This patient lost all the weight she could but wanted a better contour. When someone presents with a fat pocket over the butt that feels like a trampoline liposuction alone will not make the area flat. To get a nice scoop to the butt skin musst be removed. We performed a circumferential body lift. We spoke about doing this in 2 stages to get even a better outcome but the patient wanted this done as one procedure and still came out very nicely.