This is a 58-year-old woman who is from Woodbury, Minnesota who came in interested in abdominoplasty and liposuction of the flanks. She did have a previous Pfannenstiel incision. She did not have significant stria of the abdomen. She underwent full abdominoplasty combined with flank liposuction. At the time of surgery, she had 3 liters aspirated from the flank area. Her abdominal specimen weighed 725 g. Postoperatively, the patient was very pleased with her result. She is able to fit into her own clothing with more looseness and actually has down a pant size. She is very happy with her result.