Patients who present with generalized deformity of the trunk would benefit from circumferential excision of excess skin.  Since cylindrical or conical skin resection is done through a belt line incision, this procedure is also referred to as “belt lift lipectomy”.

This procedure could be done in stages, as out-patient or in one stage with overnight hospitalization. 

The excess skin of the upper trunk is “pulled down” the hanging skin in the pubic area, thighs and buttocks are also “lifted up”. 

Patients must be reminded that the trade off for improving their deformity is acceptance of permanent circumferential scars. During the postoperative and healing phase (few weeks), there are limitations in daily activities, and any deviation from recommended instructions can cause undesirable complications and unwanted spreading, over-scarring.