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Abdominoplasty has been evolving since the 1960s with many technical innovations throughout the years. It has become one of the most frequent and common procedures done in aesthetic plastic surgery, with the ultimate goal of not only to remove the excess tissue in the abdominal area but also to achieve an aesthetic trunk silhouette. The prime objective of this article was to describe our preferred approach for a full cosmetic abdominoplasty. We summarized all the key technical aspects from our shared surgical approach for abdominoplasty