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Abdominoplasty after weight loss

Weight Doctors® RESHAPE Tummy tuck (abdominoplasty)

Removes excess skin and fatty tissue on the abdomen after significant weight loss and tightens the abdominal wall. For people whose abdominal skin can no longer be improved through exercise and diet.

How your therapy is structured

Two building blocks.
One plan.

The Weight Doctors® MEMBERSHIP is the foundation of every therapy: medical oversight, progress monitoring and aftercare. The treatment you choose together with your specialist builds on it.

Building block 1

Weight Doctors® MEMBERSHIP

The foundation for every Weight Doctors® therapy – with the tools that support your treatment and record your progress for your medical consultations.

  • Weight Doctors® AppKeep an eye on weight, activity and sleep, for iOS and Android
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  • 360 coaches and Weight Doctors® MiraNutrition and behaviour in everyday life, aftercare with your coaches
  • E-prescription servicePrescriptions issued digitally – after medical approval
More on the Membership
Building block 2

Weight Doctors® RESHAPE tummy tuck

Removes excess skin and fatty tissue on the abdomen after significant weight loss and tightens the abdominal wall. For people whose abdominal skin can no longer be improved through exercise and diet.

Procedure
Operation, as a rule under general anaesthesia
Duration
1.5–3 hours
Price
from approx. €6,900
Costs

The Membership does not replace a medical decision: whether treatment makes sense, and which one, is decided by your specialist after a medical assessment.

In comparison

Forms of tummy tuck

Which technique is suitable – including an extended tummy tuck – is decided after the examination. If needed, liposuction can also be carried out.

  • Classic abdominoplasty

    Incision in the lower abdomen just above the pubic area, across the whole width of the abdomen depending on the excess skin; in the full tightening, the navel is repositioned.

  • Mini abdominoplasty

    Less invasive: less skin is removed and the incision is shorter.

Personally here for youDr. med. univ. Nura Zamani · Plastic and aesthetic surgery

Your guide

The tummy tuck at a glance

What happens in abdominoplasty, how the weeks afterwards go, and what the position is on costs.

How a tummy tuck works

After successful weight loss – especially after a bariatric procedure such as gastric sleeve or gastric bypass – many people are much better off health-wise. However, the skin often cannot keep pace with the loss of volume. Especially on the abdomen, excess skin and slackened tissue are then left behind, whose elasticity has declined so much that neither exercise nor diet will reduce them. The procedure is also common after pregnancies, when skin and tissue on the abdomen have become slack.

In a tummy tuck (abdominoplasty), excess skin and fatty tissue on the abdomen are removed; the abdominal wall and, if necessary, the abdominal muscles are tightened. The procedure is not for further weight loss but for body contouring.

The tummy tuck is part of Weight Doctors® RESHAPE, body contouring after weight loss. You can also read about how things can continue after weight loss in the article You’ve done it – what now?

Under general anaesthesia, the operation proceeds in four steps:

Two Weight Doctors® RESHAPE surgeons operating in the operating theatre
  • Incision in the lower abdomenThe surgeon makes a horizontal incision just above the pubic area. How long it is depends on the amount of excess skin.
  • Separate the skin, tighten the musclesSkin and fatty tissue are separated from the muscles. If the straight abdominal muscles have drifted apart (rectus diastasis), they are brought together with sutures.
  • Remove the excess, reposition the navelExcess skin and fat are removed; if needed, liposuction refines the contour. In the full tightening, the navel is given a new, natural position.
  • Close and drainFine sutures, staples or adhesive strips close the incision. Drains carry away wound fluid and reduce swelling and bruising.

Who may a tummy tuck be suitable for?

Excess skin on the abdomen affects not only appearance. In the skin folds it can chafe, become inflamed and restrict mobility – and it can dampen the joy of the kilos lost. These factors speak in favour of a tummy tuck:

Consultation at Weight Doctors®
  • After massive weight loss, excess skin and slackened tissue remain on the abdomen that can no longer be improved through exercise and diet.
  • The excess skin causes problems such as chafing, skin infections or restricted mobility.
  • Your weight is stable and your general health is good.
  • You have realistic expectations of the result.
  • We discuss all options and details in advance in the personal consultation.

The tummy tuck procedure

From the first consultation to aftercare – this is how your tummy tuck proceeds:

Examination room for the preliminary examination
  1. Consultation and planningA plastic surgeon takes your history, examines the skin, fatty tissue and abdominal muscles and discusses your goals. In the individual treatment plan he determines the technique and explains risks, healing and preparation.
  2. PreparationA blood test takes place before the procedure. You receive guidance on diet and medication, avoid alcohol and nicotine and arrange help for the first days.
  3. SurgeryYou come to the clinic fasting. Your surgeon discusses the procedure with you once more and marks the operating area; then the anaesthesia is started – as a rule general anaesthesia, so that you feel no pain during the procedure. The operation takes 1.5–3 hours.
  4. After surgeryYou are monitored in the recovery room until you are fully awake, and usually stay one night at the clinic for observation. Pain and swelling are normal and can be treated with painkillers; drains are usually removed after a few days.
  5. AftercareYou wear compression garments around the clock for several weeks. Your surgeon arranges regular follow-up appointments and gives you precise instructions on wound care: you keep the incisions clean and dry to avoid infections.

