Since weight loss is associated with skin looseness in the arms, breast, abdomen, back, buttocks, and thighs, it is not possible to operate in all the areas without subjecting the patient to unnecessary risks. Usually, the first stage of the surgery usually involves the shaping of the midriff which includes tightening the abdomen, lifting the outer thighs, reducing the back and flank bulges as well as lifting the buttocks. The second stage of the surgery is based on the patient's concern and may include breast reshaping and/or arm and thigh lift.