The following 55 year old patient lost nearly 100 pounds following massive weight loss surgery. She was thrilled with her thinner body, however, it needed some additional fine-tuning. After the significant weight loss, the large amount of excess skin could not shrink back to its former size and shape. She underwent a Circumferential Abdominoplasty with muscle repair and vertical resection (Fleur de Lis) to remove and tighten the remaining skin and tissue. The post photos were taken 3 years after the surgery was preformed, the scars have faded over time and are barely visible.