Classic and mini tummy tucks: we remove excess skin and fat from the abdomen and repair separated muscles, considering diastasis and post-pregnancy scars
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Guarantee under an official contract

400+ successful surgeries

10 years of abdominal surgery experience

Free consultation
before surgery
A tummy tuck (abdominoplasty) is an operation that tightens the front abdominal wall, removing surplus stretched skin and fat. It is not weight-loss surgery and no replacement for diet and exercise. Its purpose is a flat abdominal contour: taking away the overhanging skin-and-fat apron, repairing separated rectus muscles and, if needed, creating a new navel.
It is the choice when excess skin and diastasis (separated rectus abdominis muscles) remain after childbirth, a C-section or major weight loss. This can't be fixed with diet or exercise, since stretched skin doesn't shrink and separated muscles don't close without surgery. Pregnancy is planned 12 months or more later, and surgery is not performed while breastfeeding.

Guarantee under an official contract

10 years of abdominal surgery experience

Free consultation before surgery

Classic tummy tuck
The classic operation begins with a horizontal cut above the pubic area, its length depending on the excess tissue. The scar line is placed so that underwear and swimwear cover it. The surgeon repairs separated rectus muscles, removes excess skin and fat, repositions the navel and places drains; it lasts 2–4 hours under general anaesthesia.
Suits pronounced excess skin, rectus diastasis and a C-section scar.

Mini tummy tuck with diastasis repair
A mini tummy tuck is for a narrower issue — only the lower abdomen is corrected, through a shorter incision, and the navel is not moved. It is used with a small amount of excess skin where the key concern is diastasis or overhang above a C-section scar; recovery is then shorter. The surgeon selects the technique at an in-person consultation after assessing the abdominal muscles and skin.
Less trauma and a shorter recovery when excess skin is minor.

Surgeon consultation
The surgeon discusses your wishes, carries out an examination, assesses fat deposits and excludes contraindications. City Medical Centre adds a hormone screening to help predict the long-term result.

Pre-surgery check-up
ECG, chest X-ray and blood tests (complete count, coagulation panel, biochemistry, HIV, hepatitis, syphilis), plus a GP consultation where needed.
All tests can be done at the clinic with no waiting.

Preparation
Stop blood-clotting medicines 2 weeks before; stop alcohol and smoking a week before for faster healing; eat the last meal 8 hours before.

Surgery day
You meet the surgeon, the skin is marked and compression garments are fitted. The surgery is done under general anaesthesia and lasts 2–4 hours.

Waking up and monitoring
Medical supervision in hospital continues for 1–3 days after the surgery.

Recovery
Compression binder for 1.5–2 months. Most swelling subsides within 30 days; office work resumes after 2–3 weeks. The final result is assessed at 3 months.

Surgeon consultation
The surgeon discusses your wishes, carries out an examination, assesses fat deposits and excludes contraindications. City Medical Centre adds a hormone screening to help predict the long-term result.

Pre-surgery check-up
ECG, chest X-ray and blood tests (complete count, coagulation panel, biochemistry, HIV, hepatitis, syphilis), plus a GP consultation where needed.
All tests can be done at the clinic with no waiting.

Preparation
Stop blood-clotting medicines 2 weeks before; stop alcohol and smoking a week before for faster healing; eat the last meal 8 hours before.

Surgery day
You meet the surgeon, the skin is marked and compression garments are fitted. The surgery is done under general anaesthesia and lasts 2–4 hours.

Waking up and monitoring
Medical supervision in hospital continues for 1–3 days after the surgery.

Recovery
Compression binder for 1.5–2 months. Most swelling subsides within 30 days; office work resumes after 2–3 weeks. The final result is assessed at 3 months.
Post-op check-ups
At the clinic's expense until year-end: a post-surgery consultation with your surgeon to review your results and get more information
The clinic covers your consultation if you apply before the end of the year!
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If chronic conditions apply to you, please consult a clinic doctor!
Indications

Excess abdominal skin and fat after childbirth or weight loss

Separation of the rectus muscles (diastasis)

A sagging lower abdomen or an apron of skin

Restoring your figure after giving birth or rapid weight loss

Lower abdominal scars, including after a C-section
Contraindications

Age under 18

Endocrine obesity

Severe chronic and mental illness

Decompensated diabetes

Blood clotting disorders

Cancer

Pregnancy and breastfeeding

Severe heart, kidney or liver disease

Temporary contraindications: taking anticoagulants, acute infections, menstruation, inflammatory skin conditions in the treated area
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Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
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Following surgery, the patient stays 1–3 days in hospital under medical supervision. Drains usually come out after two days, and stitches after 7 days. For 1.5–2 months a compression binder supports the abdominal wall and shapes a smooth contour. Within 30 days most swelling goes, and office work is possible after 2–3 weeks. Sports, sauna and heavy lifting are not allowed for 2–3 months; in the early days, sleep on your back with your knees bent. By 12 months the scar is fully mature: faded and barely noticeable.
Plastic surgeons with experience and doctors who care about how patients look and feel
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
The clinic covers your consultation if you apply before the end of the year!
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Pre-surgery hormonal approach: an endocrinologist rules out hormonal reasons for obesity, making the long-term result more dependable

Combined procedures
In a single operation a tummy tuck can include liposuction of the flanks and waist or diastasis repair, so there is one anaesthesia and one recovery period

