Dear glnjln, it is hard to tell what did your surgeon mean by flankplasty but he is probably planning to remove the excess skin from your flanks. I usually combine tummy tuck and flanks liposuction in order to achieve a better shape. If you have extra skin on your flanks, extended tummy tuck can be used to address it. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery