This 55 year old woman had undergone liposuction and abdominoplasty many years previously overseas. She was not satisfied with the previous body contouring results because she continued having a boxy shape and now developed loose skin of the lower abdomen, outer thighs, and buttocks. She desired a more curvy, feminine shape with an emphasis on creating a narrower waistline and fuller, more lifted buttocks. She underwent revision body contouring surgery in the form of thigh-buttock lift (lower body lift), fat grafting of the buttocks, and revision liposuction.