MODEL RELEASED. Cosmetic breast and abdominal surgery. Image 18 of 28. Cosmetic surgeons operating on a middle-aged woman undergoing breast enlargement and abdominal sculpturing. They are now in the abdominoplasty stage, after inserting implants into the breasts to increase their cup size. 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 surgeons are cutting into the excess abdomen skin (lower centre) while the nipples of the breasts are being stitched (blurred, upper left). For a series showing the entire surgical procedure, see images M590/498 - M590/525.