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

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400+ successful surgeries

10 years of abdominal surgery experience

Free consultation
before surgery
A tummy tuck (abdominoplasty) tightens the front of the abdominal wall surgically, removing extra stretched skin and fat. It is not for weight loss and doesn't take the place of diet and exercise. The target is a flat abdomen: the overhanging skin-and-fat apron removed, separated rectus muscles repaired and a new navel created if needed.
Patients choose it when excess skin and diastasis, the separation of the rectus abdominis muscles, persist after childbirth, a C-section or major weight loss. Diet and exercise don't help: stretched skin does not shrink, and separated muscles do not reunite without surgery. Plan pregnancy at least 12 months later; surgery is not done while 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.
Suits marked excess skin, rectus diastasis and a C-section scar.

Mini tummy tuck with diastasis repair
With a mini tummy tuck, only the lower abdomen is corrected: the incision is shorter and the navel stays in place. It addresses a narrower issue — a small amount of excess skin with diastasis or overhang above a C-section scar as the main concern — and recovery is shorter. The surgeon decides on the technique at an in-person consultation after assessing muscles and skin.
Less surgical trauma and a faster recovery if the 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
A complete blood count, coagulation panel, biochemistry and infection screening (HIV, hepatitis, syphilis), an ECG, chest X-ray and, when needed, a GP consultation.
All tests can be done at the clinic with no waiting.

Preparation
2 weeks before surgery, medicines that affect blood clotting are stopped. One week before, alcohol and smoking are ruled out to speed healing. Last meal — 8 hours before.

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
Post-surgery, the patient spends 1–3 days in hospital with medical supervision.

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
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
A complete blood count, coagulation panel, biochemistry and infection screening (HIV, hepatitis, syphilis), an ECG, chest X-ray and, when needed, a GP consultation.
All tests can be done at the clinic with no waiting.

Preparation
2 weeks before surgery, medicines that affect blood clotting are stopped. One week before, alcohol and smoking are ruled out to speed healing. Last meal — 8 hours before.

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
Post-surgery, the patient spends 1–3 days in hospital with medical supervision.

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, the clinic pays for your post-surgery consultation with the surgeon, where you review results and get more information
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: 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
Immediately after surgery the patient stays in hospital for 1–3 days, supervised by doctors. Drains are usually removed after two days, stitches after 7 days. For 1.5–2 months you wear a compression binder that supports the abdominal wall and forms a smooth contour. Most of the swelling goes within 30 days; office work is possible after 2–3 weeks. No sports, sauna or heavy lifting for 2–3 months, and in the beginning it is best to sleep on your back with knees bent. At 12 months the scar is fully mature, faded and 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
A hormonal approach: an endocrinologist excludes hormonal causes of obesity before surgery, making the long-term result more reliable

Combined procedures
Combine a tummy tuck with liposuction of the flanks and waist or with diastasis repair in a single operation — one anaesthesia and one recovery

Support until the result
Contact with the surgeon throughout recovery and a contract-fixed price without any 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 add liposuction or diastasis repair to a tummy tuck?
Yes, combination is permitted and frequent in practice. A tummy tuck is combined with flank and waist liposuction and, after childbirth, with rectus diastasis repair. Recovery with such a combination is shorter; how extensive the procedure will be, the surgeon will tell you at an in-person consultation.
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, expect a scar — the unavoidable price of removing excess skin. The classic tummy tuck incision runs across the lower abdomen from hip to hip, sitting below the underwear or swimsuit line; the mini tummy tuck incision is much shorter. Gradually the scar fades and becomes thin.
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, there's no pain in the procedure: with general anaesthesia for a tummy tuck, nothing is felt. The first days bring tightness and soreness that painkillers prescribed by the doctor relieve, and the discomfort eases noticeably by the end of the first week.
What should you avoid after a tummy tuck?
The restrictions after a tummy tuck are the same for everyone. For the first 2–3 weeks, no physical exertion, heavy lifting or sudden movements. Sauna, steam bath, pool, tanning beds, alcohol and smoking are off-limits for at least a month. Sport resumes gradually and only with the surgeon's approval. Compression garments are worn for another 4–8 weeks.
Tummy tuck: from what age, and is there an upper age limit?
The minimum age is 18, and only if there are no contraindications. There is no upper limit at all: our clinic considers each case 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?
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 does not grow back, so 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, which is why 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, and have a pre-surgery check-up — blood tests, ECG, leg vein ultrasound, GP and anaesthetist consultations. Complete it 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, it is needed: a classic tummy tuck requires 1–2 days in hospital under medical supervision, while one day is usually enough after a mini tummy tuck. You recover further at home, and the surgeon monitors progress 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, it is not needed by everyone: a repair is done only when the rectus abdominis muscles are really separated. The surgeon notices diastasis at the examination, with ultrasound used to confirm it in case of doubt. Separated muscles are brought together in the same surgery, no separate procedure required.
Can you plan a pregnancy after a tummy tuck?
Pregnancy is not forbidden after a tummy tuck, but the right order is childbirth first, then surgery. Otherwise skin and muscles stretch again, and part of the result is lost. The one piece of advice surgeons give: if a child is planned, wait at least a year after the procedure.
Do you have to wear compression garments, and for how long?
Yes, it is mandatory: recovery is worse without the garment, which supports the tissues and reduces swelling. It is worn around the clock for the first 3–4 weeks, then for about another month during the day. The exact period is named by the operating surgeon.
Who is a candidate? Adults aged 18 and over with no contraindications; there is no upper age limit, and each case is considered after an examination. Surgery is done at a stable weight and is not performed during pregnancy or breastfeeding. Contraindications also include decompensated diabetes, blood clotting disorders, cancer and serious heart, kidney or liver disease. Rome patients get a personal assessment.
In the classic operation the surgeon makes a horizontal incision above the pubic area, its length set by the amount of excess tissue. The separated rectus muscles are repaired, excess skin and fat are removed, the navel is repositioned and drains are placed. The mini version works only on the lower abdomen through a shorter incision. Patients from Rome are under general anaesthesia throughout.
Nothing about the cost is hidden. The surgeon sets the price for abdominoplasty after a free in-person examination, and that amount is fixed in the contract. The surgeon stays in touch throughout recovery, and check-ups are part of the plan. For people from Rome, the fastest way to get an exact figure is to leave a request; a coordinator will call and book a time.
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