This 38 year-old woman underwent gastric bypass and maintained a weight loss of 170 lbs. several years before coming to Minneapolis Plastic Surgery. She had outpatient circumferential beltlift that removed 21.4 lbs. of loose, sagging skin and fat (including full abdominoplasty with muscle tightening) or lower body lift in our AAAASF-accredited office surgical facility. She also had liposuction of the thighs at the same procedure. Outpatient surgery saved over $10K compared to the same operation at a hospital, and she had no exposure to sick patients or nasty hospital bacteria. We have done over 300 outpatient belt lift cases at MPS in our surgical facility since 1997.