MODEL RELEASED. Cosmetic breast and abdominal surgery. Image 14 of 28. Cosmetic surgeons operating on a middle-aged woman undergoing breast enlargement and abdominal sculpturing. They are completing the breast augmentation stage of the operation and beginning the abdominoplasty stage. An abdominoplasty (tummy tuck), is a procedure where excess fat and skin is removed from the lower abdomen and the muscles of the abdominal walls are tightened. Here, the breasts have had implants inserted to increase their cup size and the surgeons are using a scalpel to cut out the excess fat and skin. For a series showing the entire surgical procedure, see images M590/498 - M590/525.