This 42 year old lost an amazing 90 plus lbs after a gastric sleeve procedure. She had a previous tummy tuck in the past but after this weight loss wanted the redundant skin on her abdomen removed. She and her surgeon discussed extending the excision of skin laterally and posteriorly to aesthetically shape her abdomen. This was done and well worth it as is evident in the six month post operative views. She now has a flattering slim and tight abdominal contour. This remarkable change to her abdomen allows her to wear tighter fitting clothing as she no longer needs to mask the excess skin.