For a full tummy tuck, the most commonly performed type of abdominoplasty, a horizontal incision is made low on the abdomen, extending from one hip to the other, between the pubic hairline and belly button. The incision runs from the right hip to the left hip, placed as low as possible to keep the incision line hidden.
The underlying rectus muscles (six pack) are tightened to create a smoother, flatter abdomen. If needed, liposuction can be employed to further contour the abdomen. The skin and belly button are repositioned to achieve the most aesthetically appealing and natural-looking result possible. The procedure is completed by trimming away excess skin and closing the incisions.
If a woman has had a cesarean section (C-section), the existing scar will be utilized if possible.