About the procedure

Loose abdominal skin is a very common problem after weight loss and  pregnancy. Sagging skin in the stomach area could be also a result of aging and sometimes even hereditary.

Abdominoplasty or „tummy tuck“ removes this excess and sagging skin, tightens the abdominal muscles and restores a tight and flat stomach. Usually the goal of the procedure is to remove the loose skin, but it is often combined with liposuction to remove the subcutaneous fat and to improve the contour in the abdominal area.

Tummy Tuck (Abdominoplasty)

At A Glance

Frequently Asked Questions

Who is suitable for this surgery?
  • People in good physical and mental condition and health;
  • People without diseases that can reduce the effect of the procedure;
  • People with stable weight that are worried about the look of their belly;
  • People with realistic expectations of what can be achieved through the surgery.
Types of abdominoplasty

Classic abdominoplasty

This type of surgical intervention requires an incision in the lower abdomen. The skin is lifted, the abdominal muscles are tightened and fat is removed. The skin is then pulled down and the excess part is trimmed. The navel is repositioned. Finally, drainage tubes are placed, which are located in small holes below the incision site. The incisions are sutured with an aesthetic seam.

Mini tummy tuck

This operation removes the loose skin and subcutaneous fat from the abdominal area below the navel. The abdominal muscles are tightened to give a flat profile to the abdomen. The incision is significantly shorter and is in the area of ​​pubic hair. This type of surgery is often required in women with overhanging skin after caesarean section, visible through their clothing.

Extended abdominoplasty

Extended abdominoplasty involves an incision along the bikini line which extends to the patient‘s sides and in the area of the hips. The skin is lifted, the abdominal muscles are tightened and the subcutaneous fat is removed. The skin is then pulled down and the excess part is trimmed. The navel is repositioned. Finally, drainage tubes are placed, which are located in small holes below the incision site. The incisions are sutured with an aesthetic seam. Extended abdominoplasty is performed in patients after massive weight loss and / or accumulation of excess subcutaneous adipose tissue in the hip area as well.

Reverse abdominoplasty

This type of abdominoplasty allows for simultaneous correction of excess skin and subcutaneous fat in both the abdomen and chest area. The procedure is suitable for men with severe gynecomastia, women and men after significant weight loss, and women with grade III breast ptosis. The incision is made in the area just below the breasts, in the inframammary folds.  After that the excess skin is lifted and removed from the abdominal area and, at the same time, an intervention is performed in order to contour the chest area.

Endoscopic abdominoplasty

This surgical intervention aims to tighten the abdominal muscles through an incision which  is about 1 cm long and is positioned in the hairy area of ​​the pubis. The procedure  is suitable for patients with lax abdominal wall, but preserved skin elasticity and minimum excessive subcutaneous tissue in the abdominal area.

Fleur de Lys abdominoplasty

This type of abdominoplasty is very similar to the classic one. The only difference is that an additional vertical skin incision is made along the midline in the abdominal area. The intervention is performed  in patients after massive weight loss and allows the removal of excess soft tissue in both vertical and horizontal directions.

Belt Lypectomy

Belt lypectomy allows simultaneous removal of excess skin and subcutaneous tissue in the abdominal area and buttock soft tissue lifting. A cut is made around the patient‘s lower back and belly to take out the extra skin and fat. The intervention is suitable for patients after massive weight loss.

Aftercare and recovery

The recovery time is different for each person. After the surgery you will have to wear compression elastic underwear for about 4 weeks. The dressings are changed every few days. It is very important to follow your surgeon’s post-operative instructions for wound care. You can do some very light activity such as walking, but you must not exercise in the gym or lift weights for at least 3 months.

How does abdominoplasty affect pregnancy?

After such a procedure, it is necessary to wait an year before getting pregnant. If you do not gain too much weight during pregnancy, your tummy will still look great after the baby is born – just like after surgery.

Does the belly button change shape after abdominoplasty?

The belly button is repositioned on the skin during the tummy tuck, but its shape remains the same.

