Hello, thank you for your question regarding the recovery after a 360 circumferential lower body lift. During a lower body lift, an incision is made completely around your body. The tummy is pulled down and the hips and buttock are pulled up. Also, to tighten the abdominal wall, the tummy muscles (rectus abdomens muscles) are sown together. Strict adherence to YOUR plastic surgeon's body lift instructions is very important for a successful outcome. Each plastic surgeon has their own specific set of instructions for a body lift recovery. For MY 360 circumferential lower body lift patients, I have you sleep on your back with the head of the bed raised at about 45 degrees for 2-3 weeks. A recliner is perfect. Once cleared by me, you can walk once or twice a day for about 10-20 feet. My 360 circumferential lower body lift patients walk lumbar flexed (hunched over) at about 45 degrees over a walker. The trick with the 360 circumferential lower body lift, is that you do NOT lay flat (for fear of tearing the abdomen), nor sit 90 degrees upright (for fear of tearing the back). These laying and walking positions should be followed for about 2-3 weeks. I specialize in the 360 circumferential lower body lift. If you have any more questions regarding reconstructive surgery after massive weight loss, please contact my office. . Since the 360 circumferential lower body is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing these types of lifts. Do your research. Make sure they have performed at least 100 360 circumferential lower body on massive weight loss patients. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon , Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)