This young lady had a gastric banding about 7 years ago and maintained a stable weight for over a year. She had concerns about the contour of her torso; the hanging, loose abdominal skin; and her smaller, sagging breasts. She underwent a series of staged operations including a belt lipectomy with a buttock/thigh lift and a mastopexy followed by an augmentation. She has gotten tremendous improvement in her abdominal contour, the profile of her breasts, and her back side. Other operations are planned to address the persistent fullness overlying her trochanters and the medial thigh.