The tummy tuck, often coupled with liposuction, is a procedure where our plastic surgeons reshape and firm the abdomen through the removal of excess skin and fat from the middle and lower abdomen. This tightens the muscle of the abdominal wall. Typically, people with abnormal fat deposits, or those with excess fat and skin following massive weight loss seek an abdominoplasty. A flatter, trimmer abdomen can make you feel more comfortable and confident with others.