This woman had a 120 pound weight loss following gastric sleeve surgery four years earlier. After weight loss she had a hanging panniculus of loose skin causing her back pain. Her surgical procedure was an extended abdominal panniculectomy which removed almost 7 pounds of excess skin and tissue. No liposuction or repositioning of the umbilicus was performed. The ‘after’ pictures were taken 7 months following her procedure. She has had significant improvement in her back pain, and you can see the dramatic improvement that this operation has achieved.