Many parts of the body sag after significant weight loss, either through diet or after sleeve gastrectomy or gastric bypass surgeries. The sagging parts include the abdomen, back, buttocks, arms, thighs, breasts, as well as the face and neck. It is a common mistake for the patient to believe that the surgeon can rid him of all of this with one surgery. The truth is that what controls us is the length of the operation, which exposes the patient to high doses of anesthesia and severe blood loss, as well as important elements and pain in multiple places, the long recovery period, difficulty to sit or lie down and lack of movement, which can lead to clots and higher rates of wound infection. Based on long experience in this field, if the patient does not have a specific choice, I recommend the patient a circular body lift with arm lift at one stage, followed by thigh lift with breast sagging repair at a later stage after completing his recovery period