This is a 45-year-old female who desired contouring of her abdomen, flanks and lower back. She had 2 children born via C-section and despite significant diet and exercise she was unable fully contour her abdomen. Dr. Neaman discussed in detail the various options for rejuvenation of her trunk following childbirth. He stressed the importance of repair of her rectus muscle separation following childbirth for an aesthetically pleasing outcome. She elected to undergo a circumferential abdominoplasty, which have enhanced the shape of her abdomen, flanks and buttock. This was combined with liposuction. She is extremely happy with the outcome and is pictured 4 months post-operatively.