Hello I.rosario in New Hampshire. Thank you for your question regarding the removal of fat and tightening of the abdominal area. Based on your goal of removing fat and tightening your abdomen, I recommend a tummy tuck (abdominoplasty). A tummy tuck is the most effective procedure to address loose and excess skin, tighten the abdominal muscles, and create a flatter, more toned abdomen. In addition to the tummy tuck, I would recommend pairing the procedure with liposuction of the flanks. Liposuction will help to remove excess fat from the sides of your waist, further enhancing your body contour and providing a more sculpted appearance. During a tummy tuck, an incision is made low on the abdomen, excess skin and fat are removed, and the abdominal muscles are tightened. The combination of these procedures will give you the best overall results by addressing both the skin and fat in the abdominal area. Please consult with a board-certified plastic surgeon to discuss your specific needs and to develop a personalized surgical plan. Good luck, and I hope you achieve the results you desire. Sincerely, J. Timothy Katzen, MD, FASMBS, FICS