The distinction between a "lower body lift" and a "belt lipectomy" is subjective and will be answered differently by various doctors. Essentially however a belt lipectomy involves a relatively straight incision all the way around the waist, removing loose skin in both the abdomen and lower back. But the belt lipectomy does not work to lift the buttock and thighs. The lower body lift (also known as a thigh/buttock lift) actually has a scar that for technical reasons is located a bit higher on the back than is the belt lipectomy. While the belt lipectomy just removes the pinch of skin and fat around the waist, the lower body lift involves dissection down under the thigh and buttock and is primarily focused upon raising and lifting those tissues. The scars are very similar but will be different. The lower body lift is a longer procedure with a longer recovery because more work is done on the thigh and buttocks and the tissues need to be pulled a lot tighter in order to produce a durable lift of the thighs and buttocks.