In one procedure, excess skin removal of the abdomen, outer thighs, back, and waist occurs. Incisions extend completely around the body to remove a “belt” of excess skin and fat. Following significant weight loss, a person may end up with a lot of excess fat and skin that is most obvious in the front, often looking like an apron that will hang to varying degrees. However, the hanging excess does not stop in the front, and most often it will continue on to the sides and the back involving the outer thighs, lower back, and buttocks regions. This type of problem is called circumferential excess of skin and fat and will require a lower body lift for correction.