The TRAM flap has revolutionized breast reconstruction, however, a significant number of patients develop a contour abnormality of the donor site. Current techniques available to repair these defects include fascial plication, onlay mesh, and intra-peritoneal mesh. Several recurrences following repair of abdominal wall contour abnormalities using the aforementioned techniques motivated the development of a new procedure. The purpose of this study is to present a new technique for repair of abdominal wall contour abnormalities and report on eight patients who underwent the procedure. The Extended Mesh Repair with External Oblique Muscle Re-enforcement involves placing mesh over the bulge and surrounding normal fascia with extensive anchoring. The mesh is sutured to the edges of the external oblique fascia bilaterally (following sharp division of the fascia), the inguinal ligaments bilaterally, and the pubic tubercle. Eight patients ranging in age from 37 to 66 underwent the aforementioned repair. Four patients had diffuse infraumbilical bulges and four patients had a unilateral bulge. The average follow-up was 14.7 months (range 8 months to 1.5 years). There was one local recurrence at three months and one ilioinguinal paresthesia. This technique provides the plastic surgeon with an additional method to repair contour abnormalities following TRAM flap.