This 33 year old female lost over 180 pounds of weight through laparoscopic gastric bypass surgery. She presented to Dr. Siamak Agha for a lower body lift. The patient had a two-stage lower body lift. The first stage included thigh liposuction and a vertical thighplasty . During the second stage, the patient had a circumferential tummy tuck, buttock Lift, upper buttock augmentation with her own lower back tissue, lower buttock fat transfer, Spiral thigh lift, monsplasty, and more liposuction. Post-operative pictures of her body lift were taken at 12 months after her first surgery.