This 40 year old mom decided she was ready to get her pre-kids body back. She was tired of sagging breasts and a belly that still looked pregnant despite working hard in the gym (and in the kitchen)! She found board-certified plastic surgeon Dr. Matthew Isakson and asked what could be done. She was happy with having perky breasts and did not want to be too big so they decided a breast lift would help bring everything back to her baseline without augmenting her cleavage. She wanted a flat tight tummy with no extra skin - Dr. Isakson recommended an extended tummy tuck with muscle repair and liposuction. She has dramatic diastasis (ab muscle weakness) with a round tummy on the before photos - and a very flat tummy on the after photos! This is from the "muscle repair" or rectus plication that Dr. Isakson performs with his tummy tucks. You can see her pre-existing scoliosis and shoulder asymmetry are skeletal and were not treated by her surgery.