This case features a 66-year-old woman (5'8", 189 pounds) who lost 90 pounds following gastric bypass surgery 13 years prior. She chose to undergo an extended tummy tuck (abdominoplasty), during which six pounds of soft tissue were removed, and her abdominal muscles were tightened. Post-operatively, she was very pleased with her results and has been maintaining her weight. The after photos, taken seven months post-op, showcase her transformation.