mendation is likely to be a modified stomach tuck or mini-tuck, which includes only liposuction, pulling the muscles together, and stretching the skin below the navel. Patients who have a large amount of excess skin extending out over the hips and waist may benefit from a circumferent (all around the body) skin removal.

The anatomy of the abdomen
Below the skin is a layer of fat which varies considerably in thickness from person to person. It is usually one or two inches thick, but can be four times that thick or extremely thin. Beneath the layer of fat are the muscle membranes, and beneath these the stomach muscles. In the middle of the abdomen are the vertical rectus muscles, the ones responsible for the washboard stomachs on bodybuilders. There is one on each side of the vertical midline. During pregnancy these two muscles gradually part to make room for the baby, and by the time of childbirth they may have separated by as much as a foot or so. After the baby is born the muscles contract again and pull toward the center, but they can be too stretched and weak to recover completely. The result is that the stomach protrudes, especially the lower part of the abdomen. This can sometimes be quite prominent. I remember particularly a women who actually didnt have much subcutaneous fat, but her stomach stuck out so far that people often assumed she was pregnant, and she really looked to be about seven or eight months pregnant (see photos). Her problem was remedied by stretching the muscles and sewing them back in place at the center line. Obviously the amount of fat in the abdominal cavity limits how much the waistline can be narrowed.
Beside the rectus muscles are the transverse stomach muscles. Inside these two layers of muscles is the peritoneum, the membrane that contains the stomach, intestines and liver. In back, behind the peritoneum, are the kidneys, and below them is the bladder, and in women the uterus.