A 48 year old woman from Phoenix, Arizona is shown before and after central body contouring surgery including, thigh and arm lift. She lost 110 pounds after open gastric bypass surgery. She loved her new weight, but did not like the loose skin and rolls. She also did not like she was much heavier on the left side when compared to the right. Her weight had been stable for several years when she requested major contouring surgery. Her highest recorded body mass index was 46.9. At the time of surgery, her body mass index was 28. She was not happy with the excess skin and flabbiness all around her waist. She wanted central body contouring, arm and thigh surgery to improve her figure and reduce her arms and thighs. Before surgery, she is 5 feet 4 inches and weighed 163 pounds. A medical clearance, preoperative high protein diet and multivitamins were recommended. During the operation, the tissue removed weighed in at 18 pounds. She spent 3 nights after her plastic surgery at a local Arizona plastic surgery specialty hospital. She now weights 145 pounds. The photos demonstrate her results of body surgery at 6 months.