A mother of 2 in her late 30’s who has had a gastric bypass and has lost 85 lbs. Her case is complicated by having been a recent smoker. She is 5’ tall and 155 lbs, giving her a BMI of 30.27. She was encouraged to not smoke for 2 months before and after her surgery. She is shown before and again, 7 months after an extended abdominoplasty. She had some initial problems with healing in the lower abdomen, but responded to dressing changes and protein supplementation. She is thrilled with her the new shape of her stomach and can now wear normal clothing.