Below is another patient with overstretching of the abdominal skin and laxity of the fascia, which is the tissue layer containing the abdominal muscles. The fascia has been tightened and the rectus muscles (the “six pack” muscles) have been sewn together. An incision has been made around the umbilicus and the abdominal skin pulled down. A new exit for the belly button has been made in the skin and the the previous umbilical site has been closed vertically: