This is a 23-year-old female who underwent a gastric bypass 2 years prior to her presentation. She is from Burnsville, Minnesota. Following her gastric bypass, she lost 206 pounds. She maintained her weight loss for over a year prior to her evaluation. She is interested in rejuvenation of abdomen and legs and the back area. The patient underwent a stage approach to rejuvenation of multiple areas. First, she underwent a belt lipectomy which is essentially the same as an abdominoplasty on the back. Following her belt lipectomy, she underwent liposuction of the inner and outer thighs. Following her three procedures, she was ecstatic regarding her results. She no longer considers herself “a fat person.” She felt comfortable wearing swimsuits and shorts which she had previously felt uncomfortable wearing. She went from wearing a size 11-12 pants to a 5-6 pants.