43 year old female who was seen for a tummy tuck consult. The patient has a history of 4 pregnancies in the past and is seeking surgery to remove excess skin and improve the appearance of her abdomen. Her weight of 200lbs has been stable. Upon examination, her abdomen was protuberant with excess skin and tissue of the upper and lower abdomen. She underwent an abdominoplasty (tummy tuck) in 2018 and a total of 2086 grams of skin was removed (5lbs). The patient was happy with her results.