This is a 49-year-old woman who presented for body contouring. She lived an active lifestyle consisting of regular exercise. She was dissatisfied with the excessive skin of her lower abdomen, looseness of her abdominal muscles and stretch marks as a result of pregnancy. She underwent a full abdominoplasty with liposuction to the flanks in additional to a bra line back lift to contour her upper back. She has significant improvement in her pre-operative concerns and is very satisfied with the outcome.