Classic and mini tummy tucks: we remove excess skin and fat from the abdomen and repair separated muscles, considering diastasis and post-pregnancy scars

Guarantee under an official contract

400+ successful surgeries

10 years of abdominal surgery experience

Free consultation
before surgery
In a tummy tuck (abdominoplasty) the surgeon tightens the front abdominal wall and removes stretched excess skin and fat. It does not replace diet and exercise and is not for weight loss. What it gives is a flat abdominal contour: no overhanging skin-and-fat apron, repaired separated rectus muscles and, if needed, a new navel.
This surgery is chosen for excess skin and diastasis — separation of the rectus abdominis muscles — left after childbirth, a C-section or major weight loss. Diet and exercise can't correct it: stretched skin doesn't shrink and separated muscles don't rejoin without surgery. Pregnancy should be 12 months or more later, and there is no surgery while breastfeeding.

Guarantee under an official contract

10 years of abdominal surgery experience

Free consultation before surgery

Classic tummy tuck
The classic operation starts with a horizontal incision above the pubic area; its length depends on the amount of excess tissue. The scar line is planned so underwear and swimwear hide it. The surgeon repairs separated rectus muscles, removes excess skin and fat, repositions the navel and places drains; it takes 2–4 hours under general anaesthesia.
Suits significant excess skin, rectus 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 traumatic, with shorter recovery, when excess skin is minor.

Surgeon consultation
We listen to your wishes: the surgeon examines you, assesses the fat deposits and rules out contraindications. City Medical Centre also orders hormone screening that helps predict the long-term result.

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

Preparation
2 weeks ahead — no medicines that affect blood clotting. A week ahead — no alcohol or smoking, for quicker healing. 8 hours ahead — the final meal.

Surgery day
Meeting the surgeon, skin marking and fitting of compression garments. The surgery is under general anaesthesia and lasts 2–4 hours.

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

Recovery
A compression binder for 1.5–2 months; most swelling disappears within 30 days; office work after 2–3 weeks; final result assessed at 3 months.

Surgeon consultation
We listen to your wishes: the surgeon examines you, assesses the fat deposits and rules out contraindications. City Medical Centre also orders hormone screening that helps predict the long-term result.

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

Preparation
2 weeks ahead — no medicines that affect blood clotting. A week ahead — no alcohol or smoking, for quicker healing. 8 hours ahead — the final meal.

Surgery day
Meeting the surgeon, skin marking and fitting of compression garments. The surgery is under general anaesthesia and lasts 2–4 hours.

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

Recovery
A compression binder for 1.5–2 months; most swelling disappears within 30 days; office work after 2–3 weeks; final result assessed 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
If you have chronic conditions, please see a clinic doctor 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

Silhouette recovery 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, skin inflammation in the treated area, menstruation, anticoagulant therapy
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
Straight after surgery the patient spends 1–3 days in hospital under medical supervision. Drains are usually removed on day two, and stitches after 7 days. A compression binder is worn for 1.5–2 months — it supports the abdominal wall and shapes a smooth contour. Most swelling resolves within 30 days, and office work resumes after 2–3 weeks. Sports, sauna and heavy lifting are off-limits for 2–3 months, and sleeping on your back with knees bent is advised at first. The scar matures fully by 12 months, fading and becoming 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
A hormonal approach: an endocrinologist excludes hormonal causes of obesity before surgery, making the long-term result more reliable

Combined procedures
A tummy tuck may be done together with liposuction of the flanks and waist or diastasis repair in one operation — a single anaesthesia and recovery period

Support until the result
Your surgeon remains available during the whole recovery, and the contract sets the price — 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, it is allowed and happens very often. A tummy tuck is combined with liposuction of the flanks and waist and, after childbirth, with repair of rectus diastasis. With this combination recovery is shorter; the surgeon explains the extent of the procedure at an in-person consultation.
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, 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?
Exactly this is what the surgery does: sagging skin and the fat apron are removed completely, and stretch marks below the navel disappear with them. The surgeon brings the upper abdominal skin downward, so the tummy is smooth without an extra lift.
Is the surgery painful?
No, nothing hurts during the procedure, since a tummy tuck is performed under general anaesthesia. Tightness and soreness come in the first days and are relieved with painkillers prescribed by the doctor; the discomfort noticeably eases by the end of the first week.
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.
From what age is a tummy tuck performed, and is there a maximum age?
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 is a question of scope. With a small excess of skin below the navel, a mini tummy tuck is enough: the incision is shorter, the navel is not moved and recovery is quicker. The classic operation removes the skin-and-fat apron across the entire 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 never grows back; this part of the result is permanent. The abdomen stretches again only with significant weight gain — keep your weight stable. You can get pregnant after a tummy tuck, but pregnancy stretches the repaired muscles, so we plan the surgery 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?
The answer is identical for all: first changes can be seen 2 weeks after surgery, when the main swelling subsides. There are then two checkpoints — interim result at 1.5–2 months and final contours at 3–6 months.
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?
Before a tummy tuck, the list is identical for all: blood and urine tests, coagulation panel, biochemistry, infection tests, ECG, chest X-ray, ultrasound of the leg veins and a GP's report. The exact list comes from the surgeon at the consultation, and tests usually stay 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 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 you wear it around the clock, and then during the day for about another month. The operating surgeon names 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 Osaka learn at the consultation whether their case requires it.
Here is the route in brief. Consultation and hormone screening. Tests: blood and urine, coagulation, biochemistry, infections, ECG, chest X-ray, leg vein ultrasound and a GP's report. Surgery lasting 2–4 hours. One to three days in hospital. A compression binder, then check-ups at 7 days, 3 months and 6 months. Patients in Osaka follow this same sequence from start to finish.
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. Osaka 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!