This is approach is preferred over liposuction when there is excesses skin overhang such as the type that occurs following extreme weight loss and child delivery. The excess skin along with the underlying fat is removed surgically. The re-draping of the remaining skin results in the removal of the overhang and fat. Another advantage of this approach is the simultaneous removal of all the stretch marks in the excess skin that has being removed. The disadvantages in clude: Surgical scars, and more involved recovery periods and morbidity. This procedure i necessarily performed under general anesthesia. Dr Umar does not perform this procedure.