53 year old requesting cosmetic enhancement of abdomen and treatment of excess skin and stretch marks. She has excess skin and stretch marks across the central abdomen and on overhanging skin fold. She has muscle laxity of the entire abdominal wall which is evident on side and oblique views. She was offered full abdominoplasty with rectus plication and umbilical translocation (moving of the belly button). The abdomen is flatter and tighter with greater definition of the hips and waist. The skin has been tightened and the entire overhang has been removed. The contour is further improved due to the muscle tightening. The incision is placed low on the abdomen hidden in the underwear line. The patient is shown 4 months after surgery.