It’s not unusual for massive weight loss patient to develop redundant abdominal wall tissue. This redundant tissue often involves the upper and lower abdomen and is associated with weakness of the underlying abdominal muscles. These problems adversely impact self-esteem and self-image and for these reasons patients frequently request correction. To obtain a flat aesthetically attractive abdomen all of these components must be addressed simultaneously. An abdominal panniculectomy typically removes the skin below the level of the umbilicus, while an abdominoplasty addresses the skin above the umbilicus and repositions the umbilicus. In addition, this procedure tightens the underlying abdominal muscles. When all of these issues are surgically corrected, aesthetic results are excellent. These procedures are associated with high satisfaction rates and low complication rates. If you’re considering abdominoplasty surgery, consultation with a board-certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that addresses your concerns.