Support until the result
Throughout recovery the surgeon stays in contact; the contract fixes the price, with no hidden extra charges
The clinic covers your consultation if you apply before the end of the year!
Message our coordinator
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Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Message our coordinator
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Is it possible to combine a tummy tuck with liposuction or diastasis repair?
Yes, you can combine them, and in practice it is very common. Liposuction of the flanks and waist is added to the tummy tuck, and after childbirth, rectus diastasis repair. Such a combination shortens recovery, and the surgeon will explain at an in-person consultation how extensive the procedure will be.
Is a tummy tuck a way to lose weight?
No, it will not help with weight loss. The goal is another: to remove excess stretched skin and the fat apron and restore the muscle wall of the abdomen. Surgery is done when weight is stable; if it is still changing, see a dietitian or endocrinologist first.
Will there be a scar after surgery?
Yes, a scar is the unavoidable price of removing excess skin. In a classic tummy tuck it runs across the lower abdomen from hip to hip, below the underwear or swimsuit line; in a mini tummy tuck the incision is much shorter. With time, the scar fades and becomes thin.
Will the surgery remove stretch marks and sagging skin?
Removing sagging skin and the fat apron is exactly what this surgery does: they are removed completely, and stretch marks below the navel go with them. The surgeon pulls the upper abdominal skin down, so the tummy ends up smooth without an extra lift.
Is the surgery painful?
No, during the procedure there's no pain: a tummy tuck is under general anaesthesia and nothing is felt. Tightness and soreness show up in the first days and are relieved by painkillers prescribed by the doctor; by the end of the first week, discomfort eases noticeably.
What should you avoid after a tummy tuck?
After a tummy tuck, the restrictions are identical for everyone. During the first 2–3 weeks there should be no physical exertion, heavy lifting or sudden movements. Sauna, steam bath, pool, tanning beds, alcohol and smoking are off-limits for a month or more. Sport resumes gradually and only with the surgeon's approval. You wear compression garments for another 4–8 weeks.
How old do you need to be for a tummy tuck, and is there an upper limit?
The minimum age is 18, and only without contraindications. There is no upper limit at all: at our clinic each case is considered individually, after an examination and health assessment.
How does a mini tummy tuck differ from a classic one?
Scope of surgery is the whole difference. A mini tummy tuck is for small excess skin below the navel — shorter incision, navel left in place, faster recovery. A classic one removes the skin-and-fat apron across the entire abdomen, involves moving the navel and allows diastasis repair along the full length of the muscles.
How long does recovery take?
There are three recovery milestones: back to office work after 2–3 weeks, swelling and tightness gone by 1.5–2 months, and the final result and scar assessed at 6–12 months when the tissues have fully adapted.
Will the result last with weight gain and after pregnancy?
Removed skin does not grow back — that part of the result is permanent. The abdomen will stretch again only with significant weight gain, so keep your weight stable. Pregnancy after a tummy tuck is possible, but it stretches the repaired muscles, so surgery is planned once your family is complete.
Do you need special preparation for surgery?
Yes, preparation is required. 7–10 days before a tummy tuck, smoking, alcohol and medicines that affect blood clotting must stop. You also need a pre-surgery check-up with blood tests, ECG, leg vein ultrasound and GP and anaesthetist consultations — completed in advance, not the day before.
When will the result be visible?
The answer holds for everyone: 2 weeks after surgery the main swelling subsides and the first changes appear. Two checkpoints follow — at 1.5–2 months an interim result, at 3–6 months the final contours.
Do you need to stay in hospital, and for how long?
Yes, you need to stay in hospital: 1–2 days under medical supervision for a classic tummy tuck, usually one day for a mini tummy tuck. Recovery goes on at home, with the surgeon checking on it at scheduled check-ups.
What tests are needed before surgery?
Everyone gets the same list before a tummy tuck: blood and urine tests, a coagulation panel, biochemistry, infection tests, an ECG, chest X-ray, leg vein ultrasound and a GP's report. At the consultation the surgeon gives the exact list; tests are usually valid for 10–14 days.
Is diastasis always repaired during a tummy tuck?
No, not every patient needs a repair — only those whose rectus abdominis muscles are actually separated. The surgeon sees diastasis when examining you, and if unsure confirms it with ultrasound. The separated muscles are joined in the same surgery; a separate procedure isn't needed.
Can you plan a pregnancy after a tummy tuck?
A tummy tuck doesn't rule out pregnancy, but order matters — first childbirth, then surgery. If not, skin and muscles stretch again and some of the result is lost. The surgeons' advice is simple: if you are planning a child, wait at least a year after the procedure.
Do you have to wear compression garments, and for how long?
Yes, it's required — the garment supports tissues and reduces swelling, and without it recovery is worse. The first 3–4 weeks it is worn around the clock, after that during the day for about another month. The operating surgeon will tell you the exact period.
Timing matters with abdominoplasty. Because pregnancy stretches the repaired muscles again, surgeons advise having it once your family is complete and planning a pregnancy no earlier than a year afterwards. It is also done only at a stable weight: if yours is still changing, a dietitian or endocrinologist comes first. Women in Bloemfontein thinking about the procedure after childbirth should keep this order in mind.
Preparation is straightforward. Two weeks before surgery, medicines affecting blood clotting are stopped; a week before, alcohol and smoking are ruled out for faster healing; the last meal is eight hours before. On the day, you meet the surgeon, the skin is marked and compression garments are fitted. The operation takes 2–4 hours under general anaesthesia. This is the plan for everyone in Bloemfontein.
Nothing about the cost is hidden. The surgeon sets the price for abdominoplasty after a free in-person examination, and that amount is fixed in the contract. The surgeon stays in touch throughout recovery, and check-ups are part of the plan. For people from Bloemfontein, the fastest way to get an exact figure is to leave a request; a coordinator will call and book a time.
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