After pregnancy or significant weight loss, the feeling often remains: the abdomen has become flatter, but the skin still appears loose. This is precisely where abdominoplasty comes in. It tightens the abdominal wall, corrects excess skin, and, where necessary, stabilises the abdominal musculature as well. Importantly, the procedure is not a quick shortcut, but a carefully planned step towards long-term results.
Why conservative measures are often insufficient
Diets and core workouts are only effective when sufficient elasticity remains. With severely stretched tissue, the elastic fibres are destroyed – the skin hangs like a coat. There are also medical reasons for the procedure: skin folds easily become inflamed, leading to eczema and irritation. A tummy tuck eliminates these problem areas and improves hygiene and freedom of movement.
Which technique suits which abdomen?
From mini abdominoplasty to Fleur-de-Lis tightening: the technique determines the incisions, scar placement, and outcome. Dr. Schuhmann defines the ideal approach together with each patient. The following overview presents the most important variants:
Abdominoplasty
Complete abdominal wall tightening with repositioning of the navel and tightening of the abdominal wall.
Mini Abdominoplasty
Focuses on the lower abdomen between the navel and pubic mound – without navel repositioning.
High-Lateral-Tension
Extends the tightening laterally towards the hips, creating a defined waist and flowing silhouette.
Fleur-de-Lis
Vertical + horizontal tightening for patients with extensive excess skin following massive weight reduction.
Reverse Abdominoplasty
Tightens the upper abdomen via an incision in the inframammary fold, often used after upper body weight loss.
Planning Is Everything
Every procedure begins with precise markings taken whilst the patient is standing. Hip, waist, and pubic lines are measured and potential scar courses are drawn. In addition, an assessment is made as to whether liposuction is advisable and how much support the abdominal musculature requires.
- ✓Measurement and marking of incision lines whilst standing, to plan the subsequent contours precisely.
- ✓Evaluation of fat deposits and possible liposuction – combined or staged, depending on the vascular situation.
- ✓Discussion regarding rectus diastasis correction: stabilisation of the abdominal musculature for a slender waist.
What patients can expect after the operation
Immediately after the operation, a compression garment supports the new contour. Light movement is permitted, but no heavy lifting. Patients who follow a protein-rich diet, maintain adequate fluid intake, and undergo lymphatic drainage support the healing process. Scar care begins as soon as the wounds have closed – keeping scars soft and inconspicuous.
Many patients combine the tummy tuck with additional procedures, such as a breast operation or tightening of the flanks. Thorough preparation and a clear definition of goals are essential – ensuring lasting results.
