Patient is in her late 30s who lost about 60 lbs through diet and exercise. She was unhappy with the excess skin and fat of her abdomen. Given that the abdominal pannus extended quite laterally, an extended abdominoplasty was performed with repair of muscles in the midline to tighten the fascia. Power-assisted liposuction of the waist and hips was also performed at the same time to give her torso an hour-glass appearance.