Abdominoplasty (or Tummy Tuck)


It is usually performed under general or epidural anesthesia.


The fact that abdominoplasty is a painful surgery is a myth. There is a little discomfort (a tightening sensation in the patient’s movements) during the first 48 hrs. Rarely,however, pain medication is administered during the first 24 hours following surgery.


There is a horizontal incision in the lower part of the abdomen, a little bit higher than the line of pubic hair growth an area hidden by the underwear or swimming suit.
The final result of the scar is formed within a year. During the first 3-4 months, the incision is red and hard and with time, it’s decolorized and improved but it will not disappear.


Resuming physical activities is possible within 1.5 to 2 months after surgery, but walking is allowed from the first week following surgery.


The Patient needs to stay in the hospital for the first 24 hours after an Abdominoplasty.

There will be a small difference in weight (depending on the fat volume that will be removed). In the first few days after liposuction, there will be an increase of the weight due to the fluid retention (e.g. in a liposuction of 2 liters fat, there is a difference in weight about 1-1.5 kg).


• Hematoma (1% in our cases). A second operation may be necessary for the elimination of hematoma, but it has no effect on the final result of abdominoplasty.
• Post-operative infection (0% in our cases).
• Seroma (2% in our cases). It refers to the collection of clear fluid beneath the skin that usually appears in the first 10-15 days after surgery. Small amounts of fluid resolve by themselves or are eliminated by a doctor via a thin syringe.
• Venous thrombosis – pulmonary embolism (0% in our cases). It is the most serious complication of all. It can be avoided by the use of special devices that make massage to the patient’s calves during surgery. Massage provides constant blood supply of lower limbs of the operated patient. After surgery, the doctor will prescribe anticoagulants (drugs that prevent thrombus formation).


Although the result is impressive from the first 24 hours after surgery, the final result will be noticeable within six months. The intense swelling will subside gradually within the first 3 weeks following surgery. The result is permanent. If someone puts on some weight, he/she will gain weight evenly in the area of the abdomen, but the areas that haven’t undergone lipoplasty will be affected more.

Over the last six years, we use, in almost every surgery, the combination of liposuction and abdominoplasty.

The combination of simultaneous liposuction and abdominoplasty results to the permanent fat loss, reduction in waist circumference, the tightening of abdominal muscles and removal of excess skin, all in one surgery. This minimizes the postoperative complications and pain and leads to faster recovery and return to the everyday routine.

Postoperatively, there is only a waterproof patch along the incision. Immediately after the surgery, the patient wears a supportive abdominal binder or compression garment.

After an Abdominoplasty Surgery usually, there are two thin drainage tubes that come out of two small holes on the line of pubic hair and result in a bottle.
The drainage tubes are used to drain the liquids that are accumulated underneath the skin. They are removed when the supply of liquids falls below 40ml. There are sutures, but all sutures are absorbable.

Pregnancy is possible after an abdominoplasty surgery. But it is better to perform abdominoplasty after pregnancy, because pregnancy can lead to skin slackening and stretch marks.

The Advantages of Abdominoplasty in Combination with Liposuction

  • Two surgical procedures in one operating time.
    • Excessive skin removal and simultaneous thinning of waist and belly.
    • Faster recovery period and quick return to everyday activities (everyday routine).
    • Less invasive method (the surgeon’s actions do not lead to sensitivity loss in the lower part of stomach, traumas of nerves, muscles, connective tissues and lymph glands).