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a, b Preoperative views of a 54-year-old patient with a previous abdominoplasty. The epigastric skin is not sufficiently tightened, and the distance from the umbilicus to the pubis has been shortened. c, d Postoperative views at 5 months. Using high-superior-tension abdominoplasty, the skin from the umbilicus to the pubis was resected and the suprapubic scar lowered. The umbilicus-to-pubis distance was lengthened and the waistline thinned
