Abdominoplasty — Firm stomach using modern surgical techniques in Frankfurt am Main

Why is an abdominoplasty useful?
Die abdominoplasty (abdominoplasty) is a surgical procedure that removes excess skin and fat in the abdominal area and Tightens abdominal muscles. Especially after severe weight loss or pregnancies The skin can no longer completely regress. Even with exercise and a healthy diet, excess skin often persists.
Many patients also suffer from a Grease apron, an excess of skin and fat in the lower abdominal area, which is not only visually annoying, but also medical complaints How can cause skin irritation or infections.
In addition, surgery can also removes stretch marks or be reduced. These are created by a visible overstretching of the skin after pregnancies or heavy weight gain. Depending on the severity, affected areas of skin can also be removed during the operation.
Three abdominoplasty techniques: Which method is right for you?
Depending on the initial situation, there are various surgical techniques. Dr. Julia Berkei carries out each of these methods with maximum precision to achieve optimal results.
1. Mini abdominoplasty (bikini cut)
- This method is suitable for Patients with minor excess skin, usually in the lower abdominal area.
- The The cut is deep in the bikini area and can easily be covered by underwear or swimwear.
- No need to move your belly button
- Perfect for women after pregnancies or caesarean sections, as there is often already a scar.
2. Classic abdominoplasty (abdominoplasty)
- Ideal for Patients with significant excess skin all over the stomach.
- Die Muscles are also tightened, particularly in the case of a rectus diastasis (divergence of abdominal muscles) is important.
- The belly button becomes repositionedto achieve an aesthetically optimal result.
3. Extended abdominoplasty with median incision
- Is used at extreme weight loss (e.g. after gastric banding or slimming injections such as Ozempic & Mounjaro) applied.
- In addition to the lower abdominal incision, a vertical section (median section) Put on the skin not only on the stomach but also to tighten hips & waist.
- This method is often followed by a massive weight loss of 40—60 kg or multiple pregnancies are necessary.
Why is muscle toning important? — Rectus diastasis explained
After one or more pregnancies, many women suffer from a rectus diastasis. In doing so, they give way straight abdominal muscles apart, leading to a permanent bulging of the abdomen leads.
Key facts about rectus diastasis:
- May cause back pain, trunk instability and posture problems.
- Without muscle tightening, the stomach remains visually bulging.
- Through the Stitching the muscles together The stomach gets a defined shape and more stability.
Dr. Berkei performs a muscle lift as standard during abdominoplasty to ensure optimal results in the long term.
Abdominoplasty after severe weight loss — when is it useful?
An abdominoplasty is particularly suitable for Severe weight loss patients a reasonable solution.
- Gastric Band & Obesity Surgery: Many patients opt for abdominoplasty after gastric band surgery or gastric bypass, as excess skin does not disappear by itself.
- Slimming syringes like Mounjaro & Ozempic: These drugs help many people lose weight quickly — but excess skin often remains, which can be removed by abdominoplasty.
- After weight loss of 40-60 kg: In such cases, a extended abdominoplasty with median incision It is also useful for optimally tightening hips and waist.
Costs of abdominoplasty
Die Abdominoplasty costs cannot be generalized. Each body is individual, and the operation is carried out precisely on Our patients' needs voted.
The costs are not exclusively based on the excess skin to be removed. Factors that influence overall costs include:
- The operational expenses (e.g. mini abdominoplasty vs. extended abdominoplasty).
- Costs for Anaesthetic & surgical team.
- Material costs & aftercare expenses.
Already in Consultation We will tell you exactly what costs you will have so that you can get a well-founded decision be able to hit.
When does health insurance cover the costs of an abdominoplasty?
In most cases, abdominoplasty is considered to be aesthetic procedure and is therefore not covered by statutory or private health insurance companies. However, there is medical exemptions, where a Assumption of costs may be possible through health insurance.
When is there a chance of reimbursement?
The health insurance company can abdominoplasty adopt in the following cases:
- Medically proven complaints, e.g. recurring skin infections, eczema, or fungal infections in the lower abdominal fold.
- Heavily overhanging grease apronthat goes to Restrictions on freedom of movement leads.
- Orthopedic complaints, e.g. back pain through excess skin.
- After massive weight loss (e.g. after gastric bypass surgery) when excess skin significantly impairs everyday life.
Important: A reimbursement of costs must in advance be applied for. In addition, there is a medical report required, which confirms the medical necessity of surgery. The decision ultimately lies with the health insurance company.
Abdominoplasty before and after — What results can I expect?
Many patients would like a flat, tight stomach, but what is really realistic?
- Right after surgery:
- The skin is tightened but may still be swollen.