Will there be a scar after a tummy tuck?

The tummy tuck incision is hidden at the lower part of the abdomen which is normally covered by a bikini and underwear. Moreover, it turns into a thin white line over time. The patient’s ability to form rougher-looking scars, which is often associated with a genetic predisposition, must be assessed preoperatively.

How much does abdominoplasty cost?

Prices are formed individually after an online consultation and depending on the patient’s personal needs. Once we know what you want, you will receive our offer within 24 hours. You also can check our PRICE LIST.

How do we work

Once you have made contact with us, we will organize a free video consultation with the surgeon we believe is best suited for your particular situation.

This consultation will be within 5 days of your request. Prior to the video consultation, we will ask you to fill out a questionnaire about your medical history and send photos of the problematic areas. 

If necessary during the video consultation your doctor will advise you to take additional photos of the problematic areas and suggestions for the angle from which to take photos.

This consultation will be combined with a detailed discussion about your wishes and the possibilities for achieving them.  We will discuss with you the expected results, possible risks and any other issues that you might be concerned about.

We advise you to make a list of all the questions you may want to ask concerning the procedure before the actual consultation. After the official request to us, and if you wish, we can arrange a meeting for you with our representative in London.

Within 24 hours of the video consultation, we will send you a costing describing the price of the procedure and the needed length of stay in Bulgaria. In the costing there will also be preferential prices offered for our partner hotels with which we work and for which we can guarantee the quality and comfort. 

You will then have 3-4 days of time to reflect, and give us your decision.

If you decide to proceed and agree with all terms and conditions , you will have 48 hours within which you must prepay 30% of the total amount of the procedure. This amount is paid directly to the clinic where your procedure will be performed and thereby you will have a reserved date and time for your procedure and a room in the hotel you have chosen. The remaining balance has to be paid by the day before the procedure itself after conducting the preliminary examination in the clinic.

If you decide or need to cancel the procedure, this must be done at least 30 days before the date of your flight in order to be able to trigger a process for returning your deposit.  

If you decide to cancel our services within the last 30 days before your flight, you must have a good reason for doing so (supported by evidence) in order to take your money back. If you cancel it within these 30 days and the reason is acceptable, your money will be returned, but you will be suspended 50 euro for an administrative fee. If you wish to change the date of the procedure, this can happen at least 30 days before.

If you wish, we can also arrange your travel from your home to the airport. We are partners with a transport company and you can use our preferential prices. This also applies to your return flight. To do this, you will need to send us the details of your flight one week in advance.

Upon arrival in Bulgaria, you will be greeted at the airport by one of our employees who will take you to your hotel.

On the day before the operation, you will have a preliminary examination, where some necessary tests will be performed (e.g. blood tests) and we will specify all the details related to the operation (treatment plan, proposal for some additional or adjacent procedures for a better outcome, recovery plan etc). Our employee will take you to the clinic and after that to the place where you are to be accommodated.

Before the surgery, you will need to sign an informed consent document (i.e. a document certifying that you have been informed by the doctor about all potential risks and complications and that you understand them) and agree to proceed with the procedure).

On the day of the operation our employee will bring you back to the clinic. Depending on the procedure, you may need to have one or several days of hospital stay. After the completion of the procedure and the hospital stay, our employee will take you back to your hotel.

During the entire stay, our employee will be at your service throughout. 

If you wish, and if the procedure allows, we can arrange your stay according to your requirements but this must be specified in advance.

On the day of departure, you will be accompanied by our employee back to the airport.

If you wish, we can arrange your stay according to your requirements. This must be specified in advance.

You will be provided with a detailed plan on the recovery process. 

Online consultations in the recovery period will be arranged with your surgeon, but if you have stayed in the hospital after your procedure, the doctor will give you post-operative examinations on the first and third days.

On the seventh and fourteenth days, preventive online consultations will be made to track how the recovery goes.  

Online consultation reviews are also done on the 1st, 2nd, 3rd and 6thmonths.You will be able to contact us at any time!