Abstract: After massive weight loss (MWL), skin redundancy remains an aesthetic and a functional problem that remains amenable only by surgical excision. Upper body deformities include the arms, breast/chest and back. Aim of wok: To classify the various upper body deformities with view to surgical approach. Patients and methods: 26 MWL patients were classified according to position of the lateral inframammary folds and underwent corrective procedures. Conclusion: the lateral inframammary fold position is a good tools for classifying patients into a group that requires isolated procedures to treat the upper body deformity (mastopexy/brachioplasty), and a group that needs a unit approach known as the upper body lift