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
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.
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
A mini tummy tuck addresses a narrower issue: only the lower abdomen is corrected, the incision is shorter and the navel is not moved. It is used for a small amount of excess skin when the main concern is diastasis or overhang above a C-section scar; recovery is then shorter. The surgeon chooses the technique at an in-person consultation after assessing the abdominal muscles and skin.
Shorter recovery and less trauma where excess skin is minor.

Surgeon consultation
The surgeon listens to your wishes and examines you, assessing fat deposits and ruling out contraindications. City Medical Centre also prescribes a hormone screening that helps predict the long-term result.

Pre-surgery check-up
You'll need blood tests (complete count, coagulation panel, biochemistry, HIV, hepatitis, syphilis), an ECG, a chest X-ray and a GP consultation if necessary.
All tests can be done at the clinic with no waiting.

Preparation
2 weeks before, medicines affecting blood clotting are stopped. A week before — no alcohol or smoking, for faster healing. 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
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 your wishes and examines you, assessing fat deposits and ruling out contraindications. City Medical Centre also prescribes a hormone screening that helps predict the long-term result.

Pre-surgery check-up
You'll need blood tests (complete count, coagulation panel, biochemistry, HIV, hepatitis, syphilis), an ECG, a chest X-ray and a GP consultation if necessary.
All tests can be done at the clinic with no waiting.

Preparation
2 weeks before, medicines affecting blood clotting are stopped. A week before — no alcohol or smoking, for faster healing. 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
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 the end of the year, your post-surgery consultation with the surgeon — reviewing results and getting more information — is free of charge
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

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: menstruation, acute infections, taking anticoagulants, inflammatory skin conditions in the treated area
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.
Experienced plastic surgeons and doctors who care about the beauty and health of their patients
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Pre-surgery hormonal approach: an endocrinologist rules out hormonal reasons for obesity, making the long-term result more dependable

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
The surgeon stays in touch throughout recovery, and the price is fixed in the contract 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 paired with liposuction or diastasis repair?
Yes — this is allowed and very often done. To a tummy tuck, flank and waist liposuction is added, and after childbirth, rectus diastasis repair. Recovery is shorter with such a combination; the surgeon will describe the extent of the procedure at an in-person consultation.
Is a tummy tuck a way to lose weight?
No, it won't help you lose weight. Its goal is different: removing excess stretched skin and the fat apron and restoring the abdominal muscle wall. Surgery is done at a stable weight; if your weight is still changing, see a dietitian or endocrinologist first.
Will there be a scar after surgery?
Yes, you will have a scar; it is the unavoidable price of taking away excess skin. The classic tummy tuck incision runs from hip to hip across the lower abdomen, under the underwear or swimsuit line, while a mini tummy tuck's is much shorter. With time the scar fades and becomes thin.
Will the surgery remove stretch marks and sagging skin?
The surgery does exactly that: it removes sagging skin and the fat apron completely, and the stretch marks below the navel are removed with them. Pulling the upper abdominal skin downward, the surgeon leaves the tummy 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?
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.
How old do you need to be for a tummy tuck, and is there an upper limit?
The lowest age is 18, provided there are no contraindications. There's no upper limit whatsoever: each case at our clinic is reviewed individually following an examination and health assessment.
How does a mini tummy tuck differ from a classic one?
Scope of surgery is the whole difference. A mini tummy tuck is for small excess skin below the navel — shorter incision, navel left in place, faster recovery. A classic one removes the skin-and-fat apron across the entire abdomen, involves moving the navel and allows diastasis repair along the full length 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 will not grow back — this part of the result is permanent. Only a significant weight gain stretches the abdomen again; keep your weight stable. Pregnancy remains possible after a tummy tuck, but since it stretches the repaired muscles, surgery is planned once the family is complete.
Do you need special preparation for surgery?
Yes, you have to prepare. 7–10 days before the tummy tuck, stop smoking, alcohol and any medicines affecting blood clotting. A pre-surgery check-up is needed: blood tests, ECG, ultrasound of the leg veins, GP and anaesthetist consultations. Do it well in advance, not the day before.
When will the result be visible?
It's the same for all patients: the first changes show 2 weeks after surgery, when the main swelling goes down. After that there are two checkpoints — an 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, 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?
Before a tummy tuck all patients have the same list: blood and urine tests, a coagulation panel, biochemistry, infection testing, ECG, chest X-ray, leg vein ultrasound and a GP's report. The surgeon names the exact list at the consultation; tests are usually valid for 10–14 days.
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?
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 Stuttgart 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 Stuttgart follow this same sequence from start to finish.
Combining procedures can make the plan more efficient: a tummy tuck with flank and waist liposuction or diastasis repair is done under one anaesthesia with one recovery period. The price for such a combination, as for a standalone operation, is set after a free consultation and fixed in the contract. People in Stuttgart can book that consultation through the form or any messenger.
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