This 29 year old patient experienced significant skin stretching and abdominal muscle separation following the birth of her children. She is very lean and athletic and simply had a significant amount of loose skin. Dr. Williams sees many athletic, lean women with similar problems following childbirth. Once the skin is stretched it will never tighten up no matter how toned the underlying muscles are. He performed a tummy tuck and muscle plication for this patient with an excellent result.