“Belt Lipectomy Before and after 1 month” This is a 38 year old woman who lost 60 pounds with diet and exercise from Chillicothe, Ohio. She wanted improvement all the way around the lower body and upper thighs. After her consultation at the Columbus Institute of Plastic Surgery, she decided to proceed with a belt lipectomy. A belt lipectomy is performed usually after losing a lot weight from gastric bypass surgery or on your own. The scars are still noticeable because these pictures are only one month from surgery and usually scars after plastic surgery take 1 to 2 years to look as good as possible.