Abdominal liposuction mainly involves the upper and lower abdomen and bilateral waists, and if liposuction extends to the posterolateral superior pelvic cavity (love handles), it is referred to as circular abdominal liposuction. Lumbar and abdominal fats are primarily accumulated due to diet energy or obesity and mostly deep fats, so liposuction quantity and effects are generally distinct. Nevertheless, abdominal liposuction is only applicable to young patients with good skin elasticity. Senile patients with loose skin or those with a lax abdomen and pregnancy creases should not consider undergoing liposuction alone but should rather choose abdominoplasty combined with lumbo-abdominal liposuction (tummy tuck), which does not aggravate abdominal laxity or creases because of liposuction, thus entailing secondary abdominal plastic surgery afterwards. The surgical incision is made superior or inferior to the umbilicus or approximately 0.5 cm above the bikini line, which is hidden and less likely to be noticed. If patients want to undergo posterior waist liposuction, another 0.5-cm incision is made at the mid-gluteal fold. The surgery involves the perfusion of liposuction sites with hemostatics and painkillers, followed by the application of Ultra-Z to suction deep and superficial fats in a radial manner via the incision, which removes 800–1000 cc of fats on average. Patients should wear a compression garment over the waist and abdomen for 2–3 months postoperatively to accelerate the flatness and skin adhesion of liposuction sites.