40 year old female presented after one term pregnancy with abdominal wall muscle and skin laxity. An abdominoplasty with 3200 ml tumescent liposuction of the upper abdomen, mons pubis, back, hips, and flanks was performed. An additional 3300 ml tumescent liposuction was performed to achieve a better silhouette. Post-operative photographs were taken three years later after a total of three surgical procedures.