A 45-year-old woman presents for consultation regarding abdominal contouring. She has achieved a significant weight loss of 134 lbs over the past eight years, including 45 lbs following lap band surgery in 2010. Her surgical history is notable for uterine reconstruction in 2005 and two cesarean sections in 2006 and 2008. She has been considering abdominal contouring for a long time and is now seeking evaluation and options.