The operation will remove most of the excess fat and skin from the lower abdomen. In doing so, it will also remove any stretch marks or other scars below the level of the belly button. The rectus muscles will be brought together (plicated) into their natural position if they have drifted apart. The belly button itself is preserved and may be reduced if it is excessively large or unsightly. We may also employ liposuction to the flanks and midline to improve the resulting contour.