Excess skin and fat are removed from the abdomen and separated muscles repaired. Classic and mini tummy tucks, with diastasis and post-pregnancy scars taken into account

Guarantee under an official contract

400+ successful surgeries

10 years of abdominal surgery experience

Free consultation
before surgery
A tummy tuck (abdominoplasty) surgically tightens the front abdominal wall and removes excess stretched skin and fat. It is not a weight-loss method and does not replace diet and exercise. The aim is a flat abdominal contour: removing the overhanging skin-and-fat apron, repairing separated rectus muscles and, if needed, creating a new navel.
Patients choose it when excess skin and diastasis, the separation of the rectus abdominis muscles, persist after childbirth, a C-section or major weight loss. Diet and exercise don't help: stretched skin does not shrink, and separated muscles do not reunite without surgery. Plan pregnancy at least 12 months later; surgery is not done while breastfeeding.

Guarantee under an official contract

10 years of abdominal surgery experience

Free consultation before surgery

Classic tummy tuck
The classic operation starts above the pubic area with a horizontal incision whose length depends on the excess tissue. Its scar line is planned so underwear and swimwear hide it. The surgeon repairs the separated rectus muscles, removes excess skin and fat, repositions the navel and places drains — all in 2–4 hours under general anaesthesia.
Indicated for marked excess skin, rectus diastasis and a C-section scar.

Mini tummy tuck with diastasis repair
A mini tummy tuck deals with a narrower problem: only the lower abdomen is corrected, the incision is shorter and the navel is not moved. It is used for a small amount of excess skin when the main concern is diastasis or overhang above a C-section scar; recovery is shorter. The surgeon chooses the technique at an in-person consultation after assessing the abdominal muscles and skin.
For minor excess skin, less trauma and a shorter recovery.

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

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

Preparation
Medicines affecting clotting stop 2 weeks before, alcohol and smoking stop a week before for faster healing, and the last meal is 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
The patient is kept in hospital under medical supervision for 1–3 days after surgery.

Recovery
Wear a compression binder for 1.5–2 months. Within 30 days most swelling goes down, office work resumes in 2–3 weeks, and at 3 months the final result is assessed.

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

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

Preparation
Medicines affecting clotting stop 2 weeks before, alcohol and smoking stop a week before for faster healing, and the last meal is 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
The patient is kept in hospital under medical supervision for 1–3 days after surgery.

