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51 year old who had gastric bypass surgery in June 2011 and reports that she has lost 80 pounds in the past year. She has maintained her weight at around 203 pounds for the past 3 – 4 months and states that she thinks she has stabilized at that weight. She had multiple concerns that she wanted to address, including her ptotic breasts, excess skin at the upper arms, and excess tissue at the abdomen. She had extremely redundant excess skin at her upper arms: this was addressed by removing the excess skin. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 2 months.