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It is also known asabdominoplasty which is required in patients with large pendulus and lax abdominal wall with hanging loose skin around the tummy. It is indicated in patients who do not want weightloss surgery but desire for excellent abdominal shape, tight abdominal wall and incases after severe weightloss as for example post bariatric surgery, weightloss after intense dietry programme and physical training regine where a stubborn portion of skin hangs below the abdomen. It involves a small horizontal scar below the underwear lining which heals in 5 - 7 days.