This 27 year old patient underwent massive weight loss surgery three years prior, losing 104 pounds. She was pleased with her extreme weight loss, however, was concerned with the remaining fat, skin and tissue around her abdomen and hip rolls. She decided to undergo a Circumferential Abdominoplasty with muscle tightening and abdominal liposuction, Pursestring Gluteoplasty, and Hip Roll Liposuction. The remaining stubborn fat was removed, in addition to the excess lower abdominal skin and tissue and her muscles tightened. The post photos were taken 6 weeks after surgery.