45-year-old requesting cosmetic enhancement of abdomen and trunk. She has excess skin across the abdominal wall and stretch marks around the belly button. She also has a thickened lower midline scar from emergency surgery in the past. She underwent full abdominoplasty with muscle tightening (rectus plication) and removal of the lower midline scar. The abdomen is flattened and tighter with improved definition of the hips and waist. The skin is tighter and the entire scar has been 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.