This patient lost over 60 pounds after a gastric sleeve operation. She had a residual lower abdominal apron of excess tissue that caused skin ulcerations, rashes, and infections. She qualified for a functional panniculectomy, or amputation of the lower abdominal tissues. In order to improve her postop appearance she elected to add on additional contouring via a tummy tuck. This further tightened her muscles, narrowed her waist, recreated a super cute belly button, and removed even more abdominal tissue. She looks fantastic with this amazing transformation.