The following 52 year old patient desired a flatter, firmer abdominal profile. She initially underwent Smartlipo to her abdomen and hip rolls to remove the excess fat. She was very pleased with the results, but wanted to accentuate her results further by removing the remaining loose and sagging skin. She had an Abdominoplasty with muscle plication to remove the excess skin and tighten the abdomen muscles. She is pictured before and 8 months after surgery.