The "mini" abdominoplasty does not reposition the belly button (umbilicus). Skin excision and muscle tightening are limited to the area below the umbilicus. During surgery, the umbilicus remains attached to the abdominal wall in the original position. The belly button is not altered in any way (i.e. no incision, no transposition).  Similar to traditional abdominoplasty, both long and short incision variations exist. The long incision variation permits greater skin excision. A short incision is possible when there is a minimum of excess skin and access is primarily needed to tighten the muscles. Candidates for mini-abdominoplasty have limited volumes of excess skin confined to the lower abdomen. Often the incision is made just above the pubis and extends along the line of a "bikini" panty.