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This patient lost around 45 kg after a sleeve gastrectomy. She had significant fat excess in her thighs. The best procedure for her was a horizontal scar thigh lift, as the majority of the fat was in the upper third of her thigh. This condition is rare; usually, fat excess is distributed along the entire thigh, requiring a vertical and more visible scar. In her case, 8 liters of fat were removed through liposuction