The third is known as extended tummy tuck surgery. This is conducted on patients who have large amount of fat deposited on abdomen, hips and on sides of lower back. In this case, incisions starts from abdomen and reaches around your hips. It is evident that the belly button needs to get repositioned in this case.These were the three common and primary surgical procedures available. Another method, known as endoscopic tummy tuck is available. This makes the least possible incision and smallest amount of skin removal.