This 50-year-old mother had noted changes to her abdomen after having children and decided to address it after years of being bothered. She wanted to address the excess skin and fat of her lower abdomen and reduce the size of her flanks. Dr. Fisher recommended an extended abdominoplasty combined with liposuction of the abdomen, flanks, and back. He also performed an internal muscle repair. She now has a flattened abdomen with improved definition and a more slender appearance to her waist.