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.
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 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, 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 trauma, shorter recovery — for cases with minor excess skin.

Surgeon consultation
The surgeon listens to your wishes, examines you, assesses fat deposits and rules out contraindications. At City Medical Centre a hormone screening is also ordered — it helps predict the long-term result.

Pre-surgery check-up
Blood tests for complete count, coagulation, biochemistry and infections (HIV, hepatitis, syphilis), an ECG, a chest X-ray and a GP consultation if 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
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
After the operation, 1–3 days in hospital under medical supervision.

Recovery
1.5–2 months in a compression binder. Most of the swelling is gone within 30 days; you can return to office work after 2–3 weeks. The final result is assessed at 3 months.

Surgeon consultation
The surgeon listens to your wishes, examines you, assesses fat deposits and rules out contraindications. At City Medical Centre a hormone screening is also ordered — it helps predict the long-term result.

Pre-surgery check-up
Blood tests for complete count, coagulation, biochemistry and infections (HIV, hepatitis, syphilis), an ECG, a chest X-ray and a GP consultation if 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
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
After the operation, 1–3 days in hospital under medical supervision.

Recovery
1.5–2 months in a compression binder. Most of the swelling is gone within 30 days; you can return to office work after 2–3 weeks. The final result is 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
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

Getting your silhouette back 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
Right after surgery the patient stays in hospital for 1–3 days under medical supervision. Drains are usually removed after two days 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 goes within 30 days; 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 knees bent is advised. By 12 months the scar is fully mature: it fades and is barely noticeable.
Experienced plastic surgeons and physicians devoted to patients' beauty and health
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
We take a hormonal approach — hormonal causes of obesity are ruled out by an endocrinologist before surgery, so the long-term result is more reliable

Combined procedures
Liposuction of the flanks and waist or diastasis repair can be added to a tummy tuck in one operation, with one anaesthesia and one recovery period

Support until the result
Throughout recovery the surgeon stays in contact; the contract fixes the price, 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 a tummy tuck combinable with liposuction or diastasis repair?
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, it will not help you lose weight. Its goal is different: to remove excess stretched skin and the fat apron and restore the abdominal muscle wall. Surgery is done at a stable weight; if your weight is still changing, first see a dietitian or endocrinologist.
Will there be a scar after surgery?
Yes, there will be a scar — the unavoidable cost of removing excess skin. In a classic tummy tuck the incision runs across the lower abdomen from hip to hip, 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?
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, you won't feel pain during the procedure — a tummy tuck takes place under general anaesthesia. In the first days, tightness and soreness appear; painkillers prescribed by the doctor relieve them, and by the end of week one the discomfort eases noticeably.
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.
What is the minimum age for a tummy tuck, and is there an upper age limit?
The minimum age is 18, and only without contraindications. There is 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 scope of surgery makes the difference. For a small excess of skin below the navel, a mini tummy tuck is done: shorter incision, navel stays in place, faster recovery. The classic version removes the skin-and-fat apron across the whole abdomen, moves the navel and makes it possible to repair diastasis 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 doesn't come back, so that part of the result is permanent. The abdomen will stretch again only with significant weight gain — keep your weight stable. Pregnancy is possible after a tummy tuck, but it stretches the repaired muscles, so the surgery is planned once your family is complete.
Do you need special preparation for surgery?
Yes, preparation is needed. 7–10 days before a tummy tuck, stop smoking, alcohol and medicines that affect blood clotting. You need a pre-surgery check-up: blood tests, ECG, leg vein ultrasound, and GP and anaesthetist consultations. Do it in advance, not the day before.
When will the result be visible?
The answer holds for everyone: 2 weeks after surgery the main swelling subsides and the first changes appear. Two checkpoints follow — at 1.5–2 months an interim result, at 3–6 months the final contours.
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?
Everyone gets the same list before a tummy tuck: blood and urine tests, a coagulation panel, biochemistry, infection tests, an ECG, chest X-ray, leg vein ultrasound and a GP's report. At the consultation the surgeon gives the exact list; tests are usually valid for 10–14 days.
Is diastasis always repaired during a tummy tuck?
No, repair is needed only when the rectus abdominis muscles are actually separated, not for everyone. The surgeon identifies diastasis at the examination; if in doubt, it is confirmed by ultrasound. Separated muscles are brought together during the same surgery, without a separate procedure.
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 — recovery is worse without the garment: it supports the tissues and reduces swelling. For the first 3–4 weeks it is worn around the clock, then during the day for about another month. The operating surgeon will name 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 Sapporo learn at the consultation whether their case requires it.
The result comes in stages. First changes show about two weeks after surgery, an interim result is visible at 1.5–2 months and the final contours form at 3–6 months. The scar keeps maturing for up to a year before it fades. Check-ups take place at 7 days, 3 months and 6 months, and until the end of the year a post-surgery consultation for patients from Sapporo is at the clinic's expense.
If you are comparing tummy tuck options in Sapporo, look at more than the operation itself. Here the approach includes hormone screening before surgery, tests at the clinic with no waiting, a hospital stay under medical supervision and surgeon support until the result. The cost is calculated after a free consultation and fixed in the contract. Leave a request to arrange yours.
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