Getting Rid of Loose Skin Without Muscle Tightening

You are correct, the best way to get rid of loose, excess abdominal skin is with a tummy tuck.

The vast majority of patients who have loose, excess abdominal skin secondary to weight loss or pregnancy also have seperation of the vertical abdominal muscles.  The speration of these vertical midline muscles adds to the appearance of lower abdominal bulging, fullnes, and roundness.  During a tummy tuck, the thick, fibrous covering of these muscles are sutured back together, pulling the muscles into a normal, midline position.  Note that the muscles themselves are not cut or sewn.  This part of the operation, called muscle plication, adds about 15 minutes to the surgery.  Failure to perform muscle plication during a tummy tuck will leave most patients with a sub-par result and continued lower abdominal bulging.

Occasionally, a patient's excess skin is limited to the lower abdomen (i.e. below the belly button) and they do not have seperation of the abdominal muscles.  In the case where abdominal muscle tightening is not necessary, a mini tummy tuck can be performed to remove excess lower abdominal skin only. 

I recommend you be evaluated by a plastic surgeon certified by the American Board of Plastic Surgery to find out if a mini tummy tuck or standard tummy tuck is best for you.

Jaime Perez, M.D.

Tummy Tuck Specialist in Tampa, Florida

Plastic Surgery Center of Tampa, Florida

Hi there-
If you either do not have muscle laxity and roundness of your abdominal wall, or you do have this but are not concerned about it, it is possible to simply remove your excess skin and maybe do a bit of liposuction.
If you do have a bit of roundness here, most reputable surgeons are going to want to repair this while they're there, as operating on you without attempting to achieve the very best outcome possible goes against our typical thought processes, but if you are certain this is what you want, it is possible.