We present the case of a patient with severe abdominal muscle distension and a midline hernia.
This problem is frequent in patients who have given birth to twins and/or have children with a very high birth weight. Objectives in this case were both aesthetic as well as functional. Repair of the midline hernia and plication of the rectus muscles was performed together with a full abdominoplasty. A tightened and toned abdominal wall does not only look a lot better, but has important functional benefits for the patient`s everyday life and exercise.

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Abdominoplasty Cases: After pregnancy Abdominoplasty Cases: After pregnancy