Thank you for your question regarding whether the lower body lift includes the tummy tuck.Yes, it does. It can be combined with a breast procedure. Before you make any decisions regarding an body lift, I would suggest you seek consultation with an expert. Please seek an experienced, board-certified, plastic surgeon. Travel out of state if you must to find such a body lift expert. If you have any more questions regarding a body lift, breast lift, tummy tuck, or plastic surgery in general, please contact my office. Sincerely, Dr. Katzen. (Certified by the American Board of Plastic Surgery and member of the American Society Plastic Surgeons, International Society of Aesthetic Plastic Surgery, American Academy of Cosmetic Surgery,and Fellow of American College of Surgeons and American Board for Metabolic and Bariatric Surgery)