This is a patient who developed loose skin after multiple pregnancies, but her primary concern was the divot and loose skin associated with her prior appendectomy scar. She had her appendix removed as a child and this created an indented scar. The appearance worsened after weight fluctuations associated with pregnancies. A tummy tuck can remove the skin below the belly button and in her case it also removed the indentation. Afterwards, her abdominal contour is dramatically improved.