This 40 year-old patient had complaints of her abdominal appearance after having several children and significant weight changes. She was bothered by the excess tissue of her lower abdomen, retained fat deposits of her central abdomen and flanks, and appearance of her belly button. Dr. Fisher recommended an extended abdominoplasty with extensive liposuction of the back, flanks, and central abdomen. He also performed an internal muscle repair. Taken together, Dr. Fisher was able to drastically improve her silhouette, flatten her abdomen, and improve the appearance of her belly button. This patient also underwent complex revision breast surgery with implant/capsule removal, breast lift and breast fat grafting.