This is a 34 year-old female who weighed 306 pounds when pregnant, but dropped to 188 pounds with diet and exercise. She underwent laser-assisted liposuction of the abdomen and flanks along with a circumferential lower body lift (i.e. extended abdominoplasty) and vertical abdominal skin removal. Almost 25 pounds of tissue were removed the day of surgery. The patient is seen just before surgery and 2.5 months after surgery (scars are immature and she is still somewhat swollen).