Body contouring after massive weight loss is an important step of the treatment for obese and overweight patients. As a member of the bariatric multidisciplinary team, the plastic surgeon helps to finish the reconstruction process by removing skin and fat excess. With the rise of bariatric surgery and extreme weight loss, this surgery is more in demand and has became more and more performed recently and well codified. Over the last decade, surgical techniques have dramatically changed allowing providing safe procedures and harmonious results. Lower body lift surgery (also known as a belt lipectomy) allows to treat safely contour deformities of the abdomen, the thigh and the buttocks resulting from massive weight loss. The result will be harmonious because the treatment is circumferential.