The surgeon then separates the skin from the abdominal wall all the way up to the ribs and lifts a large skin flap to reveal the vertical muscles in the abdomen. The surgeon tightens them by pulling them close together and stitching them in place. This firms the stomach and narrows the waist. The skin flap is stretched down and the extra skin is trimmed. A new hole is cut for the navel, which is then stitched in place.
Incisions are closed and a tube is inserted to drain fluid.
The abdomen will be sore and swollen for several days. Depending on the extent of the surgery, the patient may be released after several hours or may be hospitalized for up to three days. Although the patient won't be able to stand straight, walking should commence as soon as possible. The dressing may be replaced with a support garment. It may take weeks or even months to feel completely normal.