“Bulges” in these areas can almost always be treated with liposuction.  It is important to remove the fat evenly so that you are left with a uniform thin fat layer instead of the fat bulge.  The small incisions are usually hidden in the navel, pubic hair or under the bikini line.  When skin removal is needed, a “mini tummy tuck” is often sufficient.  This excision is done so the scar will lie at the upper edge of the pubic hair.  It can be extended as far to the sides as is required to avoid a “dog ear” pooch of skin.  If this is done, the abdominal muscles are usually sewn together in order to further flatten the lower abdomen. Skin removal is almost never necessary in the hips.