It is not uncommon for patients to experience excessive skin and fat rolls in the back and flank area, especially after massive weight loss. In combination with this problem patients also complain of sagging hanging skin in the buttock area. Both these problems can be corrected by performing a lower body lift. A lower body lift involves making an incision in the underwear line above the buttocks and lifting the entire buttock skin and fat complex superiorly. As well, it also elevates the skin of the back and pulls it all down own similar to the tummy tuck but in the opposite side. This pulls the folds out of the back skin. And elevates the buttock at the same time. All the skin and fat is then excsised leaving amuch mre lifted and shapely back side.