This is a 47-year-old woman who had three C-sections and was unhappy with the appearance of her abdomen after pregnancy. She had significant laxity of the skin and the abdominal wall, which did not improve with a vigorous diet or exercise. She underwent full abdominoplasty. At the time of her surgery, she had 3 pounds removed and aggressive plication of the rectus fascia above and below the umbilicus. Postoperatively, she is very happy with her result and her new contour.