This gentleman has lost a lot of weight and is now weight stable. He is very active and cannot reduce his weight further and cannot shift the excess skin. He has excess skin all the way around his abdomen and flanks and buttocks. A bodylift has been performed and the results seen at 6 months postop. These scars will continue to improve with massage. A bodylift such as this can be performed in under 3 hours without drains and patients mobilized immediately. With help from the physio someone who is fit and well like this gentleman can be walking around the ward with help on the evening of surgery. This early mobilization helps to reduce the chance of DVT / PE.