This case involves a 73-year-old female patient who underwent an abdominoplasty with rectus plication and umbilical transposition. After losing 170 pounds, this patient found herself in her 70s and with a LOT of extra skin. She consulted board-certified plastic surgeon Dr. Matthew Isakson for his expert opinion. They discussed her goals and concerns - after 170 pounds and 8 decades she had some concerns in most placed - they decided to tackle her problem areas one spot at a time. For their first procedure they decided to maximize outcomes while keeping recovery and surgery short! The procedure aimed to address excess abdominal skin and tighten the underlying musculature. The before image displays significant abdominal protrusion and skin laxity, which is typical for patients seeking this type of surgical intervention. Three months post-operatively, the after image shows a notable reduction in abdominal protrusion and improved contouring of the abdomen. The surgical technique applied effectively repositioned the navel and tightened the abdominal muscles, as evidenced by a flatter abdominal profile.She loves how flat and smooth her tummy is - and check out how natural that navel is. What a belly button!