This case features a healthy 35-year-old woman (5'6", 230 pounds) who sought to improve the shape and contour of her abdomen following pregnancy and a significant weight loss of over 50 pounds. She underwent a complete extended tummy tuck (abdominoplasty), during which 5,073 grams (11.2 pounds) of fat and skin were removed. Committed to a healthy diet and exercise, she went on to lose an additional 40 pounds. The post-operative photos, taken 18 months after surgery, highlight her remarkable progression.