This is a very nice patient in her 60s seen before and three months after an EXTENDED tummy tuck with multidirectional muscle tightening, VASER liposuction of the abdomen, flanks and back (VASER Lipo360) and fat grafting to the hips. Her transformation is dramatic! She has an hourglass silhouette and a flat tummy. This result shows how combining the longer incision of an extended tummy tuck with fat grafting can create a dramatic hourglass and that liposuction with aggressive muscle tightening truly can create a flat abdomen.