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Abdomi­no­plasty

Infor­ma­tion on abdominoplasty

One of the most common figure problems is the develo­p­ment of a "belly". People of normal weight can also develop a belly, as it is not neces­s­a­rily due to increased fat storage in the lower abdominal area, but often just a decrease in the elasti­city of the abdominal wall that causes the belly to bulge. 

On the one hand, this is a typical conse­quence of getting older, but it can be exacer­ba­ted by pregnancy, opera­ti­ons, etc. In more prono­un­ced cases - especi­ally after massive weight loss - the skin can overhang and produce a so-called "fat apron".

A surgical tightening of the abdominal wall with removal of the overst­ret­ched, excess skin, but also the reuni­fi­ca­tion and streng­thening of the abdominal muscles can often be useful and help to achieve clear satis­fac­tion with one's own figure and a new attitude to life. 

In the hands of an experi­en­ced surgeon, this is a very efficient technique in which the patient should first have his or her weight, which he or she intends to maintain in the long term. A thorough analysis of the patient's anatomy is crucial to ensure that the problem is treated correctly. 

Abdomi­no­plasty - the most important facts in brief

Further details on abdominoplasty

The basic principle of the operation is that the skin, which is no longer suffi­ci­ently elastic, is lifted via an incision in the bikini area and detached from the under­ly­ing muscles from the pubic area up to the ribcage.

If there is a gap in the straight abdominal muscles (rectus diastasis), this gap in the muscles can be closed again as part of the same procedure. The oblique abdominal muscles can also be media­li­zed. This creates a clear waist accen­tua­tion again. The excess skin of the abdominal wall is then removed and the wound deep in the pubic area is closed again with multi-layered sutures. 

If the extent of the procedure is small (often requested after pregnan­cies - "mommy makeover"), it is not necessary to move the navel: in this case it may be suffi­ci­ent to make only one incision in the pubic area (mini-abdomi­no­plasty).

Even if the problem is only localized due to a bulging, enlarged mons veneris (upper vulva) with possible skin retrac­tion after a caesarean section or other proce­du­res, the scope of the procedure is limited. A reduction in size by means of liposuc­tion without removing skin and lifting the retracted scar may be a solution. 

In the case of extensive excess skin, especi­ally in the upper abdominal region, liposuc­tion in the upper abdominal and waist region should be combined with the procedure, but it is also essential to move the navel, as pulling the skin down towards the pubic area alone would not allow the navel to retain its natural position. The navel is re-estab­lished in its original, "usual" position at the end of the operation. In addition, the abdominal wall can be streng­the­ned and stabi­li­zed and the waist can be reshaped and accen­tua­ted by reuniting the vertical abdominal muscles that stand apart. 

In any case, the cut, adapted to modern fashion, is so low that it can be concealed in underwear and swimwear, and modern navel techni­ques make it easy to promenade "navel-free" again later.

During the preli­mi­nary consul­ta­tion, we will take plenty of time to clarify whether an abdomi­no­plasty is a sensible measure for you, provide you with precise infor­ma­tion and explain all open questions in detail. We will also reali­sti­cally explain the risks and expected chances of success. Of course, we want to achieve an optimal result for you, with which you will be happy and satisfied in the long term. 

On the day of the operation, the exact incision is marked again and after transfer to the operating room and induction of anesthe­sia, the excess skin and subcu­ta­neous tissue is gently and succes­si­vely removed; if necessary, the divergent muscles are reunited. If there is only a small excess of skin just below the navel, a so-called mini-abdomi­no­plasty can be performed, in which the navel does not have to be moved. This can be performed on an outpa­ti­ent basis. 

For larger areas, which are usually combined with liposuc­tion, drains are also placed and one or two overnight stays are essential. At the end of the operation, the skin edges are sutured back together to create an arched, deep scar that can be easily concealed in underwear and swimwear.

The patient must wear a compres­sion girdle for three to six weeks and also take considera­ble physical rest in order to support rapid reattach­ment of the skin to the muscles. The wound is then closely monitored and cared for on an outpa­ti­ent basis in our practice. 

A tummy tuck is a more extensive procedure that creates a larger wound area. This entails a certain risk of throm­bo­sis. Rare compli­ca­ti­ons such as secondary bleeding, fluid accumu­la­tion under the skin (seroma) or infec­tions can also occur. We do every­thing medically possible to avoid this for you and follow you closely after the procedure. 

Initial numbness in the lower abdomen is typical, but usually disap­pears within 6-8 weeks. Swelling after surgery and minor bruising are normal, as is wound pain; however, this quickly subsides and is kept to a minimum by our medication. 

In the first few days, you should take it easy, especi­ally avoid twisting your hips and avoid excessive movement or physical activity. You must wear the compres­sion garment as much as possible day and night for 3 weeks. You can gradually increase your physical activity, but you should allow a total of 6-8 weeks for the wound to heal comple­tely.

Residual symptoms may be noticeable up to 6 months after surgery. The tightening surgery leads to a permanent, stable result; however, you should contri­bute to maintai­ning the beautiful result through regular physical activity and a sensible diet. 

As with any cosmetic procedure, the costs vary depending on the extent of the correc­tion, the chosen method and also depending on age, skin condition, etc.

Our fees cover the costs of the surgery, anesthe­sia, our surgical services and aftercare. The costs are discussed in detail before­hand and are to be regarded as a lump sum, regard­less of how long the procedure ultim­ately takes. This means you know exactly how much you can expect to pay. 

Price for a tummy tuck:

from CHF 6,000 (mini-abdomi­no­plasty)
up to CHF 14,000 (extensive measure WITH liposuction)
Health insurance companies do not cover the appli­ca­tion as it is an aesthetic treatment of choice.

The cost of an initial on-site consul­ta­tion is CHF 250. This amount can be credited towards your treatment if it takes place within 6 months. If you do not show up for the bindingly agreed initial appoint­ment, a cancel­la­tion fee of CHF 150 will be charged. 

The following rule applies to agreed surgery appoint­ments: In the case of planned and scheduled opera­ti­ons, it is often not possible for Medicine&Beauty AG to find a repla­ce­ment patient in the event of a cancel­la­tion. Due to these planning diffi­cul­ties, it is only possible to cancel surgery appoint­ments free of charge if this is done in writing by the customer at least 7 days (calendar days) in advance by e-mail or WhatsApp. 

For cancel­la­ti­ons made less than 7 calendar days before the planned operation, the customer will be charged 50% of the previously agreed operation costs. Appoint­ments canceled by Medicine&Beauty AG for health, medical or technical reasons cannot be refunded or compen­sa­ted. An alter­na­tive date will be offered at no additio­nal cost.