35 year old African-American Female G4P4 5’9″/200 lbs with severe diastasis recti/prune belly s/p failed endoscopic umbilical hernia repair with mesh. Patient 3 months s/p LipoAbdominoplasty, umbilectomy and immediate belly button reconstruction (SAL- 762 cc/ Excised Abdominal skin 2,159 gms or 4.8 lbs)