This is a 41 year old mother of four who wished to have correction of the loose, hanging skin of the abdomen. She also experienced laxity of the abdomen muscles as a result of multiple pregnancies. She is very fit, but wanted to have a minor correction of the fat pocket of the waist and have that fat grafted to her buttocks. She underwent full abdominoplasty, liposuction, and fat grafting of the buttocks. She is shown before surgery and about 2 months post-op.