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This 40-year-old woman presented to my office to discuss concerns regarding abdominal bulging and loss of core stability following pregnancy. She noted increased abdominal roundness and weakness after having children, with persistent excess skin and soft tissue despite maintaining an active lifestyle as an avid CrossFit participant. Together, we discussed an abdominoplasty to remove excess skin and tissue while tightening and repairing the rectus abdominis ("six-pack") muscles to improve abdominal support and contour. Following surgery, she was able to return to CrossFit activities and reported significant improvement in both her core strength and overall abdominal appearance.