37 year old requesting cosmetic enhancement of abdomen and treatment of hypertrophic scarring of the abdominal wall. This woman underwent previous abdominal surgery through a lower midline incision. This scar healed poorly and left a severe contour deformity. Full abdominoplasty, muscle plication (muscle tightening), and scar revision was offered. The lower midline incision was completely removed and her abdominoplasty incision is placed low on the abdominal wall. She is shown 6 months after surgery and is very pleased with her result. Her abdomen is flatter, tighter, with a youthful contour.