This patient desired a more contoured midsection. She had lost 40 pounds as was unhappy with the loose skin of her abdomen and inner thighs. After examination, Dr. Lapuerta recommended a belt lipectomy to remove skin from the abdomen and extend the incision around the back to achieve the best contour. At the same time, he would also perform a thigh lift. 6 months after surgery, she opted for breast surgery.