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Body contouring and tightening – the process step by step

Tightening operations are major procedures with predictable healing. This is how they typically proceed – using the tummy tuck as an example.

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Patient information (PDF)
Sculpture of flowing lines
Prerequisitestable weight
AnesthesiaGeneral anesthesia
Stayinpatient depending on extent
Final resultafter a few months

Tightening operations require a stable body weight and good preparation. Using the tummy tuck as an example, the steps show the typical process; for a body lift as well as upper arm and thigh lifts, it is similar.

The process at a glance

  1. 01a few weeks beforehandPreparation

    Examination, planning of incision pattern and extent, preliminary examinations, informed consent.

  2. 02Day of surgerySurgery

    Tightening under general anesthesia; depending on the extent, with an inpatient stay.

  3. 03Weeks to monthsAftercare

    Compression, rest, check-ups; scars mature over months.

What happens during a tummy tuck

Diagram of a tummy tuck: low incision, removal of the excess, downward tightening, navel and muscles
Schematic illustration using the tummy tuck as an example.

Phase 1: Preparation

  1. Examination Excess skin, tissue quality and abdominal muscles are assessed.
  2. Weight It should be stable for several months – otherwise the result is not reliable.
  3. Planning The incision pattern and course of the scars are defined so that they lie under clothing as far as possible.
  4. Preliminary examinations and thrombosis prevention as instructed by the doctor.
  5. Smoking stop in good time beforehand if possible – it significantly increases the risk of wound healing problems.
  6. Informed consent and organization with time to think it over; plan for help during the first few weeks.

Phase 2: The day of surgery

  1. Marking while standing The incision pattern and the excess to be removed are marked.
  2. Anesthesia Tightening operations are performed under general anesthesia.
  3. Procedure Excess skin and fatty tissue of the lower abdomen are removed and the abdominal wall is tightened downwards; if necessary, separated abdominal muscles are brought together and the navel is repositioned.
  4. Closure Layered suturing, drains if necessary, compression girdle.
  5. Inpatient stay Depending on the extent, an inpatient stay is necessary.

Phase 3: Aftercare and healing

  1. Day 1–3slightly bent posture, get up early (thrombosis prevention), drains are removed
  2. Week 1–2Wound checks; light activities
  3. Week 3–6Continue wearing the compression girdle; do not lift anything heavy
  4. from week 6Gradually resume sports – after consultation
  5. Month 6–12Scars become lighter and flatter

Contact us immediately in case of fever, increasing pain, shortness of breath, calf pain, redness or discharge from the wound.

Your checklist

  • Keep your weight stable for months
  • Stop smoking in good time
  • Have the compression girdle fitted in advance
  • Help with the household for the first few weeks
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Abdomen, body lift, tightening procedures