Following weight loss after bariatric surgery many seek body contouring to help with troublesome excess skin. The care of these patients frequently involves a primary practitioner. Understanding the basic concepts of body contouring can help patients presenting with these disorders. We review commonly performed body contouring procedures which treat excess skin of the abdomen, arms, and thighs in the post-bariatric massive weight loss patient. Key concepts and techniques are highlighted with visual aids to help with understanding.