This amazing patient came to Dr. Sajan, aka realdrseattle, because she had extra skin on her abdomen. It gave her a saggy, wrinkled appearance. The patient desired a flat abdomen. Dr. Sajan determined that the patient was a good candidate for a tummy tuck and that an extended tummy tuck would be best to achieve the patient's goals. Dr. Sajan performed an extended abdominoplasty with muscle plication and liposuction of the waist, upper, mid, and lower back. The patient loves her new body and the natural appearance of her belly button.