This 44 year old mother of 3 children was in great shape after her pregnancies, but did not like the excess skin on her abdomen and stubborn fat on her waist. Exercise and weight loss can help decrease body fat, but no amount of exercise can reduce loose skin or correct muscle separation after pregnancy. After consultation with Dr. Steele, he recommended a full abdominoplasty with liposuction of the waist for optimal contour. A little over 2 pounds of skin and fat was removed during the surgery. This is shown 3 months postop with an excellent result.