This 52-year-old woman underwent a laparoscopic gastric bypass and lost 250 pounds.  She started her body contouring with the corset trunkplasty, which resulted in the removal of just over 13 pounds of skin.  The procedure reshaped her entire (upper & lower) waistline.  The corset trunkplasty is the only available procedure that can comprehensively remove large rolls of excess skin from both the upper and lower abdomen.  At 6 weeks post-op, she decided to pursue second-stage contouring surgery of her thighs.  Her medial thighplasties (2-incision approach) required inner thigh incisions that extended below her knees.