Tummy Tucks (abdominoplasty) A thin incision, from one hipbone to the other and largely hidden in the bikini line, allows Dr. Rademaker to gently lift the skin and fat from the muscle while leaving the belly button in its place. If the abdominal muscle is weak, as it often is, it’s tightened with sutures. While you’re prone the flap is pulled down into place and the excess skin and fat are cut away. Then you’re placed in a semi-sitting position to allow as much skin as possible to be removed before muscle and skin are sewn. Many patients request liposuction along with a tummy tuck. Usually, when it’s necessary, liposuction is safe. Just bear in mind that abdominoplasty can be a relatively long procedure so make sure you discuss your circumstances with Dr. Rademaker. That way you’ll know what to expect.