A doctor in a white coat marks guidelines on a woman's bare abdomen with a purple marker, likely preparing for a cosmetic or medical procedure.

Belt Lipectomy

Significant weight loss is an achievement worth celebrating — but it often leaves behind loose, sagging skin around the waist that no amount of diet or exercise can tighten. As the years pass, gravity and natural changes in skin elasticity add to the problem, leaving excess tissue that hangs along the midsection and lower back. A belt lipectomy, or truncal body lift, removes this circumferential excess to reveal a smoother, firmer, more proportioned frame. Patients across Reno and Lake Tahoe turn to Avance Plastic Surgery Institute for this transformative stage of their body-contouring journey.

A belt lipectomy is performed by Dr. Erez Dayan, a board-certified plastic and reconstructive surgeon and Medical Director of Avance Plastic Surgery Institute whose training is rooted in complex reconstructive surgery. Dr. Dayan completed the Harvard Plastic Surgery Program — serving as Chief Resident in Plastic and Reconstructive Surgery at Massachusetts General Hospital — followed by an aesthetic surgery fellowship at the Dallas Plastic Surgery Institute. That dual foundation is especially valuable in body-lift surgery, where reshaping the entire trunk demands both reconstructive precision and a refined aesthetic eye. Often performed as an extension of a tummy tuck, the procedure is carefully planned around each patient’s anatomy and goals to restore balance through the abdomen, waistline, hips, and lower back.

What Is a Belt Lipectomy?

A belt lipectomy is a body-contouring surgery that removes loose skin and fat encircling the waist, or “belt line.” Also referred to as an abdominal lipectomy, it is frequently incorporated into a tummy tuck or mommy makeover and is particularly well suited to patients who have lost a substantial amount of weight through lifestyle change or bariatric surgery. Where a standard tummy tuck addresses the front of the abdomen, a belt lipectomy treats the trunk in full — front, sides, and back — for a more complete and balanced result.

A Circumferential Approach to Body Contouring

As a truncal body lift, the belt lipectomy expands on the standard tummy tuck by extending the incision around the circumference of the posterior waistline, over the upper buttocks. This allows excess skin and fat to be removed from the lower back and flanks as well as the front of the abdomen, achieving aesthetic harmony all the way around. When appropriate, Dr. Dayan can incorporate additional contouring of the buttocks as part of a fully tailored surgical plan.

“A body lift is about more than removing skin — it’s about restoring proportion and helping patients feel comfortable in their own frame again,” says Dr. Dayan. “Every plan is designed around the individual, never a formula.”

What to Expect

Because the incision reaches farther around the hips than a traditional abdominoplasty, a belt lipectomy may involve a somewhat longer recovery. Patients discuss the full scope of their procedure — including incision placement, any added buttock contouring, and expected downtime — during a confidential consultation before surgery. Dr. Dayan and his team provide a detailed aftercare plan and support patients through each stage of healing so the final result reflects the effort already invested in their transformation.

Frequently Asked Questions About Belt Lipectomy

Am I a good candidate for a belt lipectomy?

The best candidates are at or near a stable goal weight, in good overall health, non-smokers, and bothered by loose skin that circles the waistline — often after major weight loss. A consultation with Dr. Dayan is the best way to confirm whether the procedure suits your goals.

How is a belt lipectomy different from a tummy tuck?

A tummy tuck primarily addresses the front of the abdomen, while a belt lipectomy removes excess skin and fat all the way around the trunk, including the flanks and lower back. Many patients who have lost significant weight need this circumferential approach to achieve balanced results.

Will a belt lipectomy leave scars?

Some scarring is unavoidable with any body-lift surgery, as the incision extends around the waistline. Dr. Dayan places incisions thoughtfully so they can be concealed by underwear or swimwear, and most scars soften and fade considerably over time.

Can a belt lipectomy be combined with other procedures?

Yes. A belt lipectomy is often combined with additional buttock contouring or performed as part of a broader body-contouring plan. Dr. Dayan will review safe and appropriate options with you during your consultation.

How long is recovery after a belt lipectomy?

Recovery is typically a bit longer than a standard tummy tuck because of the extended incision. Most patients gradually return to normal activity over several weeks, guided by a personalized aftercare plan and follow-up visits.

How long do the results last?

Results are long-lasting when paired with a stable weight and healthy lifestyle. Maintaining your results is something Dr. Dayan’s team supports directly through the practice’s maintenance program.

Why Choose Avance Plastic Surgery Institute for a Belt Lipectomy

Reconstructive Surgical Training: Harvard-trained surgeon with Chief Resident experience at Massachusetts General Hospital and an aesthetic fellowship at the Dallas Plastic Surgery Institute
Body-Lift Expertise: specialized skill in circumferential contouring for patients after major weight loss
Individualized Planning: every procedure designed around the patient’s anatomy, goals, and proportions
Accredited Surgical Facility: procedures performed in an AAAASF-accredited operating suite built for safety and precision
Comprehensive Aftercare: detailed recovery support and a maintenance program to protect long-term results

Schedule Your Consultation in Reno/Tahoe

If loose skin around your midsection is holding you back from enjoying the results of your weight-loss journey, a belt lipectomy with Dr. Erez Dayan may be the next step. Contact Avance Plastic Surgery Institute in Reno/Tahoe, NV at (775) 800-4444 to schedule your confidential consultation. Virtual consultations are also available for patients traveling from out of town.

Contact the Reno/Tahoe office of Avance Plastic Surgery Institute today to inquire about a belt lipectomy, or truncal body lift, from Dr. Dayan and schedule your consultation.

Maintenance Program

The maintenance program at Avance Plastic Surgery Institute is designed to offer patients a convenient way to continue seeing the benefits of our treatments for as long as possible.

