The authors describe a simple, safe, and effective way to reduce complications related to abdominoplasty. By using progressive tension sutures, a suture technique to advance and anchor the abdominal flap, they have routinely combined abdominal liposuction and abdominoplasty, with no resulting seroma formation or distal flap necrosis. No drains are used in this technique, and early ambulation in an upright posture is encouraged.