MODEL RELEASED. Cosmetic breast and abdominal surgery. Image 21 of 28. Cosmetic surgeons operating on a middle-aged woman undergoing breast enlargement and abdominal sculpturing. They are now in the abdominoplasty stage after finishing the breasts. 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 excess skin and fat is being lifted away from the body, to determine how much needs to be cut off. For a series showing the entire surgical procedure, see images M590/498 - M590/525.