Our surgeons remove excess abdominal skin and fat and restore separated muscles. Both classic and mini tummy tucks, planned around diastasis and post-pregnancy scars
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Guarantee under an official contract

400+ successful surgeries

10 years of abdominal surgery experience

Free consultation
before surgery
With a tummy tuck (abdominoplasty), the front abdominal wall is tightened surgically and excess stretched skin and fat are removed. It neither causes weight loss nor replaces diet and exercise. The aim is a flat abdominal contour — removing the overhanging skin-and-fat apron, repairing separated rectus muscles and, where necessary, forming 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
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
A mini tummy tuck handles a narrower problem, correcting only the lower abdomen; the incision is shorter and the navel is not moved. It is for a small amount of excess skin, when diastasis or overhang above a C-section scar is the main concern, with a shorter recovery. The technique is chosen by the surgeon in person, after assessing the abdominal muscles and skin.
Less trauma, shorter recovery — for cases with minor excess skin.

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
Stop medicines affecting blood clotting 2 weeks before. Avoid alcohol and smoking for the final week, for faster healing. Eat for the last time 8 hours before.

Surgery day
Skin marking, compression garment fitting and a meeting with the surgeon. The surgery lasts 2–4 hours and is done under general anaesthesia.

Waking up and monitoring
You stay in hospital under medical supervision for 1–3 days after surgery.

Recovery
The binder is worn for 1.5–2 months. Most of the swelling settles within 30 days, and office work resumes after 2–3 weeks. The final result is evaluated 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
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
Stop medicines affecting blood clotting 2 weeks before. Avoid alcohol and smoking for the final week, for faster healing. Eat for the last time 8 hours before.

Surgery day
Skin marking, compression garment fitting and a meeting with the surgeon. The surgery lasts 2–4 hours and is done under general anaesthesia.

Waking up and monitoring
You stay in hospital under medical supervision for 1–3 days after surgery.

Recovery
The binder is worn for 1.5–2 months. Most of the swelling settles within 30 days, and office work resumes after 2–3 weeks. The final result is evaluated at 3 months.
Post-op check-ups
Until the end of the year, see your surgeon after surgery to review results and get more information, at the clinic's expense
Apply before the end of the year and get a consultation at the clinic's expense!
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Have chronic conditions? Please consult one of the clinic's doctors!
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: taking anticoagulants, acute infections, menstruation, inflammatory skin conditions in the treated area
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Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
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.
Our experienced plastic surgeons and doctors care about patients' beauty and health
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Apply before the end of the year and get a consultation at the clinic's expense!
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A hormonal approach: an endocrinologist excludes hormonal causes of obesity before surgery, making the long-term result more reliable

Combined procedures
A tummy tuck can be combined in one operation with liposuction of the flanks and waist or diastasis repair — one anaesthesia and one recovery period

Support until the result
No hidden extra charges: the price is fixed in the contract, and the surgeon stays in touch throughout recovery
Apply before the end of the year and get a consultation at the clinic's expense!
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Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Book a consultation
Message our coordinator
Call or message us —
our coordinator will contact you shortly
and book your consultation
We reply right in the chat — you can send photos
Message our coordinator
We reply right in the chat — you can send photos
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
Tummy tuck with liposuction or diastasis repair — can they be combined?
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, it will not help with weight loss. The goal is another: to remove excess stretched skin and the fat apron and restore the muscle wall of the abdomen. Surgery is done when weight is stable; if it is still changing, see a dietitian or endocrinologist first.
Will there be a scar after surgery?
Yes, there will be a scar — the unavoidable price of removing excess skin. In a classic tummy tuck the incision runs across the lower abdomen from hip to hip and sits 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?
Removing sagging skin and the fat apron is exactly what this surgery does: they are removed completely, and stretch marks below the navel go with them. The surgeon pulls the upper abdominal skin down, so the tummy ends up smooth without an extra lift.
Is the surgery painful?
No, during the procedure there's no pain: a tummy tuck is under general anaesthesia and nothing is felt. Tightness and soreness show up in the first days and are relieved by painkillers prescribed by the doctor; by the end of the first week, 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.
At what age is a tummy tuck allowed, and is there an upper age 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 is the extent of surgery. A mini tummy tuck is performed for a small excess of skin below the navel, with a shorter incision, the navel not moved and faster recovery. A classic tummy tuck removes the whole-abdomen skin-and-fat apron, includes moving the navel and allows full-length diastasis repair of the muscles.
How long does recovery take?
Recovery goes through three milestones. Office work — after 2–3 weeks. Swelling and tightness — gone by 1.5–2 months. The final result and scar — assessed at 6–12 months, when the tissues fully adapt.
Will the result last with weight gain and after pregnancy?
Removed skin does not grow back — 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, so surgery is planned once your family is complete.
Do you need special preparation for surgery?
Yes, preparation is required. 7–10 days before a tummy tuck, stop smoking, alcohol and medicines that affect blood clotting. A pre-surgery check-up is needed: blood tests, ECG, leg vein ultrasound, and GP and anaesthetist consultations. Complete it in advance, not the day before.
When will the result be visible?
For everyone the answer is the same. The first changes appear 2 weeks after surgery as the main swelling subsides, followed by two checkpoints: the interim result at 1.5–2 months and the final contours at 3–6 months.
Do you need to stay in hospital, and for how long?
Yes, hospital stay is required — 1–2 days under medical supervision after a classic tummy tuck, while a mini tummy tuck usually needs only one day. You continue recovering at home, and the surgeon follows up 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 it. The repair is done only when the rectus abdominis muscles are actually separated. At the examination the surgeon sees diastasis, and in doubtful cases ultrasound confirms it. The muscles are brought together in the same surgery, so no separate procedure is needed.
Can you plan a pregnancy after a tummy tuck?
A tummy tuck doesn't rule out pregnancy, but order matters — first childbirth, then surgery. If not, skin and muscles stretch again and some of the result is lost. The surgeons' advice is simple: if you are planning a child, wait at least a year after the procedure.
Do you have to wear compression garments, and for how long?
Yes, you must wear it — without the garment recovery is worse, as it supports the tissues and reduces swelling. Around the clock for the first 3–4 weeks, then in the daytime for about one more month. The exact period is set by the operating surgeon.
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 Pietermaritzburg learn at the consultation whether their case requires it.
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 Pietermaritzburg.
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 Pietermaritzburg, 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!
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