Mini abdominoplasty is usually performed in an outpatient surgical setting while the patient is under general anesthesia. The surgery generally takes between two to three hours First a dilute local anesthetic, known as tumescent fluid, is infused into the fatty tissue to numb the area and reduce bleeding. A thin cannula is then used to suction out the fat. Often a mini tummy tuck involves more extensive liposuction to compensate for the removal of a smaller amount of skin.

Once the liposuction procedure is complete, a horizontal incision is made along the lower abdomen. This incision is made in a similar position to where a C-section scar might be, but may extend slightly further depending on the amount of skin removed. Next, the abdominal skin is lifted to the level of the belly button and the loose or separated muscles of the lower abdomen are sutured together and repaired. The loose skin of the lower abdomen is then pulled down tightly like a window shade, and any excess is trimmed away.  Drains or thin flexible tubes are temporarily placed to relieve any bleeding or swelling. The skin is then stitched together with layers of dissolving sutures, and dressings and an abdominal compression binder are placed to aid in the recovery process.