A 44-year-old patient, standing 5'8" tall and weighing 316 pounds with a BMI of 48, underwent a Plus Size Tummy Tuck®, resulting in the removal of 18.4 pounds of tissue from the abdomen. Five months later, the patient returned for an umbilical hernia repair to address additional medical concerns. The before-and-after photos, taken five months apart, demonstrate the comprehensive improvement in abdominal contour and overall body appearance achieved through these procedures.