Abdominoplasty or tummy tuck remains one of the most popular procedures performed worldwide. When I was being trained as a plastic surgeon in the 1980s, I was taught to perform wide undermining of the abdominal skin, never use liposuction at the same time, give everybody drains, and keep patients in hospital for three to five days. The post-operative experience was unpleasant because it was painful to move, and women hate drains. Furthermore, although excess skin could be removed, any improvement in shape was limited because liposuction was thought to increase complications.