This is a procedure which tightens the skin of the buttock area. It removes excess, sagging buttock and thigh skin that has developed as a result of weight loss, aging and gravity, or genetics and results in an improved, more flattering and toned butt and thigh contour. The incision for the procedure is placed very low on the back, just above the buttocks. The procedure can be performed alone or in combination with other operations such as a thigh lift and abdominoplasty.