Thank you for your question regarding what to do with your body after massive weight loss and whether you need a lower body lift, thigh lift, and lower back lift. First, congratulations on your weight loss. Great accomplishment. Now comes the completion of your weight-loss journey. I would definitely suggest a lower body lift combined with a vertical longitudinal medial thigh reduction. Let’s go into the specifics of what this would entail. The lower body lift would include a pubic lift, pubic reduction, rectus muscle plication, the re-creation and a new position for your pre-existing belly button, a new bellybutton shape, hip lift, hip reduction, buttock lift, and buttock reduction. During a thigh reduction, inner thigh liposuction is done and excess skin and fat of the inner thighs are removed. This entails an incision from the groin to the knee. The body lift incision entails an incision from the pubic region to the top of the buttock crease, 360 circumferentially around your lower abdomen. The 360 circumferential lower body lift is also called a belt lipectomy. These procedures can be successfully combined in one surgical setting. These are performed under general anesthesia. Please plan to give yourself approximately a 2 to 3-week recovery. Cost depends on your chosen plastic surgeon. Cost depends on the experience of your plastic surgeon and their geographic location and whether the procedure is being performed in a hospital or a surgery center. In regards to a specific cost, please contact my office to schedule a consultation. I hope this helps answer your question regarding what do you need after significant weight loss and after having undergone upper body surgery. I specialize in reconstructive plastic surgery after weight loss. 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 my office. 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. (“Verified” Plastic Surgeon, 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 and RealSelf Hall of Fame.)