The lower body lift surgical procedure tightens loose, sagging skin in the buttocks, posterior thighs, hips, outer thighs, and anterior thighs.  It utilizes incisions which pass from the back around the hips to the front of the thighs.  The loose skin, as well as underlying fat tissue, is removed from below the incision to allow suspension of the remaining tissues to stretch and smooth the lower body, especially the buttocks and thighs.  The surgery begins in the back and requires repositioning during the surgery to address the hips and outer thighs and front of the thighs.  It can be combined with an abdominal skin tightening if needed.  If a previous tummy tuck (abdominoplasty) has been performed or is not needed, the lower body lift can be extended to tighten the inner thighs.