Excess skin and fat off the abdomen, separated muscles repaired: we perform classic and mini tummy tucks that take diastasis and post-pregnancy scars into account

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400+ successful surgeries

10 years of abdominal surgery experience

Free consultation
before surgery
Abdominoplasty, or tummy tuck, is surgery that tightens the front abdominal wall by removing surplus stretched skin and fat. It won't make you lose weight and is no substitute for diet and exercise. Its goal is a flat contour of the abdomen — removing the overhanging skin-and-fat apron, repairing separated rectus muscles and creating a new navel where needed.
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, rectus diastasis and a C-section scar.

Mini tummy tuck with diastasis repair
A mini tummy tuck addresses a narrower issue: 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 then shorter. The surgeon chooses the technique at an in-person consultation after assessing the abdominal muscles and skin.
Less traumatic, with shorter recovery, when excess skin is minor.

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 work — complete count, coagulation panel, biochemistry and infection tests for HIV, hepatitis and syphilis — with an ECG, chest X-ray and, if required, a GP consultation.
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
Meeting your surgeon, marking the skin and fitting compression garments. General anaesthesia is used, and the surgery takes 2–4 hours.

Waking up and monitoring
Medical supervision in hospital continues for 1–3 days after the 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 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 work — complete count, coagulation panel, biochemistry and infection tests for HIV, hepatitis and syphilis — with an ECG, chest X-ray and, if required, a GP consultation.
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
Meeting your surgeon, marking the skin and fitting compression garments. General anaesthesia is used, and the surgery takes 2–4 hours.

Waking up and monitoring
Medical supervision in hospital continues for 1–3 days after the 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
Get a post-surgery consultation with your surgeon to review results and get more information, at the clinic's expense until the end of the year
With chronic diseases, please get advice from 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

Rebuilding the silhouette after childbirth or a rapid drop in weight

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, acute infections, taking anticoagulants, inflammatory skin conditions in the treated area
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
Right after surgery the patient spends 1–3 days in hospital under medical supervision. Drains usually come out after two days and stitches after 7 days. A compression binder is worn for 1.5–2 months to support the abdominal wall and shape a smooth contour. Most swelling goes within 30 days, and office work resumes after 2–3 weeks. Sports, sauna and heavy lifting are off-limits for 2–3 months; at first, sleeping on your back with bent knees is advised. By 12 months the scar is fully mature — it fades and is barely noticeable.
Experienced plastic surgeons and doctors who value patients' health and beauty
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Hormone-aware approach: before surgery, an endocrinologist rules out hormonal causes of obesity, making long-term results more reliable

Combined procedures
Liposuction of the flanks and waist or diastasis repair can be added to a tummy tuck in one operation, with 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
Is it possible to combine a tummy tuck with liposuction or diastasis repair?
Yes, combination is permitted and frequent in practice. A tummy tuck is combined with flank and waist liposuction and, after childbirth, with rectus diastasis repair. Recovery with such a combination is shorter; how extensive the procedure will be, the surgeon will tell you at an in-person consultation.
Is a tummy tuck a way to lose weight?
No, you won't lose weight with it. Its task is to remove excess stretched skin and the fat apron and restore the muscle wall of the abdomen. The surgery requires a stable weight; while your weight is still changing, see a dietitian or endocrinologist first.
Will there be a scar after surgery?
Yes, a scar is unavoidable — that is the price of removing excess skin. With a classic tummy tuck the incision crosses the lower abdomen from hip to hip and sits below the line of underwear or a swimsuit; with a mini tummy tuck it is much shorter. The scar fades and thins over time.
Will the surgery remove stretch marks and sagging skin?
That is exactly the purpose of the surgery: sagging skin and the fat apron are removed entirely, along with stretch marks below the navel. The upper abdominal skin is pulled downward by the surgeon, leaving a smooth tummy with no extra lift needed.
Is the surgery painful?
No, the procedure is painless: the tummy tuck is done under general anaesthesia, so the patient feels nothing. The first days bring tightness and soreness, eased with doctor-prescribed painkillers; the discomfort drops noticeably by the end of the first week.
What should you avoid after a tummy tuck?
After a tummy tuck everyone has the same restrictions. No physical exertion, heavy lifting or sudden movements for the first 2–3 weeks. At least a month without sauna, steam bath, pool, tanning beds, alcohol or smoking. Sport comes back gradually, only once the surgeon approves. Compression garments stay on for another 4–8 weeks.
What age can a tummy tuck be done from, and is there any upper limit?
Minimum age — 18, and only with no contraindications. There is no upper limit; each case at our clinic is considered individually after an examination and assessment of health.
How does a mini tummy tuck differ from a classic one?
The difference lies in how extensive the surgery is. A mini tummy tuck is done when there is a small excess of skin below the navel: shorter incision, no moving of the navel, faster recovery. The classic one removes the skin-and-fat apron over the whole abdomen, includes moving the navel and allows repair of diastasis 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, so 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, which is why 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?
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 — 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 has the same tests before a tummy tuck: blood and urine tests, coagulation panel, biochemistry, infection tests, ECG, chest X-ray, leg vein ultrasound and a GP's report. The surgeon gives you the exact list at the consultation; results are usually valid for 10–14 days.
Is diastasis always repaired during a tummy tuck?
No, it is not needed by everyone: a repair is done only when the rectus abdominis muscles are really separated. The surgeon notices diastasis at the examination, with ultrasound used to confirm it in case of doubt. Separated muscles are brought together in the same surgery, no separate procedure required.
Can you plan a pregnancy after a tummy tuck?
Pregnancy after a tummy tuck is not forbidden, but the order matters: childbirth first, then surgery. Otherwise skin and muscles stretch again and part of the result is lost. Surgeons give one piece of advice: 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; recovery without the garment is worse, since it supports the tissues and reduces swelling. For 3–4 weeks it is worn around the clock, and then during the day for about another month. The exact period is given by the operating surgeon.
Who is a candidate? Adults aged 18 and over with no contraindications; there is no upper age limit, and each case is considered after an examination. Surgery is done at a stable weight and is not performed during pregnancy or breastfeeding. Contraindications also include decompensated diabetes, blood clotting disorders, cancer and serious heart, kidney or liver disease. Fresno patients get a personal assessment.
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 Fresno.
A tummy tuck price is personal. It reflects how much excess skin needs removing, whether the navel is repositioned and whether separated muscles are repaired. To find out yours, book a free consultation: the surgeon examines you, answers questions about the scar, recovery and pregnancy planning and confirms the cost. Fresno residents can apply online or through a messenger.
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Apply before the end of the year and get a consultation at the clinic's expense!