This 46 year-old female was unhappy with the appearance of her abdomen after several pregnancies. Although she was in excellent physical shape, no amount of abdominal core exercises could tighten her abdomen. An abdominoplasty, which removes excess skin and tightens the abdominal muscles, was performed. After surgery, she no longer felt bloated and she felt her back muscles were less strained. Postoperative result at 1 year reveals her new “six-pack” musculature in her tummy.