MODEL RELEASED. Cosmetic breast and abdominal surgery. Image 22 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 surgeons are using a scalpel to cut out a large piece of excess skin. The abdominal fat is the yellow tissue at lower centre. For a series showing the entire surgical procedure, see images M590/498 - M590/525.