This 32-year-old Fort Worth mother of 2 children did not like the stubborn fat deposits on her abdomen and waist. She had some mild skin laxity in the lower abdomen, but did not want the downtime of a full abdominoplasty. After a thorough evaluation, Dr. Steele recommended circumferential truncal liposuction (lipo 360) while awake, with the addition of a mini-abdominoplasty to address the loose skin around her C-section scar. Renuvion radiofrequency skin tightening was also added for optimal skin contraction after the fat removal. A total of 4.5 pounds of fat was removed. She is shown 6 months postoperatively after full resolution of swelling.