This 67-year-old patient was interested in an abdominoplasty and liposuction as she was not happy with tummy appearance. She noticed she had extra skin, stretch marks and muscle separation. Ultimately, she desired to fit into her clothing without wearing Spanx. She scheduled a consultation with Dr. Piazza to address her concerns and see what Dr. Piazza recommended. During the consultation, a customized plan was created to address and achieve the patient's main concerns and deliver her desired results. This patient had an abdominoplasty with liposuction of the mons pubis and is pictured 1 year from her surgery.