The patient had a large weight loss with extra skin at her abdomen, flanks, and back. She had a previous full abdominoplasty by another surgeon, but was dissatisfied with fullness in her mons. Her mons, lower abdomen, flanks, and back were improved with a body lift. The standard circumferential incision is lower, near the buttocks. In this patient’s case, the incision was raised to remove the maximal amount of tissue.