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Sometimes after multiple pregnancies or large weight loss, abdominal muscles weaken, and skin in the area becomes flacid. Abdominoplasty can tighten the abdominal muscles and, in some instances, improve stretch marks. In men and women who have fat that is concentrated in the abdomen, but who are otherwise of relatively normal weight, the procedure will remove excess skin and fat. The surgery will not eliminate minor wrinkling or take the place of dieting, but it can improve a loss of skin elasticity in combination with slight obesity in older individuals.

For this operation, you will most likely be hospitalized for a short time. To smooth out the abdomen, the surgeon works through a low abdominal incision that spans the hips. Because sagging skin will be pulled down over the abdomen before it is removed, it is necessary to release the navel from its surrounding skin and bring it out through a new skin opening. Resulting scars across the pubic area and around the navel are permanent but flatten and lighten in color over time.

This procedure may sometimes be performed in combination with suction lipectomy to reduce areas of fat accumulation that would ordinarily not be improved by the abdominoplasty alone. In some instances when skin laxity and muscle weakness are confined to the lower part of the abdomen, a modified abdominoplasty may be performed that limits tissue removal and muscle repair to the area below the umbilicus. This usually leaves a shorter scar and no scarring around the navel. This procedure can often be performed on an outpatient basis.