by the surgeon in the postoperative period, from position to lifestyle and diet, drastically reduces the risk of complications. In particular, smoking patients should discontinue the use of cigarettes both before and after surgery, as smoking is a factor that can delay the healing process and increase the risk of complications.

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