This is a 43 years old female from Orange County who presented to Dr. Agha for a total body lift after a laproscopic Roux-en-y gastric bypass. The patient desired a multi-staged approach to her total body lift procedure. During the first stage, the patient has an L- brachioplasty of the arms, circumferential abdominoplasty, lower body lift, buttock lift, and fat transfer to her buttocks. The patient specifically requested for a small degree of buttock augmentation. During her second stage, the patient had a bra-line upper body lift, liposuction, and revisions. Post-operative pictures are taken at 1 year after her initial body lift procedure.