34 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. She has muscle laxity of the abdominal wall apparent on side view. She underwent full abdominoplasty with muscle tightening (rectus plication). The abdomen is flatter and tighter with greater definition of the hips and waist. The skin is tighter and most of the stretch marks have been removed. The overall contour of the abdomen is flat due to the muscle tightening. The incision is hidden beneath the underwear line and the belly-button has a natural contour. The patient is shown 5 months after surgery.