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One of the more common procedures performed for body contouring is the abdominoplasty. There are several reasons that a person would like to proceed with an abdominoplasty operation. Having excess skin of the lower abdomen and stretch marks is a frequent reason. Patients are often happy with the results of abdominoplasty who have excess lower abdominal skin. The other common reason for patients to undergo abdominoplasty is a lax lower abdominal wall with rectus diastasis. Rectus diastasis is a separation of the rectus muscles secondary to childbirth. Plication of the rectus muscles can make the waist thinner and improve the overall abdominal contour. The photograph demonstrates before and after abdominoplasty with a thinner waistline in the post operative photograph.