The following 40 year old male patient lost 90 pounds by changing his diet and adding exercise to his daily regimen. Due to this extreme weight loss, he was left with excess sagging skin, visible abdominal stretch marks and deposits of stubborn fat in abdomen and hip rolls. He underwent a Circumferential Body Lift with Muscle Tightening and Liposuction to his abdomen and hip rolls. A total of 14 pounds were removed creating improved body contours with a more fit and toned appearance. The after photos were taken 3 months post surgery.