Massive weight loss often results in slack “drooping” breasts, which can be concealed under certain clothing, but nevertheless often constitute a significant psychological problem for the person affected. A breast uplift is necessary to restore the shape and firmness of the breasts. By repositioning the nipples higher and removing excess skin, a breast can be completely remodelled using special surgical techniques. For most patients the new permanent and more youthful shape of the breasts is an enormous boost to their self-confidence.
Unattractive slackness in the upper arms is very difficult to conceal. Even special weight training usually does not remedy the problem, as the skin has lost its elasticity, hangs down and does not return to its original position. This effect can only be achieved by an upper arm lift in which specific areas of fat and surplus skin are removed. Depending on the distribution of fat on the upper arm, the upper arm lift can be combined with liposuction. The operation, which takes one to two hours, leaves long scars on the inner side of the upper arm.

In some cases there is also excess skin in the region of the armpit and side wall of the breast. To improve the contours of this area a combination of upper arm lift and breast lift is called for, resulting in additional scars on the lateral wall of the thorax.
After the upper and lower body lift has been completed, the final stage looks at the inner side of the upper thigh. This region is a classical problem zone, with the spectrum ranging from a slight loss of elasticity to garland-shaped sagging of entire sections of skin. If the inner side of the upper thigh has not been sufficiently lifted by the preceding body lift, an upper thigh lift is necessary. As a general rule, the actual lifting operation is combined with liposuction. In order to be able at least partially to conceal the scar resulting from the upper thigh lift in swimwear, the strip of skin and fat to be removed is in the inguinal fold at the front, leading along the thigh-perineal line to the infragluteal fold. However a large circular surplus of slack skin cannot always be completely eliminated here, so that an additional vertical wedge dermolipectomy may be necessary.