32 year old requesting cosmetic enhancement of abdomen and trunk. She has excess skin and stretch marks across the central and lower abdominal wall. She underwent full abdominoplasty with muscle tightening (rectus plication). The abdomen is flattened and tighter with greater definition of the hips and waist. The skin is tighter and near all of the stretch marks are removed. The incision is hidden beneath the underwear line and the belly-button has a natural shape. The patient is shown 6 months after surgery.