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A 42-year-old man was referred to the plastic surgery outpatient clinic with the request for body contouring surgery after previous bariatric surgery elsewhere. With help of the bariatric interventions he had lost 109 kg and now weighed 227 kg. At this stable weight he had a large surplus of abdominal wall skin with functional hindrance and inflammation due to chafing. After treating his comorbidity we eventually performed an extended abdominal dermolipectomy and excised 32.8 kg of skin surplus. There was some temporary wound dehiscence which was treated conservatively. The patient was very satisfied with the improvement in his body contour.