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There are three major sources of cosmetic dissatisfaction at the abdomen: loose skin, extra fat, and muscle weakness. These problems most often result from pregnancy, but also can develop as a function of aging or weight loss in men or women. Abdominoplasty (or tummy tuck) can correct much of this damage by tightening the skin, reducing the extra fat, and repairing the muscle weakness. Candidates include almost everyone with these problems, since diet and exercise are usually ineffective in correcting them.