Hi Kelz108, Thank you for your question regarding how do you fix saggy, baggy skin, low muscle tone and dimpling. Congratulations on your weight loss! Great accomplishment. Thank you for your history and your pictures. First, we should analyze your pictures to determine the best procedures. You have cutis pleonasmus (excess skin), dermatocholosis (loose skin), cellulite, and stria (stretch marks) of your buttocks, hips, and abdomen. Taking into consideration the very limited picture, it appears that you have stretch marks around the umbilicus, as well as excess skin and fat on your abdomen. A 360 circumferential lower body lift is the procedure that the majority of plastic surgeons recommend for patients who want to address their buttocks, hips, and belly all in one operation. An abdominoplasty (tummy tuck), mons lift, mons reduction, hip lift, hip reduction, buttock lift, and buttock reduction are all procedures that are performed during a 360 circumferential lower body lift. During the tummy tuck phase of the 360 circumferential lower body lift, excess abdominal skin and fat are removed, the rectus abdominis muscle is plicated to correct for rectus diastasis, and the belly button is reconstructed. All of these procedures are performed within the context of the procedure. Under general anesthesia, the 360-degree circumferential lower body lift can be completed in around six hours. Prepare yourself for a recuperation period of two to three weeks. I hope that I have been able to address your question about how you can fix saggy, baggy skin, low muscle tone, and dimpling skin. Good luck with your arm lift. To get an accurate assessment of exactly what you need, schedule a free virtual consultation to evaluate your arms for a potential 360-degree circumferential lower body lift. Most plastic surgeons offer free virtual consultations. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy, contact an experienced plastic surgeon. Since the body lift is a significant procedure, please seek an experienced, board-certified plastic surgeon with extensive experience performing lower body lifts. Do your research. Ensure they have performed at least 100 circumferential lower body lift surgeries and have the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower-body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.) I hope that I have answered your question regarding To get an accurate assessment of what exactly you need, schedule a free virtual consultation. Most plastic surgeons offer free virtual consultations. I hope I have answered you question regarding ……. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact an experienced plastic surgeon. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS (President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)