Step 1: An incision is made just above the pubic area, and the navel is freed from surrounding tissue.
Step 2: Skin is separated from the abdominal wall up to the rib cage, exposing the patient's abdominal muscles.
Step 3: Muscles are tightened by pulling them close together and stitching them into a new position for a firmer abdominal wall and narrower waistline.
Step 4: The skin flap is stretched down, and excess skin is removed.
Step 5: Since the skin has shifted, a new opening is made to stitch the navel in place.
Step 6: Incisions are closed, and dressings are applied.