This is really easy. If your skin laxity or looseness extends beyond the ends of your tummy, then generally you will need a body lift or circumferential abdominoplasty. The other indication is, if you maybe don’t have a lot of laxity on the sides, but you have a lot of droopiness of your buttock, then you may also be a candidate for a body lift, rather than a tummy tuck. The majority of these patients have had massive weight loss, and their skin just has not recovered. The problem is, if you do a tummy tuck when the patient really needs a body lift, then you end up with big dog ears on the sides, which become even more prominent than before because your tummy is flat up. A tummy tuck just addresses the skin in the front of the tummy. A body lift is a combination of a tummy tuck, a thigh lift, and a buttock lift. In both operations we tighten the abdominal wall, and we use liposuction where required.