This patient had gastric bypass surgery and lost 220 pounds. She was unhappy with her loose skin and stretch marks from the weight loss. Once she had reached a stable weight, she consulted with Dr. Lapuerta about body contouring. Dr. Lapuerta recommended a 2 stage procedure with the first stage being a breast augmentation with lift and a lower body lift. Six months later, she completed the second stage, thigh lift and arm lift. She is very happy with her results and states that she feels the best she has ever felt in her entire life.