An abdominoplasty, sometimes known as a tummy tuck, requires great skill because it involves a series of steps that include removing excess fat and skin, and then repositioning the belly button, if needed. While there different degrees of abdominoplasty, the traditional procedure also involves the use of liposuction. In these cases, the surgeon must be careful to avoid removing vital tissue including muscle. Additionally, the surgeon should break up and remove the fat evenly to avoid undesirable results, such as a "bumpy" stomach. As a result of removing the excess skin and fat, sometimes the belly button must be repositioned. This requires some advanced surgical skill to both preserve the belly button, and reduce scarring. Good results will depend on both the patient and the surgeon. Researching the surgeon's previous abdominoplasties can give patients and idea of what to expect from their own results. Additonally, the surgeon can consult with the patient and help them develop a diet and exercise to prepare for the surgery. Thorough communication with a plastic surgeon can help both parties understand what the patient would like from their results, and whether the doctor can provide those results.

There are two variations of the abdominoplasty. For patients within 10 percent of their ideal weight, a mini tummy tuck is best because it removes less fat and serves to resculpt select areas of the abdomen; this results in a less invasive surgery with a quicker recovery. It is an outpatient procedure and recovery times are much quicker. A traditional tummy tuck is more invasive, and involves major reconstruction of the stomach. Although a mini tummy tuck might use newer liposuction methods such as laser or vaser, a major adbdominoplasty will use traditional liposuction methods to remove fat. This tends to be more invasive, which can result it a longer recovery time. Additionally, the surgeon will need to remove excess skin once the fat is removed. This will require extensive stitching and sutures that will limit mobility in the weeks after a traditional tummy tuck. The results of each type of abdominoplasty are only semi-permanent but, longer-lasting results are dependant on the patient's adherence to a healthy lifestyle, as well as regular checkups with their doctor.

Although an abdominoplasty uses liposuction methods to remove fat, which can provide for a sculpted and tone stomach, it is not a solution to weight loss. Good overall health is an important requirement for any type of surgery, and this is especially true for an abdominoplasty. Having a good diet and exercise plan both before and after surgery can help ensure that the results of an abdominoplasty will last.