This patient lost 124 pounds with gastric sleeve surgery. She waited 2 years for her weight to stabilize and then she consulted with Dr. Lapuerta. Dr. Lapuerta recommended to stage the procedures. She had concerns about her stomach, back, arms and breasts. First stage he recommended a lower body lift and this is what she had. Her second stage was arms and breasts. Then recently she had a medial thigh lift and is doing great!