In some patients, a skin only tummy tuck can be performed without the necessity of doing extensive muscle plication. Typically, these patients have an athletic build with minimal muscle weakness and minimal excessive fat. The excessive skin is located in the lower abdomen. With the advent of liposuction and machines that are dynamic, the dissection of the abdomen can be done with these newer technologies like the power-assisted liposuction. This avoids an extensive dissection that is typically done during a tummy tuck procedure.
The excessive skin is removed in the lower abdomen, thus keeping a scar that is short. Liposuction is performed as necessary, not only to remove the excessive fat, but also to free the soft tissue for a more extensive removal of the skin and better redraping of the abdominal skin.