This is a 59 year old mother for four children who had gastric bypass surgery resulting in a massive weight loss of 90 pounds.  She developed multiple areas of sagging skin, including her abdomen.  Her first priority was to correct the sagging abdomen skin apron, which was done with liposuction of the flanks.  Other areas of skin excess and sagging, including the arms, back, thighs, buttocks, and breasts, would be corrected at a later date.  She is shown before surgery and only one month after abdominoplasty and liposuction of the flanks.