This Virginia Beach woman in her forties had undergone a gastric bypass years ago and lost over 130 pounds since then. She was excited about the weight loss but was left with excess skin that would never go away. She decided to have a tummy tuck and an arm lift at the same time to remove the skin. Although there is a scar trade off, with our careful surgical planning, it can be nicely hidden by her underwear. She is incredibly happy with her new shape and how her clothing fits.