A 37 year old lady from Phoenix, Arizona is shown before and after arm lift, thigh lift and body contouring plastic surgery. Over 3 years, she lost 156 pounds. She was happy with her weight loss , but was not happy overall because of the loose skin in different areas of her body, including the arms. Her weight had been stable for the past 12 months when she requested major contouring surgery. Her highest recorded body mass index was 49.2. At the time of surgery, her body mass index was 29.2. She was not happy with the excess skin and flabbiness on her arms, especially in the back of the arms. She wanted arm and thigh surgery to improve her figure and reduce her arms and thighs. Before surgery, she is 5 feet 9 inches and weighed 197.6 pounds. A preoperative high protein diet with multivitamins was recommended. During the operation, the tissue removed from the body weighed 3644 grams, the arms 675 grams, and the thighs 751 grams. Overall, the tissue removed weighed in at 11.2 pounds. She spent 3 nights after her plastic surgery at a local Arizona plastic surgery specialty hospital. Her close up views of the arm lift before and after photos, show her at 3 months after the operation performed.