This patient lost over 60 pounds through diet and exercise. She was left with a residual lower abdominal apron of excess tissue that caused skin ulcerations, rashes, and infections. She qualified for a functional panniculectomy, or amputation of the lower abdominal tissues. In order to improve her postop appearance she elected to add on additional contouring via a tummy tuck as well as liposuction of her lower back and flanks. This further tightened her muscles, narrowed her waist, recreated a super cute belly button, and removed even more fullness. Overall 12 pounds of tissue was removed from her lower abdomen and 5 liters of liposuction to help contour her waistline. She looks fantastic with this amazing transformation.