Classic and mini tummy tucks: we remove excess skin and fat from the abdomen and repair separated muscles, 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) means surgically tightening the front abdominal wall and removing excess stretched skin and fat. It is no way to lose weight and cannot replace diet and exercise. It aims for a flat abdominal contour by removing the overhanging skin-and-fat apron, repairing separated rectus muscles and, when needed, making a new navel.
It is chosen when excess skin and diastasis — separation of the rectus abdominis muscles — remain after childbirth, a C-section or major weight loss. Diet and exercise cannot fix this: stretched skin does not shrink, and separated muscles do not come back together without surgery. Pregnancy should be planned 12 months or more later, and 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 a classic tummy tuck the surgeon makes a horizontal incision above the pubic area; the length depends on the amount of excess tissue. The scar line is planned for underwear and swimwear to hide it. Separated rectus muscles are repaired, excess skin and fat removed, the navel repositioned and drains placed, over 2–4 hours under general anaesthesia.
Right for marked excess skin, rectus diastasis and a caesarean 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.
When excess skin is minor: less trauma and shorter recovery.

Surgeon consultation
The surgeon takes note of your wishes, examines you, evaluates fat deposits and rules out any contraindications. At City Medical Centre we also order hormone screening, 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
2 weeks before, stop medicines that affect blood clotting. A week before, give up alcohol and smoking to heal faster. 8 hours before, have your last meal.

Surgery day
Meeting the surgeon, marking the skin, fitting compression garments. The surgery takes 2–4 hours, with general anaesthesia.

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

Recovery
A compression binder is worn for 1.5–2 months. Most swelling goes in 30 days, and office work is possible after 2–3 weeks. Final result — at 3 months.

Surgeon consultation
The surgeon takes note of your wishes, examines you, evaluates fat deposits and rules out any contraindications. At City Medical Centre we also order hormone screening, 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
2 weeks before, stop medicines that affect blood clotting. A week before, give up alcohol and smoking to heal faster. 8 hours before, have your last meal.

Surgery day
Meeting the surgeon, marking the skin, fitting compression garments. The surgery takes 2–4 hours, with general anaesthesia.

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

Recovery
A compression binder is worn for 1.5–2 months. Most swelling goes in 30 days, and office work is possible after 2–3 weeks. Final result — 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
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

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: inflammatory skin conditions in the treated area, acute infections, menstruation, anticoagulant use
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
Following surgery, the patient stays 1–3 days in hospital under medical supervision. Drains usually come out after two days, and stitches after 7 days. For 1.5–2 months a compression binder supports the abdominal wall and shapes a smooth contour. Within 30 days most swelling goes, and office work is possible after 2–3 weeks. Sports, sauna and heavy lifting are not allowed for 2–3 months; in the early days, sleep on your back with your knees bent. By 12 months the scar is fully mature: faded and barely noticeable.
Experienced plastic surgeons and doctors who care about patients' beauty and health
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Dr. Goncharova
Dermatovenereologist, trichologist, surgeon
11+ years of experience
Before surgery an endocrinologist rules out hormonal causes of obesity — this hormonal approach makes the long-term result 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
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
Is it possible to add liposuction or diastasis repair to a tummy tuck?
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 the unavoidable price of removing excess skin. In a classic tummy tuck it runs across the lower abdomen from hip to hip, below the underwear or swimsuit line; in a mini tummy tuck the incision is much shorter. With time, the scar fades and becomes thin.
Will the surgery remove stretch marks and sagging skin?
This is exactly what the surgery is for — the sagging skin and fat apron are removed completely, and stretch marks below the navel go along with them. The surgeon pulls the upper abdominal skin down so the tummy ends up smooth, no extra lift required.
Is the surgery painful?
No, a tummy tuck is painless for the patient, because general anaesthesia means nothing is felt during the procedure. In the first days tightness and soreness appear, and painkillers prescribed by the doctor relieve them; the discomfort eases noticeably by the end of the first week.
What should you avoid after a tummy tuck?
Restrictions after a tummy tuck don't differ from patient to patient. No physical exertion, heavy lifting or sudden movements for the first 2–3 weeks; no sauna, steam bath, pool, tanning beds, alcohol or smoking for at least a month. Sport is resumed gradually and only with the surgeon's approval. Compression garments are worn for another 4–8 weeks.
From what age is a tummy tuck done, and is there an upper limit?
From 18, and only without contraindications. As for an upper limit, there is none: our clinic considers every 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?
Three milestones mark recovery: after 2–3 weeks you can do office work, by 1.5–2 months swelling and tightness pass, and at 6–12 months, with the tissues fully adapted, the final result and scar are assessed.
Will the result last with weight gain and after pregnancy?
The removed skin does not grow back, so this part of the result lasts permanently. Your abdomen will stretch again only if you gain significant weight, so keep your weight stable. After a tummy tuck pregnancy is possible, yet it stretches the repaired muscles, and so surgery is planned when your 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?
Same answer for everyone: at 2 weeks after surgery, with the main swelling down, the first changes are visible. Then two checkpoints: the interim result at 1.5–2 months, the final contours at 3–6 months.
Do you need to stay in hospital, and for how long?
Yes, a hospital stay is part of it: after a classic tummy tuck, 1–2 days under medical supervision, and after a mini tummy tuck usually just one day. Recovery continues at home while the surgeon monitors it at scheduled check-ups.
What tests are needed before surgery?
Before a tummy tuck, the list is identical for all: blood and urine tests, coagulation panel, biochemistry, infection tests, ECG, chest X-ray, ultrasound of the leg veins and a GP's report. The exact list comes from the surgeon at the consultation, and tests usually stay 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?
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, 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.
An overhanging apron of skin, a belly that stays rounded despite training, a stretched area above a C-section scar: these are the usual reasons people in Tokyo look into a tummy tuck. The operation tightens the front abdominal wall rather than reducing weight. With a small amount of excess skin, a mini tummy tuck may be enough; with marked changes, the classic technique is chosen.
Is it painful? During the procedure you feel nothing, since a tummy tuck is done under general anaesthesia. Tightness and soreness appear in the first days and are relieved with painkillers prescribed by the doctor; by the end of the first week the discomfort eases noticeably. For people from Tokyo, the first visible changes appear about two weeks after surgery, when the main swelling subsides.
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 Tokyo, 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!