This 49-year-old mother of 2 had lost over 60 lbs but was still bothered by her abdomen despite working diligently in the gym. She wanted to address her lower abdominal skin laxity and stretch marks, as well has her hanging pubic skin and fat. Dr. Fisher recommended an extended abdominoplasty with extensive liposuction of the flanks and abdomen, as well as an internal muscle repair and mons reduction. She now has an improved silhouette and flattened abdomen/pubic area. This patient also underwent complex revision breast surgery with implant exchange and breast reduction/breast lift.