This 45-year-old mother had lost well over 100 lbs and was bothered by the excess hanging skin to her lower abdomen and sagging of her buttock and thighs. She also wanted to address progressive breast deflation with weight loss and ptosis. Dr. Fisher recommended a lower body lift with a vertical “fleur de lis” component to address her abdominal concerns. For her breast surgery, he recommended an extended breast lift with auto-augmentation to improve her shape and contour while avoiding implants.