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

Guarantee under an official contract

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
A classic tummy tuck opens with a horizontal incision above the pubic area, sized to the amount of excess tissue. The scar line is planned to sit under underwear and swimwear. Separated rectus muscles are repaired, excess skin and fat removed, the navel repositioned and drains placed; the surgery takes 2–4 hours under general anaesthesia.
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.
Less surgical trauma and a faster recovery if the excess skin is minor.

Surgeon consultation
Your surgeon listens to what you want, examines you, evaluates fat deposits and rules out contraindications. City Medical Centre also orders a hormone screening — it 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: blood-clotting medicines are stopped. A week before: alcohol and smoking are off, to heal faster. 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
You stay in hospital under medical supervision for 1–3 days after surgery.

Recovery
Compression binder — 1.5–2 months. Most swelling goes within 30 days; office work resumes after 2–3 weeks. The final result is assessed at 3 months.

Surgeon consultation
Your surgeon listens to what you want, examines you, evaluates fat deposits and rules out contraindications. City Medical Centre also orders a hormone screening — it 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: blood-clotting medicines are stopped. A week before: alcohol and smoking are off, to heal faster. 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
You stay in hospital under medical supervision for 1–3 days after surgery.

Recovery
Compression binder — 1.5–2 months. Most swelling goes within 30 days; office work resumes after 2–3 weeks. The final result is assessed 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
Please consult a clinic doctor if you have chronic conditions!
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, inflamed skin in the treated area, menstruation, use of anticoagulant drugs
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
For 1–3 days right after surgery the patient stays in hospital under medical supervision. Drains are usually removed after two days, stitches after 7 days. You wear a compression binder for 1.5–2 months; it supports the abdominal wall and shapes a smooth contour. Office work resumes after 2–3 weeks, and most swelling goes within 30 days. Sports, sauna and heavy lifting are off-limits for 2–3 months, and at first sleeping on your back with knees bent is advised. By 12 months the scar is fully mature and fades to 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
Pre-surgery hormonal approach: an endocrinologist rules out hormonal reasons for obesity, making the long-term result more dependable

Combined procedures
It is possible to combine a tummy tuck with liposuction of the waist and flanks or diastasis repair in one operation: one anaesthesia and 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
Is it possible to combine a tummy tuck with liposuction or diastasis repair?
Yes, you can combine them, and in practice it is very common. Liposuction of the flanks and waist is added to the tummy tuck, and after childbirth, rectus diastasis repair. Such a combination shortens recovery, and the surgeon will explain at an in-person consultation 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, there will be a scar: it's the unavoidable price of removing excess skin. For a classic tummy tuck the incision runs hip to hip across the lower abdomen, hidden below the underwear or swimsuit line, and for a mini tummy tuck it is much shorter. Over time the scar fades and grows thin.
Will the surgery remove stretch marks and sagging skin?
The surgery does exactly that: it removes sagging skin and the fat apron completely, and the stretch marks below the navel are removed with them. Pulling the upper abdominal skin downward, the surgeon leaves the tummy smooth without an extra lift.
Is the surgery painful?
No, the patient feels no pain during the procedure — it is done under general anaesthesia, so nothing is felt. In the first days there may be tightness and soreness, which painkillers from the doctor relieve; by the end of the first week the discomfort eases noticeably.
What should you avoid after a tummy tuck?
The same restrictions apply to everyone after a tummy tuck. For 2–3 weeks, avoid physical exertion, heavy lifting and sudden movements. For at least a month, sauna, steam bath, pool, tanning beds, alcohol and smoking are ruled out. Sport resumes step by step, with the surgeon's approval only. Compression garments are worn for another 4–8 weeks.
From what age can you have a tummy tuck, and is there an upper age?
The minimum age is 18 and contraindications must be absent. There is no upper limit: every case at our clinic is considered 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?
There are three stages in recovery: you can return to office work after 2–3 weeks, swelling and tightness pass by 1.5–2 months, and at 6–12 months the final result and scar are assessed as the tissues fully adapt.
Will the result last with weight gain and after pregnancy?
Removed skin will not grow back — this part of the result is permanent. Only a significant weight gain stretches the abdomen again; keep your weight stable. Pregnancy remains possible after a tummy tuck, but since it stretches the repaired muscles, surgery is planned once the family is complete.
Do you need special preparation for surgery?
Yes, you must prepare. Stop smoking, alcohol and medicines affecting blood clotting 7–10 days before a tummy tuck. A pre-surgery check-up is required — blood tests, ECG, leg vein ultrasound, GP and anaesthetist consultations. Complete it ahead of time, 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 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?
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 all patients need a repair. It is done only when there is actual separation of the rectus abdominis muscles. The surgeon sees diastasis at the examination, and if in doubt, it is confirmed by ultrasound. The separated muscles are brought together in the same surgery, so no separate procedure is needed.
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'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.
What exactly changes? The surgery removes sagging skin and the fat apron entirely, and stretch marks below the navel go with them. The upper abdominal skin is pulled downward, so the tummy becomes smooth. If the rectus muscles have separated, they are brought together in the same operation. For anyone researching a tummy tuck in Lima, removed skin does not grow back, so that part of the result is permanent.
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 Lima.
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 Lima, 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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