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This female patient not only had skin and muscle laxity following pregnancy, but also had tissue distortion a few centimeters below her belly button following repair of a hernia by another surgeon. All of her issues were corrected (skin laxity, muscle laxity, scarring from hernia repair) with a full tummy tuck with rectus muscle plication, and liposuction of her posterior waist. She is seen here before and one year after surgery.