This is a 43 year old female from Baltimore who presented to Dr. Agha after losing 142 pounds through gastric bypass surgery. The patient also had an abdominal incision for removal of her gall bladder. Her pre-operative weight was 130 Ibs. The patient had a two-stage total body lift procedure. This included L-brachioplasty of the arms, crescent upper body lift to correct upper body laxity, breast augmentation with implants, a Wise-pattern breast lift, circumferential abdominoplasty with a midline Fleur-de-lis incision to remove her previous abdominal scar, a buttock Lift, upper buttock augmentation with her own lower back tissue, lower buttock lipoaugmentation, a lower body lift, and Spiral thigh lift. Post-operative pictures are taken at 6 months after her total body lift procedure.