Total abdominoplasty is suitable for most patients who are looking for an improvement in the shape of the abdominal wall. It can correct abdominal wall fat accumulation and soft tissue laxity, bilateral separation of the rectus abdominis muscle, abdominal wall laxity and skin folds. The vast majority of total abdominoplasty patients come from those who have given birth and have failed to lose weight. Patients usually want to achieve the same abdominal wall shape they had before pregnancy or weight gain. Total abdominoplasty is the most common method of abdominoplasty. This is because fat accumulation in the abdominal wall, significant soft tissue laxity, bilateral separation of the rectus abdominis muscle, and skin folds in the abdominal wall are present in most patients. Total abdominoplasty can provide significant improvement in most cases. The incision is usually made across the entire abdominal wall and laterally to the anterior superior iliac spine bilaterally. This length of incision is necessary to achieve complete removal of the subungual skin and loose soft tissues that plague the patient. Complete separation of the soft tissues of the abdominal wall up to the glabella allows for better correction of the separation of the rectus abdominis muscle and strengthening of the myofascia that makes up the abdominal wall. The results of this procedure can be permanent, especially for those patients who can maintain their weight well after surgery.