This is the so-called ‘mini-abdominoplasty. It is only applicable in a few patients. It is excellent when the main problem is diastasis (spreading apart) of the rectus muscles. These ‘6-pack’ muscles may be sutured together to flatten the anterior abdomen through a short transverse incision just above the pubis. However, the skin which needs to be resected must be minimal, and the belly-button must be reasonably high because it gets pulled down during closure. In the right candidate, such as this 35 year old woman, the results may be very natural with a smaller scar than with a regular abdominoplasty.