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Reduction in size of the abdomen, after pregnancies and weight loss.

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Svelte silhouette

La abdominoplastia tiene como finalidad remodelar todas las estructuras del abdomen, consiguiendo una silueta esbelta y armónica.

Flat abdomen

This abdomen reduction technique is especially suitable for women who have had multiple pregnancies or who have lost much weight, and want a flat abdomen. An abdominoplasty is also suitable for men who have achieved serious weight loss.


At the Instituto Pérez de la Romana we use the Saldanha technique , which is the most modern and latest abdominoplasty technology and achieves excellent results, minimising complications.

The aim of traditional abdominoplasty is to remove all skin tissue and fat on the abdomen and, in particular, correct the separation between the rectus abdominal muscles to achieve a flatter, firmer and stronger abdomen with a great figure.

Today, we combine abdominoplasty with liposuction in several neighbouring areas, such as the hips and the pubis (which was not done before), achieving better, longer-lasting results.


An important part of the procedure is the tightening of the muscles (since these internal muscles are frequently flaccid due to the dilation of pregnancy or being overweight) , resulting in a firmer and stronger abdomen.

For women, pregnancy results in a relaxation of the abdominal muscles and an accumulation of fat in the abdominal area, causing the waist to lose its shape. For this reason, one of the most suitable candidates for abdominoplasty is a woman who has had several pregnancies.

It is also suitable for men and women who have lost weight or who have suffered from obesity. People who have suffered from obesity have had a distension of the abdominal tissue due to a significant accumulation of fat. To correct this lipoabdominoplasty is performed, eliminating all fat in these areas and sufficiently tightening all abdominal tissue, in particular the muscles, the fascia and the skin.

This procedure is performed under epidural or general anesthetic. Following the procedure, the patient must wear a protective strip for one month. There is no need to drain the area affected, as was once the case.

After the operation, the patient must be given lymphatic drainage massages to shorten the post-operative period, which is usually about fifteen days.

Real-life cases - Dr. Perez de la Romana

Photographs before and after real-life abdominoplasty procedures

Click on the buttons to see the before-and-after comparison.

See more real-life cases of abdominoplasty


What anesthetic is used?

We normally use a general anesthetic, due to the fact that the patient must be completely relaxed in order for us to perform the suture of the rectus abdominis muscle. In some cases, we also perform the procedure with epidural anesthetic and sedation. Any decision by the anesthetist to adopt this technique must be made with the patient.

Can abdominal stretch marks be removed?

Yes: Provided they are located below the navel, they will disappear since this portion of skin is removed.

Is the scar very visible?

The abdominal scar tends to be long and located in the upper area of the pubis, which is hidden with underwear or a bikini. It can be concealed with manual pressure treatment, while sheets of silicone can be used to conceal the scar and, over time, can cause the scar to disappear.

What happens to the navel?

The navel is still that of the patient, the only difference being that it moves due to slippage of the abdominal skin. The result is always an improvement in its shape, size and appearance.

Can liposuction and abdominoplasty be combined?

Yes, this combination is the latest technique that we perform in the clinic, and is called lipoabdominoplasty. It produces the best results, removing all fat on the hip and on the waist while at the same time fully stretching the abdomen, resulting in a more svelte figure.

How long after an abdominoplasty can I sunbathe?

You can sunbathe once the swelling has subsided, which takes about a month. The scar must be protected from exposure to the sun, either with full protection cream, silicone foil or an appropriate bathing suit.

Is abdominoplasty a treatment for obesity?

No. Abdominoplasty is a body remodeling treatment that only serves to smooth out a belly that has is bloated after pregnancies or to reduce fat in the abdominal region, but it is not a treatment for obesity. To treat obesity, there are other treatments that aim to combine better nutrition and more physical exercise.

If I have a hernia, can I have an abdominoplasty?

Yes: umbilical or abdominal hernias are common after several pregnancies. For this type of problem both for the hernia and to correct the abdomen after a pregnancy, it is a very good idea to have an abdominoplasty and correct the hernia at the same time.

Can exercise repair abdominal diastasis resulting from pregnancy and, therefore, eliminate the need for surgery?

No. Unfortunately, abdominal distension after pregnancy cannot be corrected with physical exercise: the muscles are separated in the midline of the abdomen and must be fixed, repaired and sutured on the midline. This can only be done with an abdominoplasty.

How long after the procedure can I do sport or physical activity?

The abdominal muscle usually recovers its strength over a period of one month. We recommend that you resume sport or physical activity after this period.

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