In one method, the skin on the abdomen, outer thighs, back, and waist is excessively removed. The incision extends completely around the body to remove excess skin and fat. After a significant weight loss, a person may see a lot of excess fat and skin in the front, which usually looks like an apron that will hang to varying degrees. However, the extra part of the suspension does not stop in the front and usually continues to the side and back, involving the outer thigh, lower back, and buttocks area. This type of problem is excessive circumferential skin and fat and it requires correction or excision of excess skin fold all around in a way that the fine scar line remains hidden in the bikini line. The high level of surgical expertise of the plastic surgeon is of paramount importance to deliver the best lower body lift result.