People are going to third world countries for plastic surgery. The reason is cost. It is cheap there. At the minimum, the cost of the hidden price is frequently mediocre (or lower quality) work. Sometimes there is tragedy. This one falls under the category of sloppy work or a “Yuck Tuck.”
A tummy tuck shouldn’t have a deep crease at the closure. This case wasn’t made very tight as the excess on the top hangs over the closure. There is also no dip at the belly button.