36-year-old requesting cosmetic enhancement of abdomen and trunk after major weight loss. She has excess skin and fatty tissue throughout the abdominal wall and a lower abdominal overhanging skin fold. She underwent full abdominoplasty. The overhanging skin fold has been removed, and the abdomen is flatter and tighter. The incision is hidden beneath the underwear line and the belly button has an improved shape. The patient is shown 6 months after surgery.