*This 33 year old woman had lost an amazing 145 lbs after gastric bypass surgery. She had a significant pannus of excess skin that was bothersome due to a rash in the folds of the skin. The optimal outcome would be achieved by having a body lift, removing a ring of skin circumferentially. She is shown here at 15 months following her outpatient procedure. Notice the lift to her upper thighs and buttocks as a result of the circumferential excision of skin. This kind of procedure tops off the life changing result of her large weight loss, making it easier to exercise as well as aiding in a better self esteem.