This lady has lost an excessive amount of weight. Her options included a body lift, a fleur de lis abdominoplasty and a classic abdominoplasty. She opted for a classic abdominoplasty and it is important that in this scenario she was aware that the excess tissue around the flanks and around the buttocks couldn’t be fully addressed by a classic abdominoplasty. She has had some liposuction around the flanks and the abdominal wall has been strengthened. This gives back the contour and creates a more aesthetic appearance.