During the procedure, an incision is made at the bikini line from hip to hip, after which your doctor will remove any excess skin between the pubic area and the belly button. To tighten the contour of the abdomen, your doctor takes the skin on the upper part of the abdomen and stretches it downward. The belly button is then repositioned to its normal position. If the abdominal muscles are loose, the surgeon can also tighten these muscles during the procedure by uniting the muscle and tissue and stitching them together. Lastly, the incisions are carefully stitched closed and a dressing is applied. The type of anesthesia administered will be determined by your doctor.