Abdominoplasty (Tummy Tuck)

Abdominoplasty at MUDr. Kloud's Hradec Králové practice removes excess abdominal skin and fat, tightens the rectus abdominis muscles (where diastasis recti is present), and — in the full version — relocates the navel to a natural position in the reshaped abdomen. A mini abdominoplasty addresses only the lower zone below the navel without navel repositioning and carries a lower price of CZK 28,000. Both versions are performed under general anaesthesia at Sanatorium Sanus with up to two post-operative nights. The procedure is most sought after by patients with loose abdominal skin following pregnancy or significant weight loss — areas where exercise has no ability to tighten the skin envelope itself.

Abdominoplasty is unique among body-contouring procedures in addressing three distinct anatomical problems simultaneously: excess skin laxity, persistent sub-umbilical fat deposits that resist exercise, and diastasis recti — the midline separation of the paired rectus abdominis muscles that commonly results from pregnancy and weakens the abdominal wall. No amount of core training resolves true diastasis or shrinks a stretched skin envelope. MUDr. Kloud performs full and mini abdominoplasty at Sanatorium Sanus under general anaesthesia. The full abdominoplasty (CZK 40,000) involves a low transverse incision from hip to hip, positioned to fall within the bikini line. All skin and fat above the pubis is elevated off the underlying abdominal wall, the rectus muscles are plicated (sutured together in the midline) to narrow the waist and restore core tension, excess skin and fat are excised, and the navel is brought out through a new opening in the repositioned skin. The mini abdominoplasty (CZK 28,000) uses a shorter incision and works exclusively on the zone below the navel — ideal for patients whose concern is confined to below-navel skin laxity and who have a well-positioned navel that does not need relocation. Duration varies from two to five hours depending on the extent of correction and whether liposuction is combined. Up to two post-operative nights at Sanus are provided. Drain tubes are placed and removed early in the post-operative period. An abdominal binder or compression garment is applied in theatre and worn for six to ten weeks. Return to desk work is realistic within two to four weeks; strenuous lifting, twisting, and core exercise are avoided for three months. Walking is encouraged from day one to prevent deep vein thrombosis. Final contour and scar maturation take approximately one year, though the primary result is visible at three months. Ideal candidates are adults within a stable weight range who have realistic goals. Abdominoplasty is not a substitute for weight loss — the best results occur when the patient is at or close to their target weight before surgery. Patients planning future pregnancies are strongly advised to postpone the procedure, as pregnancy will re-stretch the repaired abdominal wall. Pre-operative internal medical examination and fasting are required; a one-week smoking pause before surgery is standard.