It is used when there is localized fullness of the lower abdomen and a less extensive procedure than an abdominoplasty is needed. Most doctors remove an ellipse of skin from the lower abdomen and tighten the muscles beneath that area. Many do liposuction of the abdomen at the same time.
Most patients are happier asleep.
You can choose. Most of the time this is an outpatient operation and a stay in the hospital is not needed. All operations have some risk. The risks of surgery are divided into two groups. First those that are seen in all operations and second those that are unique or special for this operation.