This 47-year-old mother was bothered by her excess lower abdominal fat and fat deposits of her flanks. Dr. Fisher recommended an extended abdominoplasty with extensive liposuction of the central abdomen, flanks and back. He also performed a muscle repair. She has significantly improved harmony between her waist and hips, as well as a flatter, sleeker abdomen. This patient also underwent a breast lift with breast fat grafting.