After losing over 100 pounds through laparascopic gastric bypass surgery, this 47 year old female can came to Plastic Surgery Body Contouring Center for a total body lift. On examination by Dr. Agha, she was found to have buttock deflation and sagging, arm tissue laxity, breast deflation, vertical and horizontal thigh laxity, and lower body looseness. During the patient's two-stage body lift procedure, the first stage included a tummy tuck, monsplasty, lower body lift, buttock augmentation with her own tissue, buttock lift, outer thigh lift, and spiral thigh lift. The patient's second stage included and anchor type breast lift, breast augmentation with silicone implants, L-brachioplasty, thigh liposuction, and vertical thighplasty. Her post-operative photos were taken approximately 9 months after her last procedures.