The excess skin and fat are removed surgically from the abdominal area. Depending on the needs of the patient, the muscles of the abdominal wall are tightened. The incision is a half moon shape (length dependant on the mass of skin and fat to be removed), and is usually made directly under the overhanging skin.

Most commonly patients are placed under general anesthesia. This procedure can also be performed with a regional nerve block obtained with local anesthetic agents. 

The patient may return to work within two to four weeks. Upon re-evaluation by the physician, the patient - may return to more strenuous activity after approximately four to six weeks.

Scars should fade and flatten anywhere from three months to one year after surgery.