This is a 47-year-old Hispanic woman from southern California. She underwent gastric bypass surgery and lost over 100lbs. Her massive weight loss reduced the size of fatty tissue, but her skin was left with poor elasticity due to rapid weight loss. She developed several skin folds that caused rashes and cause her skin to break down. She came across Dr. Younai on realself.com and saw that he was one of very few plastic surgeons that specialized in larger patients, who desired plastic and reconstructive surgery. During her in depth consultation, Dr. Younai examined her abdomen, reviewed before and after pictures of large volume liposuction and high tension abdominoplasty patients. She was very pleased to have met Dr. Younai and was confident that her cosmetic surgery goals were achievable with him. Dr. Younai determined that she required a two-step procedure. First, undergoing Large-volume-liposuction/">large volume liposuction, that would a remove substantial amount of fat, to reduce the thickness of her abdomen. Secondly, he recommended an extended abdominoplasty in conjunction with liposuction. The down time between the two procedures depends on patient recovery and blood test results. In this case she waited 4 months between the two recommended procedures. Her liposuction recovery and High tension tummy tuck recovery was about 3 weeks each time and about 6-8 weeks altogether for complete healing of her liposuction and tummy tuck scars. The before and after plastic surgery pictures clearly show dramatic improvement in her body. Dr. Younai repaired her abdominal muscles, eliminated hanging skin folds and reshaped her figure to look more feminine. She says Dr. Younai has an extraordinary a gift to be able to transform and uplift people. She says undergoing tummy tuck surgery has restored her life; she is able to feel comfortable with herself and shopping for clothing has become an enjoyable experience. She appreciated the love and care she received from Dr. Younai and his team.