High-Definition Tummy Tuck and Monsplasty After her last pregnancy, this patient in her thirties presented to our office unhappy with her abdomen. On examination, it was noted that the patient had a moderate degree of abdominal muscle separation as well as lower abdominal skin excess with pubic sagging. During a 3 1/2-hour surgery, the patient underwent a low-cut high-definition tummy tuck with monsplasty. The High-definition tummy tuck procedure recreates an hour-glass contour of the abdomen by applying many of the aesthetic features of the ideal abdomen: a defined rectus abdominus silhouette with oblique lateral indentation and depressions and a vertically-oriented navel in a narrow, midline depression. Patient's tummy tuck post-surgery were taken at about 8 months after her surgery. Patient was very happy with all the stretch marks that were excised and the newly recreated and defined abdomen.