Background: Abdominoplasty is an important and common procedure in plastic surgery but it is still associated with a high incidence of complications and despite this high rate of complications, the final results may not always be aesthetic pleasing. To overcome these problems abdominoplasty has been paired with liposuction which amazingly led to lower complication rate. The procedure has been updated to prove in its current form to be trouble-free. Patients and Methods: Between March 2013 and September 2013, 20 female patients, underwent lipoabdominoplasty in the El Kasr Alainy Hospital. All patients indicated for traditional abdominoplasty were selected from plastic surgery outpatient clinic for this procedure; all were having generalized abdominal lipodystrophy, skin laxity and musculo-aponeurotic flaccidity. Results: The results are considered good for both physician and patients. In five cases, we observed the presence of seroma and it was solved with aspiration with a syringe. There were two cases of hematoma and two cases of wound dehiscence. The superior and inferior borders were effectively accommodated, because of the uniform thickness of the fatty tissue as a result of liposuction. Consequently, we observed that there was a low incidence of ‘‘dog ear,’’ and the final scar was shorter. We also observed an improvement in the body shape and in the body contour line resulting in a more youthful abdomen, thus avoiding the unnatural aspect of the classic abdominoplasty. Conclusion: combining abdominoplasty and abdominal lipoplasty, including lipoplasty of the abdominal flap, is a safe procedure that achieves gratifying results. It promotes a more youthful abdominal silhouette, better matching between the abdominal flap and the pubis, and a shorter scar. We believe that it is a safer way to treat the abdominal region than classical abdominoplasty and has a fewer complications.