39-year-old requesting cosmetic enhancement of abdomen and trunk after two pregnancies. She has excess skin and fatty tissue throughout the abdominal wall, with most of the excess below the level of the belly button. Stretch marks are present across the abdominal wall. She underwent full abdominoplasty and the incision is is well hidden beneath the underwear line. The abdomen is flatter and tighter, and the belly button has been rejuvenated. The patient is shown 6 months after surgery.