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This lady was a personal trainer. Despite the fact that she exercised every day she could not lose her abdominal pouch. The reason is that the nature of the pouch was mostly abdominal muscle laxity and to a lesser degree excess skin and fat. I performed a modern abdominoplasty on her. The modern abdominoplasty yields superior compared to the standard abdominoplasty that most do. The results could not have been any better.