This is a 35-year-old woman who had five children, she had a set of twins and three children after that. She was very concerned regarding the appearance of her abdomen. She is an avid exerciser and could not make any significant impact in the appearance of her abdomen. The patient underwent abdominoplasty and at the time of her abdominoplasty, the specimen removed weighed 960 g. Postoperatively, she was very happy with her result and her ability to wear pants, tuck in shirts and wear belts.