An abdominoplasty is a cosmetic surgical procedure to improve the appearance of the abdomen. During a tummy tuck — also known as abdominoplasty — excess skin and fat are removed from the abdomen. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. The remaining skin is then repositioned to create a more toned look. You might choose to have a tummy tuck if you have excess fat or skin around the area of your belly or a weak lower abdominal wall. A tummy tuck can also boost your body image. Why it's done There are a number of reasons you might have excess fat, poor elasticity of the skin or weakened connective tissue in your abdomen. These include: • Significant changes in weight • Pregnancy • Abdominal surgery, such as a C-section • Aging • Your natural body type A tummy tuck can remove loose, excess skin and fat, and tighten weak fascia. A tummy tuck can also remove stretch marks and excess skin in the lower abdomen below the bellybutton. If you've previously had a C-section, your plastic surgeon might be able to incorporate your existing C-section scar into your tummy tuck scar. A tummy tuck can also be done in combination with other body contouring cosmetic procedures, such as breast surgery. If you've had fat removed from your abdomen (liposuction), you may decide to have a tummy tuck because liposuction removes tissue just under the skin and fat but not any excess skin.