The patient desired to improve the appearance of her waist and remove the heavy overhang of tissue over her pubic area. She is pictured here at 6 months post-Dr. Repta's Plus Size Tummy Tuck ® procedure. During her surgery, skin and fat was removed and her abdominal muscles tightened. Significant improvement was achieved by making the abdomen smaller, flatter, and tighter. Additional narrowing of the waist can be achieved and the patient could have elected to do so, by also undergoing a vertical incision on the abdomen called a fleur-de-lis tummy tuck.