A well performed abdominoplasty will also tighten the pubis. Many patients today opt for a lipoabdominoplasty. This can be safely performed and the results of abdominoplasty are improved with liposuction.When surgeons perform tummy tuck surgery, it is important to place the scar low. There are multiple layers of the abdominal wall. An important one is called "Scarpa's Fascia". This layer holds some degree of strength. This is an often neglected layer, but one which is important to repair. When tension is placed on this layer, it will pull the pubis up and the abdominal skin down. A plastic surgeon named Ted Lockwood refined techniques with respect to this surgery. He recommended an incision approximately 6 cm above the vaginal skin crease. When this technique is applied, the pubis is lifted. I hope this helps.!