This 33-year-old fit mom was bothered by the appearance of her abdomen, despite spending plenty of time in the gym. She was most bothered by the stretch marks to her lower abdomen and lower abdominal skin laxity. Dr. Fisher recommended an abdominoplasty with muscle plication and targeted liposuction of the central abdomen. He was able to significantly reduce the appearance of her stretch marks, flatten her abdomen, and improve her abdominal definition with targeted liposuction. This patient also underwent complex revision breast surgery with capsule removal, implant exchange, and breast lift.