56 year old female had 3 children and was 5’5″” and 173 pounds. She came in interested in liposuction, but was not a good candidate for liposuction only, given the laxity of her abdominal wall and excess skin. She underwent a full abdominoplasty with liposuction of her flanks. She did have dog ears postoperatively which were excised later in the office. The dark portions of the scar that remain could be improved with lasering or other methods.