Hello, and thank you for your Question regarding will a body lift, extended tummy tuck, and side thigh lift help with cellulite and sagging skin of your upper thigh and buttocks. Thank you for your history and your pictures. Let’s analyze your pictures for specific areas. In analyzing your abdomen, you have excess skin and fat of the lower abdomen with lower abdominal stretch marks. In analyzing your hips, you have a left hip scar surgery, and a soft-tissue indentation around that scar, as well as skin and fat of the bilateral lateral hips. In analyzing your buttocks, you have a significant amount of cellulite and hanging skin. Though subjective, your buttock volume appears “adequate.” Upon analyzing your outer thighs, you have excess skin and fat. The best surgery to have would be a 360-degree circumferential lower body lift. The extended tummy tuck will not address your hips, outer thighs, or buttocks. The side thigh lift will not address your abdomen or your buttocks. Therefore, the 360-degree circumferential lower body lift is your best option because it will address the excess skin and fat of your abdomen, outer thighs, hips, and buttocks. Additionally, the 360-degree circumferential body lift will plicate the rectus abdominis muscle and lift the mons. If you do anything short of the 360-degree circumferential lower body lift, these four body part areas will not be addressed. Of course, you could stage these procedures by having the extended tummy tuck performed and then, several months later, having the posterior body lift. However, these procedures are usually performed together. To address these four areas effectively, consider undergoing a 360 circumferential lower body lift. I hope I have answered your questions about whether a body lift, extended tummy tuck, and side thigh lift can help with cellulite and sagging skin in your upper thigh and buttocks. Thank you for your history and your pictures. 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 150 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.)