A device (100) and method (200) for elevating skin subcutaneous tissue, and muscle of a patient during medical procedure, the device comprises at least one opening (102), at least one at least one ring liner (106). The opening (102) located at the top of the device having means for inserting surgical instruments within the patients body cavity created by separation of the skin, subcutaneous tissue, and muscle from the underlying organs or anatomical features cavity. The pneumatic suction port (104) is externally connected through tubing with an external vacuum system having means for allowing negative pressure to be introduced into the patients body cavity and the ring liner (106) having means for a soft interface between the device and the skin and provide a positive seal between the device and the skin.