Circumferential abdominoplasty after 180 pound weight loss

This 39 year old woman used to weight over 400 lbs. She had gastric bypass and lost 180 pounds. She had loose skin and excess fat of her lower abdomen and flank. Dr Lyle performed a 360 degree or "circumferential abdominoplasty " with some liposuction. She now can fit into her clothing and is much more confident with her physique