After surgery: step by step back to everyday life

Step by step, you return to everyday life. This is how healing typically proceeds:

Bright patient room for the night after the operation
  1. Day of surgeryProcedure under general anaesthesia1.5–3 hours, followed by monitoring in the recovery room.
  2. Day 1Usually one night at the clinicFrom now on you wear compression around the clock; the drains come out after a few days.
  3. 2–4 weeksBack to everyday lifeLighter activities are possible again, walks promote circulation.
  4. 6–8 weeksBack to sportStrenuous activities and sport after agreement with your doctor.
  5. 3–6 monthsThe final resultSwelling has subsided, the scars continue to fade – sometimes it takes up to a year.

In specialist hands: how the procedure is made safe

At Weight Doctors® RESHAPE, your tummy tuck is carried out by specialists in plastic and aesthetic surgery with experience in tightening procedures after major weight loss. They take time for your questions and inform you of all risks before the procedure.

Like any operation, a tummy tuck has risks – from swelling and bruising to rare thromboses or wound-healing disorders. They can be reduced above all through thorough preparation, monitoring after the operation and consistent aftercare with compression, wound care, rest and all follow-up appointments – it is important to follow medical instructions closely.

Dr. med. Uwe Herrboldt, specialist in plastic and aesthetic surgery at Weight Doctors®
  • GermanyDr. SimidjiiskaSpecialist in plastic and aesthetic surgery
  • GermanyProf. WittSpecialist in plastic and aesthetic surgery
  • GermanyDr. BrombaSpecialist in plastic and aesthetic surgery
  • GermanyDr. ReifenrathSpecialist in plastic and aesthetic surgery

All specialists

How effective is a tummy tuck after weight loss?

Studies and the experience of many patients show that after major weight loss, a tummy tuck can markedly improve the overall aesthetic and functional result. It can achieve what exercise can no longer do – above all when the skin has lost a great deal of its elasticity.

Many gain physical and emotional well-being, self-esteem and quality of life as a result. Results vary individually. The aim is a flatter, firmer abdominal contour that looks natural and suits your body proportions; you make the decision after careful consideration and together with your specialist.

For the result to last, a stable weight is what matters – with a balanced diet and regular exercise. For example, the Weight Doctors® 360° nutrition coaching supports you with this.

Weight Doctors® team with fresh fruit and vegetables

Weight Doctors® RESHAPE: support before and after the procedure

Weight Doctors® RESHAPE supports you from the first consultation to aftercare, with a treatment plan tailored to your needs and goals. This includes:

  • Personal supportYour Weight Doctors® 360° coach is at your side as a contact throughout the entire treatment; you also stay in touch with your treating specialist.
  • Weight Doctors® 3D BodyscanIt creates a digital avatar and shows over time how body circumferences, body values, balance and posture change. More in the article on the 3D Bodyscan.
  • Weight Doctors® ShapeWearFollowing your RESHAPE treatment, you receive access to ShapeWear that is matched to your precisely measured body dimensions.
  • Can be combinedRESHAPE can be used before, during or after other Weight Doctors® treatments – for example after weight-loss surgery or together with GLP-⁠1 pharmacotherapy, which can help to maintain the new silhouette.

Treatments, specialists, team and patient stories on film: take a look at the Weight Doctors® media library.

Several areas, or only mild excess skin?

Whether a tummy tuck alone is the right route also depends on where and how much skin has remained:

Weight Doctors® treatment room
  • Several areas affected?If skin has also remained on the arms or legs, there are the arm lift and the thigh lift – or a body lift for several zones.
  • Tightening without surgeryFor milder excess skin, non-surgical skin tightening with cold plasma can be an alternative. We clarify in the consultation whether it comes into question for you.

What does a tummy tuck cost?

The costs of a tummy tuck depend on your medical indication and the extent of the procedure; they start at around €6,900. You receive an exact cost estimate after the personal initial consultation, in which our patient advisers will also answer your questions about financing.

Weight Doctors® patient adviser at a laptop
  • Physical symptomsThe excess skin leads to recurrent skin inflammation, chafing damage, back pain or restricted movement that significantly affects everyday life.
  • Psychological burdenConsiderable emotional distress caused by the appearance of the abdomen can also be recognised as a medical reason. It usually has to be substantiated by medical reports.

The application must set out the medical necessity precisely and is supported by your treating doctor; additional reports can improve the prospects. You do not have to submit it yourself: we take care of the application and all documents completely. You can lodge an objection against a rejection.

All prices

Paying in instalments: how it works

If you would like to spread the costs over a longer period, payment in instalments via our partner Cosmetic Finance is possible. You decide the instalment amount and term yourself; Cosmetic Finance reviews your application promptly. You submit the application together with us during your consultation, by phone or entirely paperless online – more under Pay in instalments.

