I use a number of operative techniques to achieve a very attractive result in abdominoplasty. The fat tissue of the abdomen is contoured in thickness in order to produce a smooth transition. In addition I tighten the deeper (fascial) structures to actually change the shape of the waist. Lastly, in select patients I will perform flank and lumbar liposuction combined with surpaumbilical defatting to enhance the final result. Most importantly, I use an incision pattern which hides easily in the bikini line and has a shape that follows the natural contours of the pubis and groin creases. Lastly, I utilize novel techniques to recreate the natural hooding and dimpling of the belly button.