A charming 45 year old lady from Phoenix, Arizona who was in pretty good shape came in to discuss a tummy tuck surgery. Her primary concern was about the flabbiness in the abdomen and the crinkly, stretch mark riddled skin. She also wanted me to design her tummy tuck incision so that it would hide nicely under her normal underwear. I was able to accommodate all her requests and performed her operation smoothly and nicely. Achieving a more natural looking result was a big priority and the before and after tummy tuck photos taken at 8 months since surgery demonstrate the success of our strategy.