This is a 42-year-old patient who after having three children was very unhappy with the extra loose abdominal skin, excess stubborn fat, her stretch marks as well the loose abdominal wall muscles. We decided to perform a traditional abominoplasty with tightening of the abdominal wall along with lipocontouring of the abdomen, waistline, and flanks to address all of these concerns. She was thrilled with the results.