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POPSPlastic surgery dallas-body-abdominoplasty-tummy-tuck/ A tummy tuck or abdominoplasty can help patients gain a firm, smooth stomach where exercise and diet have failed. The abdominoplasty procedure firms the stomach area by removing excess fat and skin and by tightening the abdominal wall muscles. In this procedure, an incision is made in the abdomen immediately above the pubic area. The length of the actual incision will depend on the amount of skin and fat that needs to be removed. If fat needs to be removed as well, abdominoplasty can take place with liposuction for better results.