This medical courtroom illustration shows a 4 step view of a surgical abdominosplasty including Pre-operative view of the abdomen with diastasis of the rectus abdominis muscles. Resection of the lower abdominal skin flap. Rectus muscles are sutured to the midline. Upper edge of the incision is brought down into alignment with the lower edge of the incision. Skin edges are closed and the umbilicus is secured through a new opening in the midline.