My lovely patient was very troubled by the large, indented and puckered scar on her abdominal wall. This was from an appendicectomy in childhood with subsequent wound infection and problematic healing. As a bikini enthusiast she hated this scar and sought surgery to correct it. Scars result from any injury to the skin (surgical, infective, traumatic or otherwise) and are permanent, inevitable and unpredictable. No non-surgical methods would have improved this scar significantly so by employing cosmetic techniques for reconstructive benefit, abdominoplasty surgery was proposed as a way to swap the puckered scar for standard fine abdominoplasty scars.