Circumferential lower truncal dermatolipectomy

Obesity and overweight in the general population have increased significantly over the last several years. Such increases have stimulated many approaches to treat this condition from a clinical perspective, with improved surgical and conservative measures that have become available for controlling overweight. The present article examines both established procedures for performing body lift procedures and innovative approaches that are now available, as well as their potential complications. The problems and solutions discussed in this article derive from the authors' own experiences collected over the last 10 years at the Department of Plastic and Reconstructive Surgery at the Dreifaltigkeits-Hospital in Wesseling, Germany. These surgical procedures are the operations with the largest treated body surface area with manageable risks when the planning and operation are performed meticulously and conscientiously.