For most patients after a large weight loss their abdominal area is of the most concern. For these patients an abdominoplasty or Tummy Tuck is the first procedure they consider. If the patient also has a lot of loose skin on their thighs and buttocks they may consider a belt Lipectomy or Lower Body Lift (LBL). In these procedures the removal of skin and fat continues all the way around the body lifting the buttocks and lateral thigh areas as well as removing the excess skin and fat of the abdominal area. The LBL can be done in two stages as well – first doing the abdominal area and at a later time doing the back area. The decision on whether a LBL or a tummy tuck is the right procedure for you depends on many factors including the looseness of the skin and what other procedures you are considering.