The procedure is an extension of the high lateral tension tummy tuck concept developed by Ted Lockwood. Lockwood basically re-invented the tummy tuck by re-defining the nature of suspension of the deeper tissues of the abdomen and flank. The lower body lift extends the tummy tuck incision completely around the lower torso. This allows re-suspension of the lateral and anterior thighs along with the traditional tummy tuck improvements.

The operation is extensive and is known for wound healing complications. Some surgeons have arbitrarily divided the operation into smaller portions to help limit these complications. Furthermore, the concept has been expanded upon to include additional lifts such as those of the inner thigh (medial thigh lift). The traditional lower body lift targeted the upper thighs as well as the buttocks and abdomen. For the large volume weight loss patient, this operation is ideal to remove the redundant skin that frequently “hangs” around the lower torso.

These operations typically require 5–8 hours operating time when done together. The procedure requires time off from work. Close post-operative supervision is advised.