Background: The goal of an abdominoplasty is to treat the three primary components of an anterior abdominal wall deformity: the musculoaponeurotic layer, the skin, and fat. Aim: To decrease incidence of complication (hematoma-seroma-infection) of lipoabdominoplasty, evaluate the effect of progressive tension suture technique in lipoabdominoplasty and patient expectation and satisfaction. Patients and methods: This Prospective clinical study, was carried on 30 patients at Department of Plastic &reconstruction Surgery, Faculty of Medicine, Zagazig University and lasted for 6 months. Results: There is a statistical significance increase in operation time among Group I compared with Group II. Also, there was a statistical significance decrease in hospital stay among Group I compared to Group II. P<0.05, there was a statistical significance increase in frequency of complications among Group II compared with Group I P<0.05. Most frequent complications among Group II was seroma (4 cases), as well as, there was a statistical significance increase in scar quality and patient satisfaction among non-complicated cases compared to complicated cases in Group II P=0.003. Conclusion: We concluded that a significant increase complications in Group II (classic group) compared with Group I (PTS group), with seroma being the most common. Unsatisfied and good scar quality were also higher in Group II and excellent quality in group I. Drainage decreased, operation time increased, and hospital stay decreased in Group I compared with Group II. Non-complicated cases had higher BMI and scar quality, while patient satisfaction increased in Group II.