This woman lost 150 lb after gastric bypass surgery. She complained of severe hanging and wrinkling skin, as well as a heavy abdominal apron. She had a circumferential lower body lift, with fleur de lis (vertical incision) on her abdomen. She is happy to be rid of the extra skin hanging from her body, and now looks as good as she feels. She had over 10 lb of excess skin and fat removed from her mid section.