This lovely patient is a diabetic. She would inject her insulin in her lower abdomen. Over the course of decades this resulted in a prominent lower abdominal bulge. Although one would think a mini tummy tuck alone would solve the problem, this is not the case. I needed to remove fat and skin. Removing fat only from the lower abdomen would result in an abnormal contour. Therefore, the entire abdomen and anterior flanks were aspirated. Because the bulge had been there so long the skin had significant memory. There is still a tiny bulge but this will resolve over time as the skin contracts.