When the concern is localized fullness, often referred to as an 'apple belly,' exclusively in the infra-umbilical (below the navel) region, a mini abdominoplasty is performed. This procedure involves shorter incisions and does not require repositioning of the navel, making it a more limited surgical intervention. During this surgery, the abdominal wall is internally reinforced with strong sutures to tighten the muscle fascia, effectively reducing protrusion and creating a flatter abdomen.