The short answer is that now you can with a lipoabdominoplasty. The traditional abdominoplasty separated the skin from the blood vessels underneath it as part of the surgery, which then made it unsafe to remove the extra fat at the same time. However, as our understanding of the anatomy improved, new techniques have been developed that allow me to liposuction the entire abdomen while also getting rid of the excess skin. The "lipoadominoplasty" was created in Brazil and I learned the technique from some of these surgeons at the Pitanguy Institute in Rio De Janeiro. With the lipoadminoplasty I can create a thin and smooth contour from the ribs all the way down to the mons area without the usual hump that lies just above the scar of a traditional abdominoplasty. At the same time, I can liposuction the flanks or sides to create that beautiful hourglass shape. After pregnancy women often get separation of their abdominal muscles called "rectus diastasis" that gives a bloated and rounded shape to their abdomen even if they do not have excess fat. The lipoabdominoplasty technique allows me to fix the muscles as well, and all without the placement of a drain. If you find yourself looking down at your abdomen while in your favorite gown and wondering what you can do, come by our office for a free cosmetic consultation to learn more. You can also follow us on Instagram @hassplasticsurgery where we will be starting a video blog answering some common questions about plastic surgery.