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.
People choose it when childbirth, a C-section or major weight loss leaves excess skin and diastasis, a separation of the rectus abdominis muscles. Diet and exercise won't fix it: stretched skin does not shrink, and separated muscles don't come together without surgery. Plan pregnancy 12 months or more later; surgery isn't done during breastfeeding.

Guarantee under an official contract

10 years of abdominal surgery experience

Free consultation before surgery

Classic tummy tuck
In the classic operation, a horizontal incision is made above the pubic area, with its length set by the amount of excess tissue. The scar line is planned to be hidden by underwear and swimwear. Separated rectus muscles are repaired, excess skin and fat removed, the navel repositioned and drains placed — 2–4 hours under general anaesthesia.
A good fit for marked excess skin, rectus diastasis and a C-section scar.

Mini tummy tuck with diastasis repair
The mini version addresses a narrower issue: the lower abdomen alone is corrected, the incision is shorter, and the navel remains where it is. It fits a small excess of skin when the main problem is diastasis or an overhang above a C-section scar, and recovery is shorter. At an in-person consultation the surgeon assesses the abdominal muscles and skin and chooses the technique.
Less traumatic, with shorter recovery, when excess skin is minor.

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
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
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
The surgeon meets you and marks the skin; compression garments are fitted. The operation is under general anaesthesia and takes 2–4 hours.

Waking up and monitoring
The patient is kept in hospital under medical supervision for 1–3 days after surgery.

Recovery
You wear a compression binder for 1.5–2 months. Most swelling resolves within 30 days and you can go back to office work after 2–3 weeks; the final result is judged at 3 months.

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
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
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
The surgeon meets you and marks the skin; compression garments are fitted. The operation is under general anaesthesia and takes 2–4 hours.

Waking up and monitoring
The patient is kept in hospital under medical supervision for 1–3 days after surgery.

Recovery
You wear a compression binder for 1.5–2 months. Most swelling resolves within 30 days and you can go back to office work after 2–3 weeks; the final result is judged at 3 months.
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

Bringing back the silhouette after pregnancy 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, 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 the operation, 1–3 days in hospital under medical supervision. Drains usually come out after two days and stitches after 7 days. The compression binder stays on for 1.5–2 months, supporting the abdominal wall and shaping a smooth contour. Most swelling passes within 30 days, and you can go back to office work after 2–3 weeks. Sport, sauna and heavy lifting are ruled out for 2–3 months; it's advised to sleep on your back with knees bent early on. After 12 months the scar is fully mature — faded and barely noticeable.
Experienced plastic surgeons and doctors who care about patients' beauty and health
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
In one operation, a tummy tuck can be paired with flank and waist liposuction or diastasis repair: one anaesthesia, one recovery period

Support until the result
The surgeon stays in touch for the entire recovery. The price is fixed by contract, 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
Can a tummy tuck be paired 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 will not help you lose weight; the goal is different. It removes excess stretched skin and the fat apron and restores the abdominal muscle wall. Surgery is done at a stable weight — if yours is still changing, first consult a dietitian or endocrinologist.
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?
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 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?
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.
What age can a tummy tuck be done from, and is there any 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 scope of surgery makes the difference. For a small excess of skin below the navel, a mini tummy tuck is done: shorter incision, navel stays in place, faster recovery. The classic version removes the skin-and-fat apron across the whole abdomen, moves the navel and makes it possible to repair diastasis 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?
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 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?
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, a stay in hospital is needed. A classic tummy tuck means 1–2 days under medical supervision; for a mini tummy tuck, one day is usually enough. At home recovery continues, and the surgeon monitors 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, 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 it is confirmed 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?
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 is required — without the garment recovery is worse: it supports the tissues and reduces swelling. For the first 3–4 weeks it is worn around the clock, then for about another month during the day. The operating surgeon will name the exact period.
Pregnancy, a C-section or major weight loss can leave behind loose skin and diastasis, the separation of the rectus abdominis muscles. Diet and training cannot fix this: stretched skin does not shrink, and separated muscles do not come back together on their own. That is when women in Johannesburg consider abdominoplasty, which restores both the skin and the muscle wall in one operation.
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 Johannesburg is at the clinic's expense.
The price of a tummy tuck is set individually after a free consultation, because it depends on the technique and the scope of surgery. For patients from Johannesburg, the figure is then fixed in the contract with no hidden extra charges. The clinic works under an official contract with a guarantee. Leave your name and phone number, and a coordinator will contact you to book the consultation.
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Apply before the end of the year and get a consultation at the clinic's expense!