This young patient lost over 180 pounds with gastric bypass surgery over 10 years ago. She consulted with Dr. Lapuerta about body contouring surgery after weight loss surgery. She was at a stable comfortable weight and was ready to proceed with surgery. Dr. Lapuerta recommended a full arm lift and a lower body lift to target her abdomen, back and lateral thighs. 6 months after surgery she feels great and has already scheduled her second stage procedure.