How does Heights Plastic Surgery perform tummy tucks? January 25, 2023 A tummy tuck is an outpatient procedure that typically takes about two to three hours to complete. To begin, either an anesthetic or IV sedation will be administered to ensure you are comfortable and pain-free throughout your surgery. Dr. Downey or Dr. Bullocks will then make a careful incision just above the pubic area to access the abdomen. After carefully removing excess fat and skin from the midsection, Dr. Downey or Dr. Bullocks will tighten the muscles in the abdomen, pull the skin tight, and trim away the excess tissue.