Abdominal wall aging is a part of human aging with age, the main reasons are: excessive accumulation of local fat, skin and other soft tissue sagging, deep fascia, bone support structure atrophy leading to the displacement and deformation of the attached tissue. According to the different degrees of aging can be divided into four degrees: first degree: local fat accumulation, abdominal bulge, skin elasticity is good, deep muscle tendon membrane without relaxation; second degree: there is a mild to moderate fat accumulation, especially obvious under the umbilicus, there is a slight skin and abdominal wall muscle relaxation phenomenon, mostly seen in mothers who have given birth to children. Third degree: in addition to skin sagging, combined with relaxation of the entire abdominal muscle fascia, diffuse fat deposition throughout the abdomen, skin with subcutaneous fat can move up and down, patients with multiple pregnancies can see obvious stretch marks. Fourth degree: skin laxity and sagging is more obvious, the upper abdominal skin sagging can cover the navel, the lower abdominal skin can hang in front of the pubic mound like a curtain, due to the relaxation of deep fascial muscles and other supporting structures leading to the downward displacement of the navel. In general, a healthy and young abdominal wall is mainly characterized by: tense and elastic skin, uniform skin thickness, superficial skin undulating with the morphology of deep structures, able to reveal the contours of deep structures, such as the glabella, the rectus abdominis muscle of the rib arch, iliac spine, groin, etc., so that the ratio of waist circumference: hip circumference in women is about 0.72:1, in men is about 0.83:1 umbilicus is sagittal cleft. As age increases, local fat deposition increases, the abdomen bulges, the skin begins to relax, and the surface anatomical structures of the abdominal wall mentioned above sink into fat and gradually disappear. The aging of the abdominal wall will not only affect the appearance, but also the health of the body, and in serious cases, complications such as umbilical hernia and prolapse of abdominal contents may occur. The purpose of abdominal wall aging treatment is twofold: 1 functional treatment: to rebuild the integrity of the abdominal wall structure and prevent herniation and prolapse of abdominal contents caused by abdominal wall laxity; 2 cosmetic treatment: to improve the shape of the abdominal wall, remove excess fat and sagging skin, restore the appearance of a young belly button; to make the surgical scar hidden, minimize the formation of scar, and recreate a natural and beautiful belly button. For patients with one degree of abdominal wall laxity, liposuction of the abdominal wall can be performed to correct it. For second degree patients, tummy tuck plus small incisions in the lower abdomen to remove a small amount of loose skin on the pubic mound is performed according to individual conditions. In third-degree patients, the decision to perform myofascial reduction is based on the degree of laxity of the abdominal wall muscles and tendons to re-establish the tension of the abdominal wall, rearrange the surface skin, and reposition the anatomic position of the umbilicus. After lifting the skin of the entire abdominal wall in the fourth degree patients, we should focus on checking the weak points of the abdominal wall, pay attention to check whether there is a combination of umbilical hernia, etc., according to the degree of weakness, transverse or longitudinal folding sutures of the tendon membrane are feasible, and synthetic materials can also be used to strengthen the abdominal wall, as more skin of the abdominal wall is removed, the navel needs to be repositioned and shaped, and the surgical scar is hidden as much as possible. The potential risks of abdominoplasty are not only related to the surgical operation itself (e.g., hematoma, seroma, infection, skin necrosis, poor healing of the incision, etc.) but also to the individual patient’s physical condition (e.g., anatomical variation, bleeding tendency, immune deficiency, etc.). For the former, the surgeon should have a solid knowledge of anatomy and the ability to perform minimally invasive operations. For the latter, a thorough preoperative physical examination and assessment of the patient is required to detect hidden problems and reduce the occurrence of unnecessary complications.