The body in the patient who has lost a massive amount of weight presents an extreme form of traditional esthetic and functional body contour concerns. Routine body contouring procedures usually produce only suboptimal results in this patient population. The body lift described herein is an excellent alternative to treat the body contour deformity of the patient who has undergone bariatric surgery. As with every technique, careful patient selection, education, and preparation are critical to minimizing complications and optimizing outcome.