This 42 year old patient underwent massive weight loss of 85 pounds following sleeve gastrectomy surgery. This left her with excess drooping skin and volume loss to her buttocks. She underwent a Circumferential Abdominoplasty in conjunction with a Pursestring Gluteoplasty to enhance her buttocks. She has a much more youthful shape with flatter, firmer abdominal contours. Her post photos were taken three months after surgery.