We remove excess skin and fat from the abdomen and repair separated muscles. We perform classic and mini tummy tucks, taking diastasis and post-pregnancy scars into account

Guarantee under an official contract

400+ successful surgeries

10 years of abdominal surgery experience

Free consultation
before surgery
A tummy tuck (abdominoplasty) is surgical tightening of the front abdominal wall that removes excess stretched skin and fat. It is not a weight-loss method and does not replace diet and exercise. The goal is a flat abdominal contour: removing 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 starts with a horizontal incision above the pubic area; its length depends on the amount of excess tissue. The scar line is planned so underwear and swimwear hide it. The surgeon repairs separated rectus muscles, removes excess skin and fat, repositions the navel and places drains; it takes 2–4 hours under general anaesthesia.
Suitable for marked excess skin, rectus diastasis and a C-section scar.

Mini tummy tuck with diastasis repair
A mini tummy tuck solves a narrower task: only the lower abdomen is corrected, with a shorter incision and no navel repositioning. It suits a small excess of skin where the main issue is diastasis or overhang above a C-section scar, and recovery is shorter. The surgeon picks the technique at an in-person consultation, after assessing the abdominal muscles and skin.
When excess skin is minor: less trauma and shorter recovery.

Surgeon consultation
The surgeon takes note of your wishes, examines you, evaluates fat deposits and rules out any contraindications. At City Medical Centre we also order hormone screening, which helps predict the long-term result.

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

Preparation
2 weeks before, medicines affecting blood clotting are stopped. A week before — no alcohol or smoking, for faster healing. 8 hours before — the last meal.

Surgery day
On the day: meeting the surgeon, skin marking, fitting of compression garments. Then 2–4 hours of surgery under general anaesthesia.

Waking up and monitoring
After the operation, 1–3 days in hospital under medical supervision.

Recovery
The binder is worn for 1.5–2 months. Most of the swelling settles within 30 days, and office work resumes after 2–3 weeks. The final result is evaluated at 3 months.

Surgeon consultation
The surgeon takes note of your wishes, examines you, evaluates fat deposits and rules out any contraindications. At City Medical Centre we also order hormone screening, which helps predict the long-term result.

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

Preparation
2 weeks before, medicines affecting blood clotting are stopped. A week before — no alcohol or smoking, for faster healing. 8 hours before — the last meal.

Surgery day
On the day: meeting the surgeon, skin marking, fitting of compression garments. Then 2–4 hours of surgery under general anaesthesia.

Waking up and monitoring
After the operation, 1–3 days in hospital under medical supervision.

Recovery
The binder is worn for 1.5–2 months. Most of the swelling settles within 30 days, and office work resumes after 2–3 weeks. The final result is evaluated at 3 months.
Post-op check-ups
Until the end of the year, a post-surgery consultation with your surgeon to review results and get more information is at the clinic's expense
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 body shape after childbirth 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: menstruation, anticoagulant use, acute infections, inflammatory skin conditions in the area treated
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
The patient stays in hospital under medical supervision for 1–3 days right after surgery. Usually drains are removed after two days and stitches after 7 days. Wearing a compression binder for 1.5–2 months supports the abdominal wall and gives a smooth contour. Most swelling is gone within 30 days, with office work resuming after 2–3 weeks. For 2–3 months avoid sports, sauna and heavy lifting; at first, sleeping on your back with knees bent is recommended. By 12 months the scar is fully mature, faded and barely noticeable.
Skilled plastic surgeons and doctors who look after patients' beauty and health
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Pre-surgery hormonal approach: an endocrinologist rules out hormonal reasons for obesity, making the long-term result more dependable

Combined procedures
Tummy tuck plus liposuction of the flanks and waist, or plus diastasis repair, in one operation — just one anaesthesia and one recovery period

