This woman had lost 165 pounds, and said, "I want to have corrective surgery due to mass weight loss. I just want to enjoy what I've worked so hard to attain." She came to our Scottsdale office, and Dr. Nachbar performed brachioplasty / arm lift at the same time as an extended medial (inner) thigh lift. Then, three days later she had a breast augmentation / breast lift (mastopexy) and a Circumferential No-Drain Tummy Tuck. She is shown at one year after those procedures. The scars are still pink, and one can see that she has developed a little looseness, which is not surprising given how stretched out her skin had been.