Patient is a 41 year old woman who presented in consultation for recontouring of her abdomen and breasts. The patient complained of breast drooping and abdominal skin and muscle laxity after an 80 pound weight loss following gastric banding. She also complained of fullness of bilateral flanks. She underwent bilateral breast lifts, an abdominoplasty with tightening of her rectus muscles (rectus plication), and liposuction of her flanks. She is seen here 2 months after surgery, with improved aesthetics of her breasts, abdomen, and flanks.