It is very important for anyone undergoing body contouring surgery to be at their ideal weight prior to surgery. This lady has achieved her ideal weight but has significant excess of fat in her abdomen and flanks. Liposuction in combination with abdominoplasty can help reduce the excess of fat especially in the upper abdomen and the flanks. Abdominal wall tightening helps to improve the contour and once the excess skin has been removed the scar can be placed as low as possible. The scar in this lady is seen at 3 months post op and will continue to improve. This lady has seen a great improvement in her contour and is able to fit into clothes that she has previously felt unable to wear. Her quality of life has been improved and in the correctly selected patient abdominoplasty and liposuction can give improved results.