The excessive loose skin of the lower abdomen is removed, and the remaining skin is repositioned, stretched smooth, and tightened. Lower stretch marks are removed, and upper stretch marks are lowered down. Any low fat roll is removed or redistributed. The muscles are tightened and cinched together to accentuate the waistline. Sometimes liposuction is used as an adjunct procedure along with the abdominoplasty. Frequently, female patients may choose to have simultaneous breast enlargement via the navel leaving no additional scars, (or by other methods).