Answer:
Scars and striae below the umbilicus will be removed by abdominoplasty and abdominal wall laxity will also be corrected, however, upper abdominal scars such as the Kocher incision scar are potentially problematic. Not only will the scar remain after abdominoplasty, but it may signify a more difficult dissection through that area and possible impairment of the blood supply to the superior flap. Cardoso found a higher rate of complications among patients with supraumbilical scars (23.3%) compared with those with no scars or infraumbilical ones (7.3%). The most common complication was fat necrosis. Other less frequent complications included extensive skin necrosis, dehiscence, hematoma, and wound infection.