This case features a 57-year-old woman (5'6", 156 pounds) who lost 75 pounds following gastric bypass surgery. Despite becoming very active, she felt hindered by excess skin around her abdomen. She chose to undergo an extended tummy tuck (abdominoplasty), completed in two procedures. Following surgery, she experienced much greater comfort during her activities and was very pleased with the final outcome. The after photos, taken 10 months after her initial procedure, showcase the results of her tummy tuck.