Most commonly, your surgeon will make a long incision from hipbone to hipbone, just above the pubic area. A second incision frees the navel from surrounding tissue. With partial Abdominoplasty, the incision is much shorter. The navel stays in place, although it may be pulled into an unnatural shape as the skin is tightened and stitched.
Next, your surgeon will separate the skin from the abdominal wall all the way up to your ribs and lift a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into position. This provides a firmer abdominal wall and narrows the waistline.
The surgeon stretches the flap down and removes any extra, and cuts a new hole for the navel. Finally, the surgeon will close the incision, apply dressings. He may insert temporary tubes to drain excess fluid from the surgical site.
In a partial Abdominoplasty, the flap of skin is stretched down, the excess is removed and the flap is stitched back into place.