This is a 59-year-old woman who was unhappy with her abdominal appearance. She had had two children and was going through menopause. Despite vigorous diet and exercise, she could not make any changes to her abdomen. She underwent full abdominoplasty. The amount of tissue removed was 4.71 pounds. Postoperatively, the patient was very happy with her abdominal contour. She went down two pant sizes.