Tummy tuck

After pregnancy or significant weight loss, the abdominal muscles often remain stretched, causing the skin to hang. If exercise alone does not result in a visible positive improvement, a tummy tuck can improve the shape.
The woman is touching her abdomen.

The key facts

  • Anaesthesia: General anaesthetic 
  • Necessary time off work: 2 weeks 
  • Duration of surgery: 120–180 mins  
  • Necessary time off sporting activities: Approx. 6 weeks 
  • Type of care: Inpatient/outpatient 
 

When is a tummy tuck the right choice?

After pregnancy or significant weight loss (massive weight loss, bariatric surgery), the stretched abdominal muscles often cannot fully recover. The abdominal wall bulges forward and excess skin hangs down. In many cases, exercise alone does not bring about a noticeable improvement in the shape of the abdomen – neither at the front or at the back.  

About the treatment

In a tummy tuck (abdominoplasty), excess skin below the navel is removed and, at the same time, the abdominal muscles are tightened in cases of rectus diastasis (separation of the abdominal muscles) and returned to their original position. If the patient has an umbilical hernia, this can also be corrected during the same operation.  

If necessary, the navel is detached and reattached after the tightening procedure. The stitches are located above the mons pubis and are therefore not visible, even in swimwear.  

The procedure can be easily combined with liposuction in the abdomen and other areas of the body. In cases of significant excess skin, for example after massive weight loss, it is often advisable to tighten more of the abdomen, flanks and back (known as belt lipectomy or lower body lift) in order to achieve a harmonious overall appearance.

In the abdominal area, this procedure is very similar to a tummy tuck, with the difference being that the incision is made in a belt-like shape around the entire circumference of the body. This allows for excess skin to be removed from all sides, leaving a scar that can be easily concealed under the waistband of trousers.

The procedure leaves a large wound surface area, so this operation should always be performed on an inpatient basis.  

This is precisely where the mummy makeover comes in – a combined procedure that is specially tailored to the needs of young mothers. 

 

Typical areas of application   

  • As a corrective procedure for excess skin and sagging after pregnancy or significant weight loss
  • To tighten abdominal muscles in cases of rectus diastasis 

 

When is it recommended?   

  • In cases of visible excess skin and a protruding abdominal wall that cannot be improved through exercise
  • In cases where there is also an umbilical hernia or a desire to combine with liposuction
  • In cases of massive weight loss or after bariatric surgery  

“My aim is to offer personalised treatment and to restore and optimise the aesthetic appearance of physical changes that occur as a result of everyday life and ageing. Achieving a natural look is our top priority." 

Dr. med. (I) Stefania Renditore
Treatment stages
1
Before the operation
Before treatment begins, a detailed consultation takes place, blood values are checked and preparations for surgery, such as discontinuing certain medications, are discussed.
2
During the operation
The tummy tuck is performed under a general anaesthetic. Excess skin is removed, the abdominal muscles are tightened and any umbilical hernia is corrected. The navel is repositioned.
3
After the operation
Patients can be treated on either an outpatient or inpatient basis, depending on the extent of the procedure and their individual physical condition. Compression garments must be worn day and night for approximately 6 weeks to aid healing. Sporting activities and heavy exertion should be avoided for several weeks.
4
Possible risks and complications
Swelling, bruising and temporary numbness are common. Wound healing complications, infections or thromboses may occur in rare cases.
FAQs

FAQs

When does the procedure have to be combined with liposuction?  

A combination is advisable if, in addition to excess skin, there are also fat deposits on the abdomen or other parts of the body that do not disappear through exercise. This allows the result to be aesthetically optimised.  

What happens to the navel? 

The navel is usually detached during a tummy tuck and repositioned in a natural location after the skin has been tightened, so that it remains as visibly unchanged as possible.  

How long after the operation should I refrain from sporting activities?  

As a rule, you should refrain from intensive sporting activities for 6 to 8 weeks so as not to impair healing and to avoid complications.  

Can I lose weight through a tummy tuck? 

A tummy tuck is not a method of weight loss. The aim of the procedure is to remove excess skin and tighten the abdominal muscles – not to reduce fat on a large scale. Weight loss should therefore ideally take place before the operation in order to achieve the best possible result.  

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