What exactly IS a tummy tuck?

What do they do with a tummy tuck? Do they actually cut muscle? And is getting extra skin removed (like pannilectomy)usually accompanied with a TT? My surgeon told me I should "start saving $" for a TT, but I told him I wasn't going to want one. Maybe wishful thinking! I am 5'6 268 pounds so maybe I can get away with it. LOL

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