The patient is a 53-year-old woman who lost weight after undergoing a lap band procedure, leaving with her with laxity of the abdominal wall, flank, back, buttocks and thighs. She underwent a lower body lift (circumferential abdominoplasty) with extensive liposuction of the back, abdomen, thighs and love handles. She is seen four-and-a-half months out from surgery with a dramatically different appearance to the abdomen, flanks, back, thighs and butt.