LBL incisions are determined by where the skin redundancy is located. You want to consider placing the incision to maximize removal of redundancy but must also take into account the anatomy as your surgical incisions will create natural junctions between for example the pubic region and the belly or the buttocks region and the lower back. Lockwood defined much of the anatomy involved as well as designed a tool that we use to elevate the lateral thigh region. Liposuction is employed by all body lift patients to minimize operative bleeding as well as to collect the fat if needed to augment the buttocks volume.