39 year old requesting cosmetic improvement of abdominal area after having two children. She is concerned with excess skin and fatty tissue of the lower abdomen and stretch marks across the abdominal area. She underwent full abdominoplasty with muscle tightening and liposuction of the flanks. The abdomen is flattened and tighter, and the extra skin is removed. The contour of the waist is more accentuated. Most of the stretch marks have been removed and the belly-button shape is improved. The patient is shown 8 months after surgery.