A pleasant 37 year old lady from Phoenix, Arizona is shown before and after inner thigh lift, body lift, and thigh liposuction. She lost 70 pounds over a period of 10 years after a bariatric stomach stapling surgery. Her weight was stable for the past 3 years before requesting an improvement in her body and thigh contour. Her highest recorded body mass index was 44.6. At the time of surgery, her body mass index was 32.3. She was not happy with the excess skin of the thighs and central body. She wanted an inner thigh lift with outer thigh liposuction to reduce her thighs. We decided on plastic surgery after major weight loss, including inner thigh lift and body lift. Right before surgery, she is 5 feet 4 inches and weighed in at 188 pounds. Preoperative high protein supplemental diet and bariatric vitamins were recommended. During the operation the tissue removed from the inner thigh lift weighed 834 g and the tissue removed from the body lift weighed 3342 grams. The total weight of tissue removed was 9.2 pounds. She spent 3 nights at a local Arizona plastic surgery specialty hospital. Her before and after photos show her at 8 months after inner thigh lift and lower body lift.