Abdominoplasty (Tummy Tuck)
Abdominoplasty for women and men – Natural body contouring
Madrid | Zurich
The abdomen and flanks can undergo significant changes due to factors such as weight fluctuations, hormonal status, age, or lifestyle. Over time, the skin may lose elasticity and firmness, affecting the shape and harmony of the abdominal wall. In many cases, the rectus muscles may even separate (diastasis).
To achieve optimal and attractive results, it is essential to choose a customized abdominoplasty adapted to each individual. Nowadays, there are a variety of surgical techniques, including mini abdominoplasty, hybrid abdominoplasty, full abdominoplasty with or without liposuction, and even 360° abdominoplasty for more extensive cases.
This procedure can improve not only the ability to engage in physical activities (which might have been limited before) but also enhance the patient’s overall lifestyle by providing a firmer, more defined abdominal contour.
Length
1.5 – 2.5 hours
Discharge
Next day
Fit to go back to work
7 days
Fit for everyday activities
5 days
Anesthesia
General sedation with local anesthesia
Recovery time
4 – 6 weeks
Abdominoplasty Surgical Techniques and Additional Treatments
- Mini Abdominoplasty: Involves discreet removal of excess skin and fat below the navel, ideal for mild sagging.
- “Umbiligo Floating”: Removes redundant skin around the navel and repositions it without adding an extra scar in the umbilical region.
- Full Abdominoplasty: Recommended for cases with more pronounced excess skin and fat, often combined with liposuction for optimal contouring. It may include linea alba repair (plicature) and hernia correction.
- 360° Abdominoplasty: Suitable for patients requiring a comprehensive approach to address excess skin and fat around the entire abdominal area.
At our clinics, all forms of abdominoplasty are planned with meticulously placed sutures in the pubic area to minimize visibility. Additionally, the procedure can be combined with breast surgery (e.g., ptosis correction with or without implants) or even a thigh lift, depending on the patient’s goals.
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Postoperative care after a tummy tuck
At PD Dr. Richard Fakin’s clinics, postoperative discomfort is significantly reduced. Typically, a temporary local paralysis is performed at the sensory nerve level of the abdominal fascia, substantially diminishing pain during the first 24 hours. Moreover, we provide a specialized compression garment that should be worn for 5-6 weeks to aid in healing and tissue adaptation.
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Real patient cases – before and after a tummy tuck





Abdominoplasty: Frequently Asked Questions
What issues does abdominoplasty correct beyond excess skin?
At Dr. Fakin’s practice, we address abdominal laxity, excess skin and localized fat. When necessary, we also repair rectus diastasis (muscle separation) to restore a firmer abdomen and a more defined contour.
Where is the abdominoplasty scar placed, and how do we keep it discreet?
The scar is positioned low, at the level of underwear or a bikini line, and around the navel if needed. At our clinic we provide a detailed aftercare plan (silicone, massage, sun protection) to help scars heal as discreetly as possible.
Can abdominoplasty be combined with liposuction?
Yes. We often combine abdominoplasty with liposuction to refine the waist and flanks. The decision is made based on your safety and desired outcome after a thorough evaluation.
What is abdominoplasty recovery really like?
Walking is encouraged from day one, while a compression garment is worn for several weeks. Office work is usually possible in 10–14 days, and progressive exercise can begin after 4–6 weeks, with core-intensive or high-impact activities a little later.
What should I know if I plan pregnancy or weight loss?
It is best to undergo surgery once your weight is stable and ideally after your last pregnancy. A future pregnancy is possible, but it may partially reverse the results.


