Amanda, 27, weighed 400 pounds. Desperate, she turned to gastric bypass surgery and lost 180 pounds. But years of obesity took its toll, and pounds of loose flesh remained on her body. Dr. Dennis Hurwitz, pioneer of the Total Body Lift, performed a complex surgery that required five doctors and lasted eight hours. They removed 15 pounds of excess fat and skin from Amanda's abdomen, back, buttocks, thighs and breasts.