Body Contouring Surgery
Total Circumferential Body Lift
The total circumferential body lift is the most comprehensive body contouring procedure available: it addresses excess skin on the abdomen, flanks, back, buttocks, and outer thighs — all 360° of the trunk — in a single operation. It is primarily indicated for patients who have undergone massive weight loss, whether through bariatric surgery (sleeve gastrectomy, gastric bypass) or intensive dieting, and who present with a hanging abdominal apron, ptotic buttocks, and generalised skin laxity. Dr Nahed Fathi Ahmed, plastic surgeon in Agadir, SOMCEP 2024–2025 evaluating member, trained at CHU Avicenne in Rabat, performs this major procedure in two sequential phases under a single general anaesthetic, delivering a harmonious and lasting result across the entire trunk.
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Overview
The total circumferential body lift is the most comprehensive body contouring procedure available: it addresses excess skin on the abdomen, flanks, back, buttocks, and outer thighs — all 360° of the trunk — in a single operation. It is primarily indicated for patients who have undergone massive weight loss, whether through bariatric surgery (sleeve gastrectomy, gastric bypass) or intensive dieting, and who present with a hanging abdominal apron, ptotic buttocks, and generalised skin laxity. Dr Nahed Fathi Ahmed, plastic surgeon in Agadir, SOMCEP 2024–2025 evaluating member, trained at CHU Avicenne in Rabat, performs this major procedure in two sequential phases under a single general anaesthetic, delivering a harmonious and lasting result across the entire trunk.
Ideal Candidates
Ideal Candidates
- Massive weight loss stabilised for 12 to 18 months
- BMI ≤ 30–32 kg/m²
- Normal preoperative nutritional panel (albumin, vitamins, iron)
- Non-smoker or abstained for at least 4 weeks
- Documented abdominal, gluteal and/or thigh skin excess
- Realistic expectations and understanding of results
Contraindications
- BMI > 32–35 kg/m² (high operative risk)
- Unstable weight — recent gain or loss exceeding 5 kg
- Uncorrected nutritional deficiencies
- Active smoking
- Uncontrolled cardiovascular or respiratory conditions
Procedure
Duration: 4 to 7 hours
1
Phase 1 — Prone position
Posterior skin resection, buttock reshaping (gluteal lift), outer thigh lift
2
Phase 2 — Supine position
Abdominal apron resection, rectus muscle plication, umbilicoplasty, supplemental flank liposuction if required
3
Ribxcar protocol
Perioperative scar management to optimise the circumferential scar
4
Gcell (optional)
Fat grafting to the buttocks to restore volume and projection
5
Finalisation
Symmetry verification and closure in multiple anatomical layers
Recovery
Recovery timeline
Days 1–3
Moderate pain, active drainage, assisted careful mobilisation
Days 4–10
Drain removal, first independent movement, continuous compression garment
Weeks 3–4
Return to sedentary activities; slight contour improvement visible
Months 2–3
Return to desk work; scars in maturation phase
Months 3–6
Functional result well-established; light sports authorised
Months 6–12
Final result — remodelled silhouette, discreet low horizontal scar
Post-operative care
- Compression garment worn continuously for 6 to 8 weeks (except for showering)
- Consultations at Day 7, Day 14, Month 1, Month 3 and Month 6
Important restrictions
- No sport for 3 months
- No heavy lifting for 6 weeks
- Progressive walking from day 3–4
- Semi-reclined position for the first 10 days
Expected Results
Results timeline
6 to 12 months for the final result
Longevity
The total body lift delivers a radical and lasting transformation of the trunk: flat abdomen, reshaped and elevated buttocks, slimmer thighs. The scars, placed along a low horizontal line hidden by underwear, fade progressively with the Ribxcar protocol.
What to expect
- Flat and toned abdomen
- Reshaped and elevated buttocks
- Slimmer thighs
- Low horizontal scar hidden by underwear
- Scars fading progressively with the Ribxcar protocol
See our results
Discover our patients' transformations
Pricing
Estimated price
Fee upon consultation
This price includes
- Cost varies based on the extent of resection, operative duration, anaesthesia and hospitalisation fees (2 to 3 nights). A detailed, transparent quote is provided at the end of each consultation.
Prices shown are estimates and may vary depending on the complexity of your case. A personalized quote will be provided during your consultation.
Frequently Asked Questions
A tummy tuck addresses only the front of the abdomen. A body lift treats the abdomen, flanks, back, buttocks, and outer thighs — a full 360°. It is a much more extensive procedure reserved for patients with massive weight loss and generalised skin excess.
You don't need to be at your ideal weight, but your weight must be stable for at least 12 to 18 months and your BMI must be below 30–32. Subsequent weight gain or loss after a body lift would compromise the result.
The body lift requires 2 to 3 nights of hospitalisation for close monitoring of drains, pain management and wound healing. It is a major procedure requiring several weeks of home convalescence.
Scars are placed along a low horizontal line, hidden by underwear or a swimsuit. The Ribxcar protocol optimises their evolution. They lighten progressively over 12 to 18 months.
The already long operative duration (4 to 7 hours) limits combinations. Buttock fat grafting (Gcell) can be performed in the same session. Other procedures (arms, inner thighs, breasts) are generally planned as a second stage, 6 to 12 months later.
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