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This 43-year-old woman presented to my office seeking improvement in the appearance of her abdomen due to excess skin and tissue following menopause. She reported a 20-pound weight gain after menopause and difficulty reducing persistent abdominal fullness despite maintaining an active lifestyle, including daily Peloton workouts. Prior to surgery, she weighed 168 pounds and stood 5'1". We developed a surgical plan for an abdominoplasty complemented by abdominal liposuction to remove excess skin and fat, improve abdominal contour, and enhance her overall silhouette. She was very pleased with her results and the improvement in her abdominal appearance.