Aesth Plast Surg (2009) 33:366–376 Fig. 1 A 42-year-old patient with abdominal laxness, striaes, and rectus muscle diastasis Fig. 2 With the patient in a sitting position, we identify the inguinal groove extremities and the inferior suprapubic incision is outlined Fig. 3 With the patient standing, we outline the supraumbilicus incision connecting both extremities and we outline the areas to be loosened and undermined 367 123