There are many methods available for abdominal wall contouring, including fat aspiration, mini-abdominoplasty, and total abdominoplasty, depending on each patient’s different anatomical features and personal desires. According to the American Society for Aesthetic Plastic Surgery 2004 national database of cosmetic surgery statistics, abdominoplasty has increased 344% in the last 7 years. In 2006, a study surveyed randomly selected members of the American Society of Plastic Surgeons to count the number of cases of various abdominoplasty techniques and the incidence of their complications. Four hundred and ninety-seven survey respondents responded, and a total of 20,029 procedures were reported. In terms of the types of abdominal wall contouring procedures: 35% were abdominal wall liposuction, 10% were mini-abdominoplasty, and 55% were total abdominoplasty. The advent of liposuction has brought about a dramatic change in the field of body sculpting and has greatly improved the ability to contour the abdominal wall. However, controversy still exists on many issues, such as whether to perform fat aspiration on the lifted abdominal wall flap? Is swelling fluid perfusion applied? Is abdominoplasty safe in combination with other plastic surgery procedures? Since 1980, when Illouz first reported liposuction, it has been increasingly used in combination with abdominoplasty flap excision. Initially, liposuction was rarely performed in conjunction with classical abdominoplasty because of the fear of weakening the blood supply to the abdominal wall flap and the increased incidence of seroma due to subflap fluid accumulation. Stevens and others did not find ischemic complications with liposuction in the lower and upper central abdomen. Based on these findings, abdominoplasty is often combined with liposuction, although the amount of skin removed over the pubic mound is small or the area of fat aspiration is limited to the lateral chest and low back. Therefore, this approach has limitations, with incomplete skin excision, laxity of the soft tissues of the skin in the supraumbilical region that cannot be corrected, or limited fat aspiration of the abdominal wall, which remains hypertrophic in the middle of the abdominal wall.