48 year old requesting cosmetic enhancement of abdomen and treatment of excess skin and stretch marks. She has severe excess skin and stretch marks across the central abdomen. She has muscle laxity of the abdominal wall shown on side view. Full abdominoplasty, rectus plication (muscle tightening) and liposuction of the flanks was offered. She is shown 4 months after surgery with a very satisfactory result. Her abdomen is flatter, tighter, with a youthful contour. The skin is tighter and most of the stretch marks have been removed. The overall contour of the abdomen is flat due to the underlying muscle tightening. The incision is hidden beneath the underwear line and the belly-button has a natural contour. She is very pleased with her results.