This is a procedure that tightens the abdominal muscles and remove excess skin from the abdomen, hips, and buttocks at the same time. Some patients, after extreme weight loss through dieting, exercising, or by bariatric surgery used to end up with saggy skin or lower abdomen, lower back, hips, buttocks, and thighs.

The resulting scar is a circumferential scar on lower tummy and lower back too.