What to expect before and after abdominoplasty (tummy tuck)?

Abdominoplasty, also known as a tummy tuck, is an aesthetic surgical procedure that removes excess skin and fatty tissue from the abdominal area, and often also tightens the abdominal muscles.

It is a preferred solution for people with loose skin after pregnancy, significant weight loss, or as a result of ageing.

At Royal Plastic Clinic, experienced plastic surgeon Dr. Stefan Komitski performs this operation with attention to aesthetics, symmetry and recovery.

In this article you will learn:

• What preparation before the operation involves;
• How the intervention itself is performed;
• What to expect during the post-operative period;
• How long recovery takes;
• When results become visible and how to maintain them;
• What risks and limitations the procedure has;
• How to contact the Royal Plastic Clinic team for a consultation.

Abdominoplasty is a surgical intervention that removes loose skin and subcutaneous fat from the lower abdomen, and in some cases also corrects the separation of the rectus abdominis muscles (diastasis). The procedure is not a way to lose weight, but a means of aesthetic improvement and body shaping after a significant change in weight or after pregnancy.

A tummy tuck is often combined with liposuction for better results around the waist and hips, creating a more natural and balanced silhouette.

Consultation with Dr. Stefan Komitski

At Royal Plastic Clinic, preparation begins with a thorough consultation. During the examination, Dr. Komitski will:

• assess skin elasticity and the amount of excess tissue;
• discuss your goals and expectations;
• take measurements and photographic documentation;
• draw up an individual plan for the operation.

You will also be scheduled for mandatory pre-operative tests: blood count, coagulation, ECG, and other specific consultations and tests depending on your individual case. Patients receive detailed instructions on diet, medication, and behaviour in the days before the intervention.

Abdominoplasty is performed under general anaesthesia and takes between 2 and 3 hours. The surgical incision is usually made low, above the pubic bone, so that it can be hidden under underwear or a swimsuit. Through this incision, excess skin and fat are removed, and the abdominal muscles are tightened through internal repair.

At the end of the operation, drains are placed to help remove excess fluid. The patient usually stays at the clinic overnight for observation and post-operative infusion, antibiotic and pain-management therapy.

What to expect in the first 72 hours

After the operation there will be moderate swelling, a feeling of tightness in the abdomen, and limited mobility. Pain is controlled with prescribed painkillers. Drains are usually removed on day 2–4. During this time, a slightly bent posture while walking and sleeping is recommended.

Time spent lying down should be alternated with short walks every few hours to improve circulation.

Full recovery after abdominoplasty takes around 4 to 6 weeks. During this period you should:

• wear a special compression garment continuously for the first 4 weeks;
• avoid physical exertion and sports;
• maintain hydration and a balanced diet;
• sleep mainly on your back, with the torso slightly elevated and the legs slightly bent at the knees;
• attend follow-up check-ups with Dr. Komitski.

The scar will be visible at first but will fade over time. The clinic will recommend creams and treatments to improve scar appearance. Most patients can return to work after around 14–20 days, depending on the nature of their job.

The change in silhouette is visible immediately after the operation, but swelling and internal healing can take weeks. The best results are seen after 2–3 months.

To maintain the achieved effect:

• keep a stable weight;
• avoid crash diets or significant weight gain;
• lead an active lifestyle after recovery.

Many patients report that abdominoplasty has given them a new sense of confidence and comfort in their own body.

Every surgical intervention carries some risk, however minimal. Possible complications include:

• infections;
• delayed wound healing;
• seroma (fluid) accumulation;
• asymmetry or irregularities.

The procedure is not recommended for:

• people with uncontrolled diabetes;
• smokers who have not stopped smoking at least 4 weeks before the operation;
• patients with severe chronic conditions.

Royal Plastic Clinic and Dr. Stefan Komitski offer an individual approach to every patient, combined with high medical standards and a comfortable setting. You can reach the team by email at info@royalplasticsurgery.eu or by phone at +359 888 533 824. More information on abdominoplasty and current prices can be found on the procedure prices page.

Abdominoplasty is an effective procedure that can significantly improve not only your appearance but also your self-confidence. With proper preparation, realistic expectations, and trust in an experienced specialist such as Dr. Stefan Komitski, the results can be impressive and lasting.

If you feel it's time for a change, take the first step today.