1. Anesthesia: The patient will be administered a general anesthetic to ensure they are comfortable and relaxed throughout the procedure. 

2. Incision: An incision will be made below the belly button in order to remove excess skin and fat. 

3. Removal of Fat and Skin: The surgeon will carefully remove fat and skin from the lower abdomen and sides. 

4. Muscle Repair: The surgeon will then repair the underlying abdominal muscles and suture them together for a tighter, flatter stomach. 

5. Closing the Incisions: The incisions will be closed with sutures or surgical staples. 

6. Drainage: The surgeon may insert a drainage tube to ensure excess fluid or blood does not accumulate in the area. 

7. Bandage: The area will be bandaged to provide support. 

8. Recovery: The patient will be given instructions on how to care for the area and to watch for signs of infection. 

9. Follow-Up: The patient will need to return to the doctor for follow-up visits to monitor the healing process.