Removal of excess skin and fat from the abdomen with repair of separated muscles. We do classic and mini tummy tucks, considering diastasis and post-pregnancy scars

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.
Excess skin and diastasis — separated rectus abdominis muscles — that remain after childbirth, a C-section or major weight loss are the reason to choose it. Diet and exercise won't correct this: stretched skin doesn't shrink, and separated muscles don't come back together without surgery. Pregnancy should be planned 12 months or more ahead; no surgery while breastfeeding.

Guarantee under an official contract

10 years of abdominal surgery experience

Free consultation before surgery

Classic tummy tuck
The classic procedure starts with a horizontal incision above the pubic area; the amount of excess tissue decides its length. The scar line is designed to be covered by underwear and swimwear. The surgeon brings separated rectus muscles together, removes excess skin and fat, repositions the navel and places drains over 2–4 hours under general anaesthesia.
Suitable for marked excess skin, diastasis and a C-section scar.

Mini tummy tuck with diastasis repair
The mini tummy tuck targets a narrower issue — correcting only the lower abdomen through a shorter incision, without moving the navel. It is used when excess skin is small and the main concern is diastasis or overhang above a C-section scar; recovery is then shorter. After assessing the abdominal muscles and skin at an in-person consultation, the surgeon chooses the technique.
Less trauma and a shorter recovery when excess skin is minor.

Surgeon consultation
The surgeon listens to your wishes, examines you, assesses fat deposits and rules out contraindications. At City Medical Centre a hormone screening is also ordered — it helps predict the long-term result.

Pre-surgery check-up
Blood tests for complete count, coagulation, biochemistry and infections (HIV, hepatitis, syphilis), an ECG, a 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
Consultation with the surgeon, skin marking and compression garment fitting. Surgery under general anaesthesia takes 2–4 hours.

Waking up and monitoring
For 1–3 days after surgery the patient stays 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 listens to your wishes, examines you, assesses fat deposits and rules out contraindications. At City Medical Centre a hormone screening is also ordered — it helps predict the long-term result.

Pre-surgery check-up
Blood tests for complete count, coagulation, biochemistry and infections (HIV, hepatitis, syphilis), an ECG, a 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
Consultation with the surgeon, skin marking and compression garment fitting. Surgery under general anaesthesia takes 2–4 hours.

Waking up and monitoring
For 1–3 days after surgery the patient stays 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, the clinic pays for your post-surgery consultation with the surgeon, where you review results and get more information
Chronic conditions? Please seek a consultation with 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: acute infections, inflammatory skin conditions in the area to be treated, menstruation, use of anticoagulants
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
After surgery comes a 1–3 day hospital stay under medical supervision. Drains usually come out after two days, and stitches are removed after 7 days. The compression binder is worn for 1.5–2 months — it supports the abdominal wall and helps shape a smooth contour. Most swelling subsides within 30 days; office work resumes after 2–3 weeks. For 2–3 months there is no sport, sauna or heavy lifting; early on, sleep on your back with your knees bent. The scar is fully mature by 12 months, fading until it is barely noticeable.
Doctors and experienced plastic surgeons who care for their patients' health and beauty
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Hormonal approach — before surgery an endocrinologist rules out hormonal causes of obesity, so the long-term result is more reliable

