Learning objectives: After reading this article, the participant should be able to: 1. Provide a careful preoperative evaluation. 2. Understand the relevant anatomy. 3. Appreciate and apply the range of procedures that can be applied to address an individual patient's goals. 4. Focus on patient safety and avoiding complications.
Summary: Body contouring has advanced significantly over the past decade, fueled by the increased number of massive weight loss patients and the advent of new fat-reduction technologies. This has impacted both the number of cases performed and the range of procedures. Many innovations are being developed as plastic surgeons meet the evolving needs of our patients. This review covers essential principles of patient selection and safety; anatomical concepts; staging and combining procedures; and select aspects of contouring of the trunk and extremities using excisional techniques, liposuction, and fat grafting.