Case 1. (A) Right anterior oblique and (B) posterior preoperative views of 37-year-old, 6′ 1″, 230-pound (BMI 28) female after MWL, with bulky loose-skinned torso and thighs and small, constricted breasts. She is marked for OFLA, VASERlipo, and lipoaugmentation of the buttocks. The transverse lines of her lipoabdominoplasty continue into the oblique flankplasty and are lowered to meet her saddlebags. Obliquely oriented flank excisions are surrounded by pluses for liposuction and minuses for buttock lipoaugmentation. (C) The patient is prone with her head to the right. Her large right flank resection to the lumbodorsal fascia is ready for lateral amputation. (D) With most of the flankplasty closed, the surgeon is approximating the lateral wound by pulling the no. 2 barbed suture while pushing the lateral thigh. (E) Right anterior oblique and (F) posterior views 6 months after OFLA and 4 months after vertical medial thighplasty with pubic monsplasty, extended L-brachioplasty, and submuscular 450-cc breast gel implant augmentation. She has rounded breast enlargement, a flat and tight-skinned abdomen, and absent back rolls with smoothly recessed flanks. Her thighs are smaller, tighter, and conical with no saddlebags. BMI, body mass index; OFLA, oblique flankplasty with lipoabdominoplasty; MWL, massive weight loss.