This is a nice 35 year old lady from Scottsdale, Arizona before and after lower body lift surgery and thigh liposuction. All in all, she lost 115 pounds with diet and exercise over a period of 4 years. Her weight has been stable for the past 2 years when she desired an improvement in her body contour. Her highest recorded body mass index was 47. At the time of surgery, her body mass index was 29. She was not happy with the excess skin in the tummy, hips and back. She mentioned that after weight loss, she developed loose skin and a flabby tummy. She wanted a lower body lift to improve her central figure and thigh liposuction to reduce her thighs. We decided on plastic surgery after major weight loss, including lower bodylift and conservative liposuction. Before surgery, she is 5 feet 7 inches and weighed 185 pounds. A preoperative protein supplementation diet and bariatric vitamins was recommended. During the operation the tissue removed for the body lift weighed 4782 grams and 1300 of additional fat was removed from the thighs. The total weight of these specimens is 13. 4 pounds. She spent 3 nights after surgery at a local Arizona plastic surgery specialty hospital. Her before and after photos show her at 3 months after lower bodylift and thigh liposuction.