This older, “70-something” healthy, retired nurse who hated her protruding, fatty abdomen that prohibited her from wearing normal clothing. She merely desired a flatter tummy without “rolls”. She underwent Total Abdominoplasty using a “Fleur-de-Lis”-type scar-pattern (“T”-type), as well as rectus muscle plications to tighten and flatten out her abdomen. She was thrilled with her result.