The requirement is sufficient creditworthiness. In detail:

  • Main residence in Germany
  • no negative Schufa entries
  • employed or retired, with disposable income
  • Students, trainees and homemakers can enter a second person from the same household as the borrower – a parent, child, spouse or partner

Apply for instalmentsMore on instalments

Your specialists

In specialist hands.

39 doctors in Germany, Austria, the Netherlands, the United Kingdom and South Africa – at the Weight Doctors® Nationalklinik in Wertheim and at your location.

  • GermanyDr. HerrboldtSpecialist in plastic and aesthetic surgery
  • GermanyDr. ReifenrathSpecialist in plastic and aesthetic surgery
  • GermanyDr. SimidjiiskaSpecialist in plastic and aesthetic surgery
  • GermanyDr. HenscheidDoctor
  • GermanyDr. KochSpecialist in surgery
  • GermanyL. HiernerExpert in post-bariatric skin tightening
  • GermanyDr. BrombaSpecialist in plastic and aesthetic surgery
  • GermanyNetherlandsDr. GrunerSpecialist in plastic and aesthetic surgery
  • GermanyProf. WittSpecialist in plastic and aesthetic surgery
  • GermanyDr. ZamaniSpecialist in plastic and aesthetic surgery
  • GermanyDr. KlarnerSpecialist in plastic and aesthetic surgery
  • GermanyDr. BaierSpecialist in plastic and aesthetic surgery
  • GermanyDr. Dette-OltmannSpecialist in plastic and aesthetic surgery
  • GermanyDr. SchubertSpecialist in plastic and aesthetic surgery

All specialists

Frequently asked questions

Questions about Weight Doctors® RESHAPE tummy tuck

Your question isn’t listed? Your specialist will take time for it during the consultation.

How long does a tummy tuck take?

Depending on the extent, the operation takes 1.5–3 hours and as a rule takes place under general anaesthesia. A mini abdominoplasty with a shorter incision is usually completed more quickly than a full tightening with a repositioned navel.

How long do I stay at the clinic after the operation?

You usually stay one night at the clinic for observation. The drains, which carry away wound fluid, are generally removed after a few days.

Can I lose weight with a tummy tuck?

No. A tummy tuck tightens the body; it is not a method for losing weight. Your weight should be stable before the procedure. If you still want to lose weight, we will advise you on Weight Doctors® treatments for weight loss.

Which form of tummy tuck suits me?

That depends above all on how much excess skin there is. For a large excess, a classic or extended abdominoplasty comes into question; for a smaller one, a mini abdominoplasty with a shorter incision. Your surgeon determines the technique together with you after the examination.

Are the abdominal muscles also tightened in a tummy tuck?

Yes, if necessary. If the straight abdominal muscles have drifted apart through pregnancies or weight gain (rectus diastasis), the surgeon brings them back together with sutures. This contributes to a flatter abdominal contour.

Can a tummy tuck be combined with liposuction?

Yes. If needed, fat is additionally suctioned out during the tightening in order to improve the contour further. If the hips, buttocks or thighs are also affected, a body lift, which tightens several areas in one procedure, may make sense.

How do I prepare for the operation?

A blood test takes place before the procedure. You receive guidance on diet and medication and avoid alcohol and nicotine. Arrange help for the first days afterwards, as you will be physically limited. On the day of the operation, you come to the clinic fasting.

How long do I have to wear compression garments?

Several weeks, around the clock – you only take them off to shower. The compression reduces swelling, supports healing and stabilises the new abdominal contour.

When can I exercise again?

Light walks are welcome even in the first weeks, because they promote circulation. You usually resume lighter everyday activities after 2–4 weeks, and strenuous activities and sport after about 6–8 weeks – in each case as instructed by your doctor.

How long does healing take, and when can the result be seen?

Swelling and bruising subside in the first weeks, and the scars fade little by little. The final result usually becomes apparent after three to six months, sometimes only after a year. Results vary individually. Until then, avoid physical exertion, wear the compression garments and take care to eat a balanced diet.

Will there be a scar after a tummy tuck?

Yes. The incision lies in the lower abdomen just above the pubic area; its length depends on how much skin is removed. The scar fades over months. For scar care, your doctor will recommend special creams or treatments.

What risks and side effects can a tummy tuck have?

As with any surgical procedure, risks and side effects are possible: swelling, bruising, infections and scarring, and in rare cases thromboses or wound-healing disorders. Choosing an experienced specialist and careful aftercare can reduce the risk; it is important to follow all medical instructions closely. Your doctor will inform you about possible risks and complications before the procedure.

What should I look for when choosing a doctor for a tummy tuck?

Look for a specialist in plastic and aesthetic surgery with extensive experience in tummy tucks, especially after major weight loss. Check qualifications and certifications. Open, trusting communication is also important, so that your needs and expectations are taken into account.

What does a tummy tuck cost?

Treatment costs start at around €6,900. How high they are for you depends on the medical indication and the extent of the procedure; you receive an exact cost estimate after the personal initial consultation. All prices at a glance: Costs & prices.

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Post-bariatric body contouring after successful weight loss.

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