The EXTREME ABDOMINAL RECONSTRUCTION is a procedure designed by Dr. Knight. It is an advanced version of a traditional abdominoplasty, with some very important improvements over the original procedure. There are three distinct features of the Extreme Abdominal Reconstruction. 1. The wasitline is made measurably smaller and more defined. 2. The incision is moved off of the abdomen and down into the natural intertriginous groin crease. 3. The umbilicus (belly button) is recreated to exceed normal and achieve aesthetic ideals. Beyond the dramatic physicial changes, there are some significant functional benefits reported by many patients. These include improved posture, reduced constipation, and greater confidence. Some patients have sucessfully carried pregnancies to term and delivered healthy babies. Immediately, to the surprise of their Obstetric care teams and the patients themselves, their abdominal profiles immediately returned to their pre-pregnancy status.