Tummy Tuck (Abdominoplasty)

Abdominoplasty with MUDr. Miroslav Dolejš removes excess abdominal skin and fat and tightens the anterior abdominal wall — the definitive correction for post-pregnancy or post-weight-loss abdominal laxity that no amount of exercise can fix. Surgery is performed under general anaesthesia (included in the 38,000 Kč starting price) in the plastic surgery theatres of Plzeň University Hospital. Companion arm lift and thigh lift procedures are also offered for skin excess of the limbs.

Pregnancy and significant weight loss commonly leave two problems that exercise cannot reverse: an apron of loose abdominal skin, and stretched or separated rectus abdominis muscles (diastasis) that cause the lower belly to bulge regardless of fitness. Abdominoplasty addresses both in one operation. **The procedure:** Through a low transverse incision placed so it hides beneath underwear, the abdominal skin is elevated, the rectus muscles are plicated (stitched back together along the midline) to restore a flat, firm abdominal wall, and excess skin and fat are removed. The navel is repositioned through the redraped skin. The operation takes around 2.5–3.5 hours under general anaesthesia in the operating theatres of Plzeň University Hospital, followed by a short inpatient stay (2,000–2,690 Kč per day). **Recovery:** Patients walk slightly flexed for the first week to protect the repair, wear an abdominal compression garment for about six weeks, and typically return to desk work in 2–3 weeks. Lifting and core exercise wait 6–8 weeks. The scar fades substantially over 12 months. **Limb contouring:** For patients with loose skin of the upper arms or inner thighs — most often after major weight loss — the practice also performs brachioplasty (arm lift, from 36,000 Kč) and thigh lift (from 39,000 Kč), removing skin-fat excess through incisions placed along the inner arm or groin/thigh crease. **Candidacy:** Best results come at stable weight, after any planned pregnancies are complete. Smoking must stop well before surgery — it is the single biggest avoidable risk to abdominal skin healing. **Consultation:** Muscle separation, skin excess, and whether liposuction should be combined are assessed at a personal consultation with the surgeon before quoting a final price.