42 year-old female, 5’3″, 145 lbs., no children, had massive weight loss after gastric sleeve operation. Her weight decreased from 323 to 145, a loss of 178 lbs.
She was left with excess skin of her abdomen, back, arms, breast and inner thighs.
Her first procedure was an abdominoplasty, followed two weeks later by a brachioplasty, extending into an upper lateral back lift and reverse abdominoplasty.