If you’ve lost weight, undergone pregnancy, or simply noticed your body changing with age, you might struggle with two common frustrations: loose skin that won’t tighten and lost volume in your breasts or buttocks. You deserve a solution that addresses both, without implants or multiple surgeries. At The Gallery of Cosmetic Surgery, our Auto-Augmenting Belt Lipectomy is designed to do just that. This single procedure removes excess skin, contours the waist with 360° liposuction, and uses your own fat to naturally enhance your curves, resulting in a firmer, more balanced silhouette.
What Is Auto-Augmenting Belt Lipectomy?
Auto-Augmenting Belt Lipectomy is a comprehensive body contouring procedure that combines belt lipectomy, lipo 360, and fat transfer. The belt lipectomy involves the circumferential removal of excess skin and tissue around the waistline and lower trunk, often needed after weight loss or pregnancy. During the same procedure, lipo 360 is performed to contour the abdomen, flanks, and back while harvesting fat.
Rather than discarding this fat, it is purified and re-injected to enhance areas that commonly lose volume. Specifically, fat is transferred to the buttocks and/or the breasts, where it can lift, enhance, and fill for a natural result. This approach provides patients with both circumferential tightening of the body and targeted restoration of volume, all in one operation using their own tissue.

Benefits of the Combined Approach
An Auto-Augmenting Belt Lipectomy merges circumferential body lifting and fat transfer into a single surgery, offering various benefits. Let’s have a look at them:
- One comprehensive plan: Single operative session for circumferential skin removal, waist refinement, and volume restoration.
- Natural‑tissue enhancement: No implants; uses autologous fat for softness and feel.
- Proportional results: Tightening below the waist with strategic volume placement to balance the torso, hips, and chest.
- Leverages harvested fat: Efficient use of lipo 360 fat that would otherwise be discarded

Who Is a Good Candidate?
You may be a candidate for Auto‑Augmenting Belt Lipectomy if you:
- Have circumferential skin laxity of the lower trunk after weight loss or pregnancy and desire improved waistline definition.
- Prefer using your own fat to modestly enhance buttocks and/or breasts. (Typical fat‑graft breast increases are conservative; final volume depends on graft retention.)
- Are at a stable weight, in good general health, and able to follow recovery instructions (compression garments, activity modification, and sitting/sleeping guidelines after BBL).
How does the Procedure work?
An Auto-Augmenting Belt Lipectomy is performed in a series of carefully planned steps. The procedure both removes excess skin and reuses your fat to restore or enhance volume in the breasts and buttocks. Here’s how it works:
Planning & Marking
Before surgery, customized markings are made around the waist and lower trunk to guide skin removal and liposuction areas. This ensures precision for both contouring and fat harvest.
Lipo 360 & Fat Preparation
Liposuction is performed around the abdomen, flanks, and back to shape the waistline. The fat that is removed is purified and processed so it can be safely re-injected.
Belt Lipectomy (Lower Body Lift)
A circumferential excision is made to remove loose skin and underlying tissue around the entire waistline. The closure is layered to support and maintain the new contour.
Fat Transfer to Buttocks
The prepared fat is carefully injected just under the skin, above the gluteal muscle, following current safety guidelines. This enhances projection, improves shape, and creates a fuller, lifted appearance.
Fat Transfer to Breasts
Fat is then injected into targeted areas of the breasts to restore fullness, improve shape, and provide a subtle lift. Surgeons account for the natural resorption of a portion of the graft, ensuring balanced results.
Dressings & Garments
Once the surgical steps are complete, compression garments are placed to help control swelling and support healing. You’ll also receive detailed aftercare instructions to follow during recovery.
Results & Aftercare
An auto-augmenting belt lipectomy creates a smoother, tighter waistline with added fullness in the buttocks and/or breasts. Scars are placed low around the waist and are generally easy to conceal. To protect these results, you need to wear compression garments and follow detailed aftercare instructions, including avoiding pressure on the buttocks in the first weeks after surgery. Most patients plan for about two weeks off work, with activity gradually increasing over the next month. By three to six months, most of your swelling resolves, and the final, long-lasting results become visible.
Your Consultation with Dr Jonov
During your consultation, Dr. Jonov will review your medical history, weight stability, and donor-fat availability. A customized plan is then created, including incision design, lipo 360 areas, and fat-transfer targets. You’ll also receive clear counseling on risks, recovery timelines, and a written quote with financing options to help you plan confidently.
Interested in Auto‑Augmenting Belt Lipectomy?
To schedule a complimentary consultation with Dr. Jonov or with questions at The Gallery of Cosmetic Surgery serving Kirkland, Bellevue, and Seattle, WA.
Why Choose The Gallery of Cosmetic Surgery
At The Gallery of Cosmetic Surgery, Dr. Craig Jonov and his experienced team specialize in advanced body contouring and fat transfer procedures, serving patients from Bellevue, Kirkland, Seattle, and Lynnwood. From consultation through recovery, we provide personalized care, detailed guidance, and ongoing support. Patients can also explore our Before & After Gallery to see real examples of lower body lifts, fat transfer to breasts, and Brazilian Butt Lifts.
Schedule Your Auto-Augmenting Belt Lipectomy Consultation
Tighten your waistline and add natural volume to your breasts or buttocks with Dr Jonov at the Gallery of Cosmetic Surgery. Our team will guide you through every step, answer your questions, and create a plan tailored to your goals. Call (425) 775-3561 or click here to book your slot.
FAQs
How long does auto-augmentation last?
The results are long-lasting. Skin removal is permanent, and fat that survives transfer remains indefinitely, though weight changes can affect volume.
What is the difference between a belt lipectomy and a tummy tuck?
A tummy tuck addresses the front of the abdomen, while a belt lipectomy removes excess skin and tissue circumferentially around the entire waist and lower trunk.
What is the difference between fat transfer and auto-augmentation?
Fat transfer refers to moving fat to enhance an area. Auto-augmentation combines this fat transfer with a body lift or belt lipectomy, using tissue that would otherwise be removed to restore volume.
How can I increase my cup size without implants?
Fat transfer to the breasts can provide a modest cup size increase using your own fat, offering natural fullness without implants.
What is the difference between auto-augmentation and a lift?
A lift repositions and tightens tissue for shape, but doesn’t add volume. Auto-augmentation both lifts and enhances volume using your own fat.