59-year-old requesting cosmetic enhancement of abdomen and trunk. She has undergone previous abdominal surgery and has a lower midline scar. In addition to this scar, she has excess skin and fatty tissue throughout the abdominal wall. She also has significant muscle laxity and bulging of the lower abdominal wall muscles. This patient underwent full abdominoplasty. The incision has been placed below the underwear line and the prior midline scar has been completely removed. Her abdomen is flatter and tighter and the belly button has an improved shape. The patient is shown 8 months after surgery.