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This 45 year old white female underwent a massive weight loss in the 18 months following a gastric bypass. She had loose skin extending completely around her lower abdomen and across her buttocks. To correct this I performed a ‘lower body lift.’ An abdominoplasty was literally extended circumferentially around the lower body linking a tummy tuck in front with a buttock lift in the rear. In addition, the side components of the ‘lower body lift’ produced tightening of the lateral thigh skin.