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
No hidden extra charges: the price is fixed in the contract, and the surgeon stays in touch throughout recovery
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
Can a tummy tuck be combined with liposuction or diastasis repair?
Yes, it's allowed and very common in practice. Liposuction of the flanks and waist is added to a tummy tuck, and after childbirth — repair of rectus diastasis. A combination like this shortens recovery, and at an in-person consultation the surgeon will explain how extensive the procedure will be.
Is a tummy tuck a way to lose weight?
No, it doesn't help with weight loss — its goal is different: removing excess stretched skin and the fat apron and restoring the abdominal muscle wall. Surgery is done at a stable weight; if your weight is still changing, see a dietitian or endocrinologist first.
Will there be a scar after surgery?
Yes, there will be a scar — the unavoidable cost of removing excess skin. In a classic tummy tuck the incision runs across the lower abdomen from hip to hip, below the underwear or swimsuit line; in a mini tummy tuck it is much shorter. Over time the scar fades and becomes thin.
Will the surgery remove stretch marks and sagging skin?
Removing sagging skin and the fat apron is the very job of this surgery: both are removed fully, taking the stretch marks below the navel with them. The upper abdominal skin is pulled downward, so the tummy is smooth without an additional lift.
Is the surgery painful?
No, the procedure itself doesn't hurt — a tummy tuck is performed under general anaesthesia, so you feel nothing. Tightness and soreness appear over the first days and are relieved with the painkillers your doctor prescribes; by the end of the first week the discomfort noticeably eases.
What should you avoid after a tummy tuck?
Restrictions after a tummy tuck don't differ from patient to patient. No physical exertion, heavy lifting or sudden movements for the first 2–3 weeks; no sauna, steam bath, pool, tanning beds, alcohol or smoking for at least a month. Sport is resumed gradually and only with the surgeon's approval. Compression garments are worn for another 4–8 weeks.
What is the minimum age for a tummy tuck, and is there an upper age limit?
The minimum age is 18, only in the absence of contraindications. An upper limit doesn't exist at all — our clinic looks at each case individually, after examination and a health assessment.
How does a mini tummy tuck differ from a classic one?
It all comes down to the scope of surgery. A mini tummy tuck treats a small excess of skin below the navel, with a shorter incision, no navel repositioning and faster recovery. A classic tummy tuck removes the skin-and-fat apron over the entire abdomen, involves moving the navel and allows diastasis repair along the full length of the muscles.
How long does recovery take?
Recovery has three key points: office work after 2–3 weeks; swelling and tightness resolved by 1.5–2 months; final result and scar assessed at 6–12 months, once the tissues fully adapt.
Will the result last with weight gain and after pregnancy?
The skin that was removed won't grow back — that part of the result is permanent. Only significant weight gain will stretch the abdomen again, so it's important to keep a stable weight. Pregnancy after a tummy tuck is possible but stretches the repaired muscles, so surgery is planned when your family is complete.
Do you need special preparation for surgery?
Yes, preparation is a must. Stop smoking, drinking alcohol and taking medicines that affect blood clotting 7–10 days before a tummy tuck. The pre-surgery check-up covers blood tests, ECG, leg vein ultrasound and consultations with a GP and anaesthetist. Get it done in advance, not the day before.
When will the result be visible?
The answer is the same for everyone: first changes are visible 2 weeks after surgery, once the main swelling subsides. Then come 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, a hospital stay is needed: after a classic tummy tuck, 1–2 days under medical supervision; after a mini tummy tuck, one day is usually enough. Recovery continues at home, and the surgeon monitors it at scheduled check-ups.
What tests are needed before surgery?
For a tummy tuck, everyone needs the same list: blood and urine tests, coagulation panel, biochemistry, tests for infections, ECG, chest X-ray, leg vein ultrasound and a report from a GP. The surgeon gives the precise list at the consultation, and tests are usually valid for 10–14 days.
Is diastasis always repaired during a tummy tuck?
No, not everyone needs a repair — it is done only when the rectus abdominis muscles are actually separated. The surgeon sees diastasis at the examination and, if in doubt, confirms it by ultrasound. The separated muscles are brought together during the same surgery, with no separate procedure needed.
Can you plan a pregnancy after a tummy tuck?
A tummy tuck does not forbid pregnancy, but order is important: first childbirth, then the surgery. If it's the other way round, skin and muscles stretch again and part of the result is lost. Surgeons advise: if you plan 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.
Diastasis is not always part of the picture. Repair is done only when the rectus abdominis muscles are actually separated: the surgeon sees it at the examination and, if in doubt, it is confirmed by ultrasound. When needed, the muscles are brought together during the tummy tuck itself, with no separate procedure. Patients from Charlotte learn at the consultation whether their case requires it.
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 Charlotte.
If you are comparing tummy tuck options in Charlotte, look at more than the operation itself. Here the approach includes hormone screening before surgery, tests at the clinic with no waiting, a hospital stay under medical supervision and surgeon support until the result. The cost is calculated after a free consultation and fixed in the contract. Leave a request to arrange yours.
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