To maintain the outcomes of body contouring procedures, we recommend non-invasive and minimally invasive treatments with the following devices:

Forma Body (InMode)
Morpheus 8 Body (InMode)
Evolve

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Reviews

5.0 / 5.0

5.0 stars from 587 reviews

Hands down the most qualified, honest and knowledgeable plastic surgeon in Northern Nevada. Dr. Dayan and his staff are truly committed to offering leading edge technology, quality and professionalism to each and every treatment ranging from to simple non invasive injections to complicated procedures. What he and his team have to offer always seems too good to be true, but they always over exceed expectations and are incredibly budget conscientious. The Reno-Tahoe area is incredibly fortunate to welcome such a skilled and qualified aesthetic professional into the area!

Shelby M.

Dr. Dayan is the surgeon clients should interview with and choose for their procedures. I am always very cautious when deciding important life decisions and I can say without a doubt that I would go through my surgeries again with Dr. Dayan. Every appointment has been professional, courteous, informative, and truthful. I never felt rushed. I also appreciate knowing my privacy is maintained. My fear of pain is very respected, and his demeanor eases it quite a bit. I made my decision to trust Dr. Dayan because of his extensive education, vast experience, and my first-hand witness of his character. These factors have allowed me to look forward to all of my appointments.

Aubrey S.

I had three consultations and didn't make any decisions lightly, but Dr. Dayan blew the competition out of the water. From the moment I met him during my consultation, he was honest and open while also personable. He also insisted on putting me in touch with previous patients before I made my decision so that I could have a better understanding of the process and recovery as a whole. I ultimately picked him because I knew he would do a good job but also because I felt at ease with him. The day of surgery, I was very nervous and he was comforting while efficient with his time. He was also completely honest with me during my recovery and called either myself or my husband often to make sure I was doing well, but also to make sure my husband understood the process completely. He also makes himself so available for any little questions or concerns I've had, making me feel secure in knowing he's only a phone call or a text away. Although I am not yet completely healed (only 3 weeks post-op) I already feel so confident in the work that has been done. He has helped me to transform something that had me so insecure for such a long time into a body I feel comfortable in. I cannot wait for the final results! I won't hesitate to return to Dr. Dayan for anything else I need done. Between him and his office staff (Alli) I feel like more of a member of the Avance family rather than a patient!

Jacelyn O.

I highly encourage anyone who is considering plastic/reconstruction surgery to schedule a consultation with Dr. Dayan. I couldn't have asked for a better experience and outcome from my breast augmentation. At my consultations, not only did I get my questions thoroughly answered, but I was treated with such genuine kindness and patience. Dr. Dayan is professional, highly knowledgeable, honest and has a certain way of connecting with others. For these reasons, I trusted him and felt supported throughout my whole breast augmentation experience from pre- to post-surgery care. All around, I felt safe and informed about this big decision/investment which is all I could ever ask for. I recovered so much easier than I expected, and my breasts are looking perfect and natural! Dr. Dayan definitely listened to what I wanted and followed through. Lastly, I want to mention how sweet and supportive his team is over at Avance! I am very appreciative of their service.

Sidney C.

My results after a "noninvasive" procedure are amazing. The cutting-edge techniques and noninvasive technology that Dr. Dayan incorporates into his procedures, as well as being a gifted and talented surgeon and individual, all contribute to his many accomplishments. However, I personally am impressed with his abilities to listen, communicate, and create beautiful results. I highly recommend a consultation with Dr. Dayan before making a final decision on any kind of procedure. Just another satisfied patient!

Mary J.

I had a perfect experience at Avance. Dr. Dayan was quick, professional, and checked in with me regularly to make sure I was comfortable during the short procedure I needed done. His demeanor was calming and I was able to put full trust in his abilities from start to finish. Erez really knows his stuff, and it's amazing he's here in Reno when he could clearly be somewhere much bigger if he wanted. I definitely won't hesitate to book again if needed.

Chris S.

Absolutely an amazing experience! Where to start? When I first thought of getting a mommy makeover my expectations were not that high because I didn’t ever think I could look the way I wanted to. I always just hoped it would be an improvement and I would be happy with that. Then I met Dr. Dayan. From the first consultation he made me realize that he could give me beautiful results that I didn’t know were possible. He was so kind and confident and I knew from that moment that he was going to be my surgeon. I booked my surgery (a breast augmentation with implants and a tummy tuck with lipo) that day and it was the best choice I have ever made. Before my procedure he was very thorough and explained step by step what he was going to do which made me feel so comfortable. I actually wasn’t nervous at all. I was so excited! I am now 1 month post op and my results are above and beyond what I could have ever dreamed my body could look like after a mommy makeover. Dr. Dayan did an exceptional job. I am not completely healed and I already am so pleased. There are no words that can do justice to how amazing it is to put trust in someone with my body and wake up with results that are better than I could have ever imagined. He truly is skilled in his profession and has the eye for what is best for your body to give you the best results. He followed up with me several times post op to see how I was feeling. If I had any concerns or questions he responded to them quickly and personally which made me feel confident that everything was going well! His care is exceptional from beginning to end. He has an amazing staff as well. His Patient coordinator Ali is so sweet and helpful. She is amazing with communication as well as helping you with financial options and scheduling. You won’t be disappointed working with Dr. Dayan and Ali!

Valerie F.

Dr. Dayan and his team are the best of the best! The level of care, professionalism is top of the class. I strongly recommend Dr. Dayan and his entire team. I cannot say enough about his work - he is incredibly talented and I am confident under his care. Of course the results are amazing! I love my LIPS!

Nasya M.