This patient in her 60’s was unhappy with a bulge in her abdomen noted when straining. Further workup showed several midline abdominal wall hernias. Dr. Geiger worked with a general surgeon to repair these hernias and provide extra protection using a concurrent tummy tuck and full muscular tightening. She had 4.5 liters of liposuction to her back, flanks, and abdomen at the same time. Here she is looking and feeling amazing with a strong abdomen and excellent contour.