This patient is a 40 year-old who had one child in her early twenties and requested the best procedure to help restore her waistline. She had some excess abdominal skin but her biggest problems were a centralized collection of excess fat and weakness of her core muscles. I recommended an extended mini-tummy tuck, in which a small amount of skin would be removed to leave a shorter scar, but the fat removal and muscle tightening would be that of a full tummy tuck. She is shown before and one year after surgery. Her waistline measurement changed from 38 inches to 31 inches.