The incision is drawn horizontally resembling a caesarian just above the pubic area and is thus hidden ideally by any underwear or bikini. After that the dissection continues upwards until the xyphoid process and all the skin is lifted and transposed (or pulled) downwards with the excess undergoing complete removal . With it skin marks stretch marks and scars are getting ridden of.
We should distinguish between two different types of abdominoplasty, regular and mini.
Their main difference is that in the mini abdominoplasty the navel is not touched whereas in the regular abdominoplasty its dissected all around and repositioned on the skin flap. The operation takes place under general anesthesia and requires one night in the hospital.