The surgeon makes an incision that starts at the hipbone all the way to the other side slightly over the pubic area. Another incision is made to clear the umbilicus from its surrounding tissues.
For the case of a mini lipectomy, there will be a much shorter incision whereby the umbilicus may not be shifted, though it may be tugged into an abnormal shape while the skin tightens and then gets stitched.
The surgeon sets apart the abdominal skin all the way to the ribs and raises a big portion of skin flap to expose the abdomen’s vertical muscles. The muscles are made tight by pulling them closer together and stitching them into a new position which provides a much stronger abdominal wall with a narrowed waistline than the previous one.
The extra flap of skin is then removed, and a new umbilicus hole is cut and stitched in place. The final process involves stitching up of the incision and dressing up the wounds. A temporary tube may be inserted to drain the excess fluids, from the surgical site.