In addition to improving the shape and appearance of her waist and breasts, this patient also desired to strengthen her abdominal core caused by loose abdominal muscles secondary to pregnancy. She is only 2 months out from Dr. Repta's Plus Size Tummy Tuck ® procedure. At only 2 months out her incisions are still red but this will continue to fade. The patient also had a breast lift without implants done at the same time. The vertical incision above and below the belly button was elected by the patient as part of a fleur-de-lis tummy tuck to maximize waist narrowing.