This 47 year old female presented to Orange County Plastic Surgery with a request to undergo tummy tuck surgery. The patient was unhappy with her abdominal tissue laxity and excess following 105 pounds of weight loss through vertical sleeve gastrectomysurgery. On examination, the patient was found to have significantexcess tissue of her abdomen and waist. The patient underwent an extended tummy tuck procedure. Post-operative pictures are taken at 6months after her tummy tuck surgery.