Recovery
Wear a compression binder for 1.5–2 months. Within 30 days most swelling goes down, office work resumes in 2–3 weeks, and at 3 months the final result is assessed.
Post-op check-ups
Until the end of the year, get a post-surgery consultation with your surgeon to review results and get more information, at the clinic's expense
Chronic illness? Please talk to a doctor at the clinic first!
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 the figure 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
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.
Experienced plastic surgeons and physicians devoted to patients' beauty and health
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
An endocrinologist rules out hormonal causes of obesity before surgery — a hormonal approach that makes the long-term result 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
Contact with the surgeon throughout recovery and a contract-fixed price without any 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
Can I have a tummy tuck combined with liposuction or diastasis repair?
Yes, it is allowed and very common. Surgeons add liposuction of the flanks and waist to a tummy tuck, and after childbirth also repair rectus diastasis. The combination means a shorter recovery, and at an in-person consultation the surgeon tells you how extensive the procedure will be.
Is a tummy tuck a way to lose weight?
No, a tummy tuck is not for losing weight. It serves another goal — removing surplus stretched skin and the fat apron and restoring the abdominal muscle wall. Surgery requires a stable weight; if yours is still changing, first consult a dietitian or endocrinologist.
Will there be a scar after surgery?
Yes, a scar remains — the unavoidable price of excess skin removal. In the classic tummy tuck, the incision goes across the lower abdomen from hip to hip and lies below the underwear or swimsuit line; in the mini tummy tuck it's much shorter. The scar becomes thin and fades over time.
Will the surgery remove stretch marks and sagging skin?
Sagging skin and the fat apron are precisely what the surgery removes — entirely, together with stretch marks below the navel. The surgeon pulls the skin of the upper abdomen down, and the tummy ends up smooth with no extra lift.
Is the surgery painful?
No, the patient feels no pain during the procedure: a tummy tuck is done under general anaesthesia, so nothing is felt. Tightness and soreness appear in the first days and are relieved with painkillers prescribed by the doctor; by the end of the first week the discomfort eases noticeably.
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.
From what age is a tummy tuck done, and is there an upper limit?
From 18, and only without contraindications. As for an upper limit, there is none: our clinic considers every case individually after an examination and health assessment.
How does a mini tummy tuck differ from a classic one?
The difference is in the scope of surgery. A mini tummy tuck is for a small excess of skin below the navel: the incision is shorter, the navel is not moved and recovery is faster. A classic one removes the skin-and-fat apron across the whole abdomen, moves the navel and allows diastasis repair along the full length of the muscles.
How long does recovery take?
Recovery comes in three milestones: 2–3 weeks until office work is possible, 1.5–2 months until swelling and tightness pass, and 6–12 months until the final result and scar are assessed, once the tissues fully adapt.
Will the result last with weight gain and after pregnancy?
Skin that has been removed doesn't regrow, which makes that part of the result permanent. The abdomen will only stretch again with significant weight gain, so maintain a stable weight. A pregnancy after a tummy tuck is possible, but it stretches the repaired muscles — surgery is therefore planned once your family is complete.
Do you need special preparation for surgery?
Yes, you need to prepare. Smoking, alcohol and medicines affecting blood clotting are stopped 7–10 days before a tummy tuck. A pre-surgery check-up is needed — blood tests, ECG, leg vein ultrasound, GP and anaesthetist consultations — and should be done in advance, not the day before.
When will the result be visible?
Same answer for everyone: at 2 weeks after surgery, with the main swelling down, the first changes are visible. Then two checkpoints: the interim result at 1.5–2 months, the final contours at 3–6 months.
Do you need to stay in hospital, and for how long?
Yes, you will stay in hospital: 1–2 days under medical supervision after a classic tummy tuck, and usually one day after a mini tummy tuck. Recovery then continues at home, monitored by the surgeon at scheduled check-ups.
What tests are needed before surgery?
Before a tummy tuck everyone follows the same list: blood and urine tests, coagulation panel, biochemistry, infection tests, ECG, chest X-ray, leg vein ultrasound and a GP's report. The surgeon gives the exact list at the consultation; tests are generally valid for 10–14 days.
Is diastasis always repaired during a tummy tuck?
No, a repair is not always needed; it is performed only when the rectus abdominis muscles really are separated. The surgeon detects diastasis at the examination, and ultrasound confirms it if in doubt. Separated muscles are joined during the same surgery — no separate procedure.
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 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.
An overhanging apron of skin, a belly that stays rounded despite training, a stretched area above a C-section scar: these are the usual reasons people in Dortmund look into a tummy tuck. The operation tightens the front abdominal wall rather than reducing weight. With a small amount of excess skin, a mini tummy tuck may be enough; with marked changes, the classic technique is chosen.
In the classic operation the surgeon makes a horizontal incision above the pubic area, its length set by the amount of excess tissue. The separated rectus muscles are repaired, excess skin and fat are removed, the navel is repositioned and drains are placed. The mini version works only on the lower abdomen through a shorter incision. Patients from Dortmund are under general anaesthesia throughout.
Budget planning starts with a conversation, not a price list. At the free consultation the surgeon explains what your case requires and gives a figure that does not change later: it goes into the contract with no hidden charges. The clinic has 400+ successful surgeries and 10 years of abdominal surgery experience. Patients from Dortmund simply leave a phone number to begin.
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Apply before the end of the year and get a consultation at the clinic's expense!