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 a surgical tightening of the anterior abdominal wall with removal of excess stretched skin and fat. Don't think of it as weight loss or a replacement for diet and exercise. The goal is a flat abdomen: the hanging skin-and-fat apron removed, separated rectus muscles repaired and, if necessary, a new navel formed.
It is the choice when excess skin and diastasis (separated rectus abdominis muscles) remain after childbirth, a C-section or major weight loss. This can't be fixed with diet or exercise, since stretched skin doesn't shrink and separated muscles don't close without surgery. Pregnancy is planned 12 months or more later, and surgery is not performed while breastfeeding.

Guarantee under an official contract

10 years of abdominal surgery experience

Free consultation before surgery

Classic tummy tuck
The classic operation begins with a horizontal cut above the pubic area, its length depending on the excess tissue. The scar line is placed so that underwear and swimwear cover it. The surgeon repairs separated rectus muscles, removes excess skin and fat, repositions the navel and places drains; it lasts 2–4 hours under general anaesthesia.
Suitable for marked excess skin, diastasis and a C-section scar.

Mini tummy tuck with diastasis repair
A mini tummy tuck is for a narrower issue — only the lower abdomen is corrected, through a shorter incision, and the navel is not moved. It is used with a small amount of excess skin where the key concern is diastasis or overhang above a C-section scar; recovery is then shorter. The surgeon selects the technique at an in-person consultation after assessing the abdominal muscles and skin.
Less trauma, shorter recovery — for cases with minor excess skin.

Surgeon consultation
The surgeon listens to you, performs an examination, assesses fat deposits and rules out contraindications. At City Medical Centre there is also a hormone screening — useful for predicting the long-term result.

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

Preparation
For faster healing, no alcohol or smoking for a week before. Medicines affecting blood clotting are stopped 2 weeks before. The last meal — 8 hours before.

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
For 1–3 days after surgery the patient stays in hospital, under medical supervision.

Recovery
The compression binder stays on for 1.5–2 months. Office work resumes after 2–3 weeks, most swelling goes within 30 days, and the final result is assessed at 3 months.

Surgeon consultation
The surgeon listens to you, performs an examination, assesses fat deposits and rules out contraindications. At City Medical Centre there is also a hormone screening — useful for predicting the long-term result.

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

Preparation
For faster healing, no alcohol or smoking for a week before. Medicines affecting blood clotting are stopped 2 weeks before. The last meal — 8 hours before.

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
For 1–3 days after surgery the patient stays in hospital, under medical supervision.

Recovery
The compression binder stays on for 1.5–2 months. Office work resumes after 2–3 weeks, most swelling goes within 30 days, and the final result is assessed at 3 months.
Post-op check-ups
Until year-end, get a post-surgery consultation with your surgeon — to review results and learn more — paid for by the clinic
Please check with a clinic doctor if you live with 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 the figure 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, inflammatory skin conditions in the area to be treated, menstruation, use of anticoagulants
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.
A team of experienced plastic surgeons and doctors caring for 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
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
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
Can a tummy tuck be done together with liposuction or diastasis repair?
Yes, combining is allowed and extremely common. Liposuction of the waist and flanks is added to a tummy tuck, as is rectus diastasis repair after childbirth. With this combination, recovery is shorter, and the surgeon will tell you in person at a consultation 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, 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?
Sagging skin and the fat apron are precisely what the surgery removes — entirely, together with stretch marks below the navel. The surgeon pulls the skin of the upper abdomen down, and the tummy ends up smooth with no 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 the same for all patients. In the first 2–3 weeks, physical exertion, heavy lifting and sudden movements are not allowed. For at least a month, avoid sauna, steam bath, pool, tanning beds, alcohol and smoking. Sport resumes gradually and only with the surgeon's approval. Another 4–8 weeks in compression garments.
From what age can you have a tummy tuck, and is there an upper age?
18 is the minimum age, and only without contraindications. There's no upper limit at all: at our clinic, each case is considered individually after an examination and health assessment.
How does a mini tummy tuck differ from a classic one?
The difference comes down to the scope of surgery. A mini tummy tuck is done 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, involves moving the navel and allows diastasis repair 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 — 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. For 7–10 days before a tummy tuck, no smoking, alcohol or medicines that affect blood clotting. The pre-surgery check-up includes blood tests, an ECG, leg vein ultrasound and GP and anaesthetist consultations; finish it in advance rather than the day before.
When will the result be visible?
The answer is the same for everyone: the first changes are visible 2 weeks after surgery, when the main swelling subsides. Then there are two checkpoints: 1.5–2 months — an interim result, 3–6 months — the final contours.
Do you need to stay in hospital, and for how long?
Yes, a hospital stay is needed: after a classic tummy tuck, 1–2 days under medical supervision; after a mini tummy tuck one day is usually enough. Recovery continues at home, and the surgeon monitors it at scheduled check-ups.
What tests are needed before surgery?
The pre-tummy-tuck list is the same for everyone: blood and urine tests, coagulation panel, biochemistry, infection tests, ECG, chest X-ray, leg vein ultrasound and a GP's report. Tests are usually valid for 10–14 days, and the surgeon gives the exact list at the consultation.
Is diastasis always repaired during a tummy tuck?
No, repair isn't for everyone: it is done only if the rectus abdominis muscles are truly separated. Diastasis is seen by the surgeon during the examination and, where there is doubt, confirmed with ultrasound. The muscles are brought together in the same surgery, without a separate procedure.
Can you plan a pregnancy after a tummy tuck?
You can get pregnant after a tummy tuck, but the order matters: childbirth should come first, then surgery. Otherwise, the skin and muscles stretch again and you lose part of the result. Surgeons have 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, 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.
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 Pretoria, removed skin does not grow back, so that part of the result is permanent.
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 Pretoria follow this same sequence from start to finish.
The first step costs nothing: the consultation with the surgeon is free. You get an assessment of excess skin and muscle separation, a recommended technique, an explanation of recovery and your personal price. Patients from Pretoria can then decide calmly, with the amount fixed in the contract. Fill in the short form on the page, and a coordinator will call back shortly.
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Apply before the end of the year and get a consultation at the clinic's expense!