MODEL RELEASED. Cosmetic breast and abdominal surgery. Image 25 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 has been excised and the underlying muscles have been stitched to tighten them. This surgeon is now bringing together the ends of the opening, ready to be stapled together. For a series showing the entire surgical procedure, see images M590/498 - M590/525.