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This 43-year-old woman presented to my office seeking improvement in the appearance of her abdomen due to excess abdominal skin and tissue. She noted increased prominence of the lower abdominal fullness following two cesarean deliveries, with persistent excess tissue below the umbilicus. She underwent an abdominoplasty with liposuction to enhance her abdominal contour, remove excess skin and soft tissue, and create a more defined waistline. The procedure also included reshaping and repositioning the umbilicus to achieve a more natural, youthful abdominal appearance.