A 42-year-old patient, weighing 290 pounds at 5'4" with a BMI of 49, initially underwent a Plus Size Tummy Tuck®, Bra Line Back Lift™, and liposuction to the neck and lower back to enhance body contours. A year and a half later, the patient returned for additional liposuction to the abdomen and flanks to further refine their silhouette. This combination of procedures was tailored to improve overall body shape and achieve a more balanced, contoured appearance.