This 52 year old male did not like stubborn fat deposits on his abdomen and waist. Despite a healthy diet and regular exercise, he was unable to reduce these problem areas. After a thorough consultation with Dr. Steele, he elected to undergo awake liposuction in the office to remove the stubborn fat deposits. Additionally, Renuvion radiofrequency skin tightening was added to the abdomen to minimize risk of skin laxity after fat removal. He is shown 4 months after surgery with an excellent result.