This is a 41 years old female who presented to Dr. Siamak Agha for a total body lift. The patient was unhappy with her overall skin laxity and wished to have correction of her arms, breasts, lower body, and thighs. The patient had a 2 stage approach. During the first stage, the patient underwent a lower body lift that included monsplasty, circumferential tummy tuck, buttock lift, buttock augmentation with her own tissue, outer thigh lift, and a Spiral thigh lift. The patient also had an L-brachioplasty. During a second stage, the patient had a dermal-bra-suspension breast lift. Post-operative pictures are taken at 3 months after her total body lift procedure.