**2.2 Preoperative planning**

• In body shaping procedures, preoperative surgical marking during preoperative planning has a great importance for an optimum result. Preoperative surgical marking has to be done with detailed physical exam while the asymmetries are also need to be addressed as well. In the presence of assymetry, patient should be informed regarding the postoperative result. As a result of physical exam, the concavity and convexity should be determined and marked. These markings will be guideing the surgeon during the surhery and will also decrease the risk of contour deformities by applying the liposuction to the appropriate areas as needed. Preoperative marking should be done in standing position. Patient's shoulders must be placed in 90 degrees of abduction and elbows should be positioned at 90 degrees of flexion. This position will help to assess the skin laxity, skin excess and the degree of ptosis. Surgeon will able to evaluate the contour deformities while the patient's arm are in full extension. Preoperative surgical markings should be checked one more time after the patient is placed on the operation table.
