This 38-year-old woman was interested in an abdominoplasty or “tummy tuck” after having children. She is quite fit but had abdominal wall laxity from her pregnancies that was out of balance with her athletic frame. I performed a tummy tuck with specific attention to correcting her muscle laxity. The post-op photos taken 2 months after her surgery show a dramatic result with a very flat abdomen (seen best in the lateral and oblique views) and an abdomen that is now in balance with the rest of her body.