- First results are already visible.
- After 6-8 weeks:
- The swelling continues to subside and the new body feeling becomes noticeable.
- Final result after approx. 6 months:
- The skin has fully adapted.
- The scar gradually fades.
A Before-after effect is particularly impressive during an abdominoplasty, as the stomach is back flat, tight and harmoniously contoured works.
Conclusion — A firm stomach for greater wellbeing
One abdominoplasty is the ideal solution for patients with excess skin, whether after pregnancies or severe weight loss.
- Individual surgical technique depending on the initial situation (mini, classic or extended tightening).
- Muscle toning for optimal results for rectus diastasis.
- Perfect after gastric band, Mounjaro or Ozempicif excess skin remains.
Interested in an abdominoplasty in Goethe City? Schedule a now personal consultation in plastic surgery Dr. Berkei.
FAQ — Frequently asked questions about abdominoplasty
What is an abdominoplasty?
One abdominoplasty (abdominoplasty) is a surgical procedure that removes excess skin and fat as well as the Tightened abdominal muscles will. The goal is a flatter, firmer abdominal contour and an improvement in body shape.
Who is abdominoplasty suitable for?
The surgery is suitable for:
- People with excess skin on the abdomen After strong weight loss or pregnancy
- patients with a Grease apron or sagging abdominal wall
- People with a rectus diastasis (divergence of straight abdominal muscles)
- Men and women who are looking for Gastric band, Mounjaro or Ozempic have lost a lot of weight
How long do abdominoplasty results last?
The result is usually steadyAs long as that Body weight remains stable. Starke weight fluctuations or new pregnancies can influence the outcome.
Do scars remain after abdominoplasty?
Yes, it remains one horizontal scar in the lower abdominal area, which, however, is placed in such a way that it is from Underwear or swimwear concealed can be. The scar fades over time and can with appropriate scar care be optimized. In the case of extended tightening, an additional vertical scar (median incision) be necessary.
What surgical techniques are there?
There are various methods of abdominoplasty:
- Mini abdominoplasty (bikini cut): Suitable for less excess skin in the lower abdomen.
- Normal abdominoplasty: Removes excess skin and also tightens muscles.
- Extended abdominoplasty with median incision: Necessary after extreme weight loss for improved abdominal, waist and hip contours.
Are abdominal muscles tightened during surgery?
Yes, most patients will also receive the Tightened muscles, particularly when a rectus diastasis available. As a result, the stomach not only becomes flatter, but also functionally more stable.
How long does the operation take?
The operation usually takes time 2 to 3 hours, depending on the extent of the procedure.
Which anesthesia is used?
The operation is carried out at intravenous anesthesia (TIVA) with intubation or with a laryngeal mask.
How long do I have to stay in the clinic?
An inpatient stay of 2-3 nights is necessary to optimally accompany the initial healing phase.
When will I be socially acceptable again?
After 2-3 weeks Most patients are able to resume light everyday activities. However, heavy physical stress should be avoided.
When will I be able to exercise again?
Light movements are after 2 weeks possible, intensive sport at the earliest after 6 weeks. Heavier loads should only be carried out after 8-12 weeks take place, depending on the individual healing process.
How often are follow-up checks necessary?
- In the first few weeks: Several times a week to check healing.
- After 2 months, 6 months and 1 year: Further check-ups to ensure optimal results.
When will I see the final result?
Die first visible improvement It appears after approx. 6 weeksas soon as the swelling subsides. that final result Is after 6—12 months achieved as soon as the tissue has completely healed.
What are the risks of abdominoplasty?
As with any surgery, there are potential risks, including:
- Swelling & bruising (normal in the first few weeks)
- scarringthat can be minimized with proper care
- wound healing disorders (especially for smokers)
- Numbness in the abdominal region, which in most cases recedes after a few months
Can abdominoplasty be combined with liposuction?
Yes, in many cases, abdominoplasty is performed with a Liposuction (liposuction) combined to form the to further optimize body contours and to achieve a more harmonious result.
Is surgery covered by health insurance?
In most cases, it is a aesthetic procedure, which must be paid privately. However, if medical indications Like a Distinctive fat apron with skin inflammation If there is, in individual cases, a Costs covered by health insurance be tested.
Change starts now
Whether it's fine corrections or comprehensive changes — The path to a new body feeling, more radiance or youthful freshness starts right now. The practice clinic of Dr. med. Julia Berkei focuses on your wishes — with the highest level of expertise, an eye for natural results and a treatment concept that is as individual as you are.
Get personal advice and discover how modern aesthetic medicine can change the way you feel about life in the long term.

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