Support until the result
You stay in contact with the surgeon throughout recovery, and the price in the contract is fixed with no hidden extra charges
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Tummy tuck with liposuction or diastasis repair — can they be combined?
Yes, combining is allowed and very common in practice. Flank and waist liposuction is added to a tummy tuck, and after childbirth rectus diastasis repair. Recovery with such a combination is shorter, and at an in-person consultation the surgeon will tell you how extensive the procedure will be.
Is a tummy tuck a way to lose weight?
No, it is not a way to lose weight. The goal is to remove excess stretched skin and the fat apron and restore the abdominal muscle wall. Surgery is performed at a stable weight, so if your weight is still changing, first see a dietitian or endocrinologist.
Will there be a scar after surgery?
Yes, there will be a scar, since removing excess skin always has that price. A classic tummy tuck leaves an incision across the lower abdomen from hip to hip, below the underwear or swimsuit line; a mini tummy tuck leaves a much shorter one. Over time it fades and thins.
Will the surgery remove stretch marks and sagging skin?
Yes — removing the sagging skin and fat apron is exactly what the surgery is for. They are removed fully, with the stretch marks below the navel. By pulling the upper abdominal skin down, the surgeon leaves the tummy smooth without any extra lift.
Is the surgery painful?
No, nothing hurts during the procedure, since a tummy tuck is performed under general anaesthesia. Tightness and soreness come in the first days and are relieved with painkillers prescribed by the doctor; the discomfort noticeably eases by the end of the first week.
What should you avoid after a tummy tuck?
Everyone follows the same restrictions after a tummy tuck. The first 2–3 weeks — no exertion, heavy lifting or sudden movements. At least one month — no sauna, steam bath, pool, tanning beds, alcohol or smoking. Sport returns gradually and only if the surgeon approves. Compression garments — another 4–8 weeks.
At what age is a tummy tuck allowed, and is there an upper age limit?
The lowest age is 18, provided there are no contraindications. There's no upper limit whatsoever: each case at our clinic is reviewed individually following an examination and health assessment.
How does a mini tummy tuck differ from a classic one?
The scope of surgery is what differs. A mini tummy tuck deals with a small excess of skin below the navel, so the incision is shorter, the navel stays put and recovery is faster. A classic tummy tuck removes the skin-and-fat apron across the whole abdomen, moves the navel and lets the surgeon repair diastasis along the full length of the muscles.
How long does recovery take?
Recovery goes through three milestones. Office work — after 2–3 weeks. Swelling and tightness — gone by 1.5–2 months. The final result and scar — assessed at 6–12 months, when the tissues fully adapt.
Will the result last with weight gain and after pregnancy?
Removed skin doesn't come back, so that part of the result is permanent. The abdomen will stretch again only with significant weight gain — keep your weight stable. Pregnancy is possible after a tummy tuck, but it stretches the repaired muscles, so the surgery is planned once your family is complete.
Do you need special preparation for surgery?
Yes, preparation is needed. 7–10 days before a tummy tuck, stop smoking, alcohol and medicines that affect blood clotting. You need a pre-surgery check-up: blood tests, ECG, leg vein ultrasound, and GP and anaesthetist consultations. Do it in advance, not the day before.
When will the result be visible?
It is the same for everyone. When the main swelling subsides, 2 weeks after surgery, the first changes are visible; then there are two checkpoints, 1.5–2 months for an interim result and 3–6 months for the final contours.
Do you need to stay in hospital, and for how long?
Yes — hospital stay is needed: 1–2 days under medical supervision after a classic tummy tuck, and one day is usually enough after a mini. Recovery continues at home, with the surgeon monitoring 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, repair is needed only when the rectus abdominis muscles are actually separated, not for everyone. The surgeon identifies diastasis at the examination; if in doubt, it is confirmed by ultrasound. Separated muscles are brought together during the same surgery, without a separate procedure.
Can you plan a pregnancy after a tummy tuck?
Pregnancy after a tummy tuck is not prohibited, yet the sequence matters: childbirth first, surgery second. Otherwise skin and muscles stretch once more and part of the result is lost. Surgeons advise one thing: planning a child, wait at least a year after the procedure.
Do you have to wear compression garments, and for how long?
Yes, it is required — recovery is worse without the garment: it supports the tissues and reduces swelling. For the first 3–4 weeks it is worn around the clock, then during the day for about another month. The operating surgeon will name the exact period.
Every tummy tuck leaves a scar; it is the unavoidable price of removing excess skin. In a classic procedure it runs across the lower abdomen from hip to hip, below the underwear or swimsuit line, and in a mini procedure it is much shorter. By 12 months the scar is mature, thin and barely noticeable. People in Bremen can discuss at the consultation how the incision line will be planned.
The result comes in stages. First changes show about two weeks after surgery, an interim result is visible at 1.5–2 months and the final contours form at 3–6 months. The scar keeps maturing for up to a year before it fades. Check-ups take place at 7 days, 3 months and 6 months, and until the end of the year a post-surgery consultation for patients from Bremen is at the clinic's expense.
There is no single price for abdominoplasty, since a mini tummy tuck and a classic operation with diastasis repair differ in scope. What stays constant is the approach: the surgeon names the cost after an in-person examination, and it is fixed in the contract without surprises. Bremen residents can apply before the end of the year and get the consultation at the clinic's expense.
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Apply before the end of the year and get a consultation at the clinic's expense!