This 52 year old gentleman lost about 150 pounds after a gastric bypass 2 years ago and has maintained the weight loss with lifestyle modifications. His main concern was the significant excess skin around his entire torso. After listening to the patient’s concerns and wishes, Dr. Steele recommended a circumferential tummy tuck, or belt lipectomy. This 360 approach is ideal for patients with this degree of skin laxity. A total of 8.5 pounds of skin and fat was removed. He is shown nearly one year postop with excellent contour and scar healing.