There are number of reasons you might have excess fat, poor elasticity of the skin or weakened connective tissue in your abdomen. Good thing that a tummy tuck can remove loose, excess skin and fat, and tighten weak fascia. However, A tummy tuck isn’t for everyone. Our surgeon might caution against a tummy tuck if you plan to lose a significant amount of weight, might consider future pregnancy, have a severe chronic condition such as heart disease or diabetes, have a body mass index that’s greater than 30, are a smoker and had a previous abdominal surgery that caused significant scar tissue.