This is a young woman who developed profound circumferential skin excess after massive weight loss. Her skin was loose on the upper and lower abdomen, not to mention the flanks, lower back and upper back. Instead of a traditional 360-degree tummy tuck, Dr. Jejurikar performed a tummy tuck with oblique flankplasty, which curves the back incision upwards. Not only does this type of incision optimize the waist to hip ratio, but it allows for optimal correction of the upper abdomen; instead of a vertical scar on the front of the abdomen, instead the patient has scars on the back. She is seen 7 months postop with a wonderful transformation.