Abdominoplasty procedures have dramatically increased over the past decade or more. The American Society for Aesthetic Plastic Surgery (ASAPS) Cosmetic Surgery National Data Bank reported in 2005 an increase of 344%^[1]. Saldanha introduced Lipoabdominoplasty in the early 2000^[2]. Over the past two decades, Abdominoplasty, a common procedure performed by plastic surgeons worldwide has undergone progressive gradual changes with the inclusion of liposuction contouring of the trunk. The author discusses his experience and technical preferences in the performance and management of complete/full abdominoplasty patients, including the floating umbilicus technique, with simultaneous liposuction obtained over the past 40 years in private practice.