A 33 year old mom came to the office to talk about tummy tucks and buttock enhancement. She had always been in good shape and even after kids her muscles had been in excellent shape. She only noted a slight "pooch" and only the slightest weakness in her muscles. After I examined her, I recommended a tummy tuck with muscle repair, but only involving the area where there was weakness seen in the muscles during surgery. She was quite pleased with this recommendation because it was the loose skin and stretchmarks that had become a concern for her. She wanted me to remove these as best as possible. In addition, we recommended liposuction to obtain fat-to-fat graft for her buttocks. Her surgery went very well, and her before and after photos 8 months removed from surgery demonstrate a very flat and nice looking tummy.