This is a 53-year-old patient who after having four children was unhappy with her excess loose abdominal skin, excess abdominal and waistline fat, and her loose abdominal wall. 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 ecstatic with the results.