Circumferential 360 dermolipectomy
Dr. Rodrigo Jorrat · Plastic surgeon · Buenos Aires · Lic. MN 122903Last updated: October 8, 2026When the excess skin isn't only at the front but wraps around the flanks and back, treating the abdomen alone leaves the job half done. The 360 addresses the whole circumference of the trunk and is the most frequent indication in my post-bariatric patients.
Who it's for
Those who lost a lot of weight and have loose skin on the abdomen, flanks and lower back or buttocks. The typical sign: pinching the skin of the back at waist level, there's as much excess as at the front. It isn't automatic for every post-bariatric patient: if the excess is only at the front, an abdominal dermolipectomy is enough.
How it's done
Excess skin and tissue are removed around the whole perimeter, tightening and shaping the body from the waist. It can be combined with liposculpture, diastasis correction and, when needed, a buttock lift using the patient's own tissue. In selected cases I add radiofrequency technology to support skin retraction.
Scar and recovery
The scar circles the trunk at waist level, planned to sit under underwear or a swimsuit. It's a major surgery, with a hospital stay, compression garment and frequent check-ups. Return to activity is gradual and defined for each case; what I do ask is to move early and carefully.
What we discuss beforehand
Whether a 360 is appropriate or the abdomen alone is enough, whether it's done in one or two stages, your nutritional status (haemoglobin, protein) and what is a realistic expectation for your skin.
The YouTube chapter on this topic
Real cases of this procedure
Patients I treated, published with their consent. Drag the divider to compare.
53 kg lost after gastric bypass
360 dermolipectomy, rectus plication with muscle volumisation, gluteoplasty with implants and liposuction with Retraction technology. See on Instagram
BeforeAfter360 dermolipectomy with muscle volumisation
With Retraction technology to support skin retraction on the abdomen and back. See on Instagram
BeforeAfter80 kg lost: reconstruction in stages
360 dermolipectomy and, in a second stage, mastopexy with dermal suspension, structured mastoplasty and brachioplasty. See on Instagram
BeforeAfterImages published with each patient's written consent. Results vary from person to person and are not a guarantee for other patients.
Frequently asked questions
How is it different from an abdominal dermolipectomy?
The abdominal one treats only the front. The 360 goes all the way around and treats flanks and back too.
Is it done in a single surgery?
Generally yes, but depending on general condition and the amount of skin it may be planned in stages. We decide together, prioritising safety.
Is the scar visible?
There is a circumferential scar at waist level. It's covered by underwear or a swimsuit.
The information in this article is general and does not replace an individual evaluation.
From my Instagram
Cases and explanations I shared on my account, in Spanish. Tap to play.
A patient who lost 75 kilos after a gastric bypass and decided to complete her process by improving her contour. We performed a 360 dermolipectomy with volumisation, adding Retraction technology and the RAP technique to improve skin retraction and the final shape of the abdomen and back.
After losing 75 kilos, the excess skin was significant and caused daily discomfort. We performed a 360 dermolipectomy that removed those flaps and restored firmness to the skin.
When there is abdominal distension and excess skin after a multiple pregnancy, every technical decision counts. Retraction technology made it possible to work more precisely, achieve better skin retraction and define the contour in a more controlled way.
