This patient had gastric bypass 10 years ago and lost a total of 150 pounds. She decided that she was ready to consult about body contouring. She wanted to correct the arms, thighs, breasts and the entire midsection. After consulting with Dr. Lapuerta and accessing her health history, the patient opted to have all of the procedures done at once. 6 months after surgery, she is the happiest she has ever been and states she wish that she had have surgery years ago.