Abdominoplasty in Madrid, Marbella and Gibraltar — Dr. Marco Vricella, Plastic Surgeon
Abdominoplasty
Restore a flat, firm abdomen. We remove excess skin and fat, reinforce the muscle wall and leave the scar concealed beneath the bikini line in Madrid, Marbella and Gibraltar.
Abdominoplasty — also known as a tummy tuck — is one of the most impactful body contouring procedures available. It removes excess skin and fat from the mid and lower abdomen, tightens the muscle wall with internal sutures and repositions the navel to achieve a natural, balanced result.
It is particularly effective for patients who have experienced pregnancies, significant weight loss or hormonal changes that have left abdominal laxity unresponsive to diet and exercise. The scar is strategically placed just above the pubic area, extending toward the hips and remaining concealed beneath the bikini line or underwear at all times.
The procedure is frequently combined with flank liposuction in the same session to refine the lateral contour and optimise the overall result. Dr. Marco Vricella designs a personalised surgical plan during the consultation, tailored to each patient’s anatomy and specific goals. Reaching a stable weight before surgery is key to maximising and prolonging results.
The degree of skin laxity, the extent of muscle diastasis and each patient’s goals determine which technique delivers the best outcome. Dr. Vricella explains every option in detail during the initial consultation.
Full Abdominoplasty
The standard technique for moderate to severe laxity. A hip-to-hip incision hidden within the swimwear line. Wide skin and fat resection, complete tightening of the abdominal muscles and repositioning of the navel for a smooth, defined result.
Moderate–severe laxity · Navel repositioned
Mini Abdominoplasty
For mild laxity confined to the lower abdomen. A shorter incision, no need to reposition the navel and a faster recovery. Ideal for patients with good muscle tone and limited excess skin below the umbilicus.
Mild laxity · Lower abdomen
Lipoabdominoplasty
A combination of full abdominoplasty and simultaneous liposuction of the flanks, waist or hips in a single session. Allows a comprehensive remodelling of the abdominal and lateral contour with more balanced, defined results.
Full remodelling · Combined
Technique · Procedure
Surgical precision, a discreet scar
Abdominoplasty is performed under general or epidural anaesthesia in approximately 2 to 4 hours. Every detail of the surgical plan — from the incision placement to muscle tightening — is adapted to each patient’s anatomy and goals.
General or epidural anaesthesia; duration 2 to 4 hours
Resection of excess skin and fat from the mid and lower abdomen
Tightening of the abdominal wall with internal sutures
Recovery from abdominoplasty is gradual and well controlled with appropriate medication. Some swelling and abdominal tightness is normal and improves markedly over the first few weeks. Dr. Vricella’s team supports patients through every stage of the post-operative process.
Days 1–14 — Relative rest; avoid strenuous activity; post-operative binder
Abdominoplasty is indicated for patients with abdominal laxity that does not respond to diet or exercise. A personalised assessment determines whether you are an ideal candidate and which technique — full, mini or combined — best suits your case.
Ideal candidate profile
Excess abdominal skin and fat following pregnancy, weight loss or ageing
Rectus abdominis diastasis that does not improve with physiotherapy or exercise
Stable weight for at least 6 months prior to surgery
Good general health and cardiovascular fitness
Realistic expectations regarding the result and the bikini-line scar
Non-smoker or willing to abstain from tobacco at least 3 weeks before and after surgery
Over 18 years of age with no plans for future pregnancies
Additional considerations
Unstable weight: reaching a stable weight before surgery is strongly advised
Plans for future pregnancies: these can reverse the surgical results
Active obesity: abdominoplasty is not the primary indicated treatment
Active smoking: significantly increases the risk of healing complications
Previous abdominal scars that must be assessed during consultation
Anticoagulants or other medications that require pre-operative adjustment
The Process
From consultation to result
01
Initial Consultation
Assessment of skin laxity, abdominal muscle condition, residual fat and general health. Selection of the most appropriate technique. No commitment required.
02
Planning
Design of the surgical plan: type of abdominoplasty, possible associated liposuction, anaesthesia type and scheduling at the Madrid, Marbella or Gibraltar clinic. Detailed pre-operative instructions provided.
03
Surgery
Procedure under general anaesthesia lasting 2 to 4 hours. One overnight stay. Dr. Vricella’s team ensures the highest standards of safety, precision and patient comfort throughout.
04
Follow-up
Scheduled reviews to monitor progress, manage the post-operative compression binder and support a gradual return to physical and everyday activity.
Frequently Asked Questions
Abdominoplasty — Your questions answered
The most common questions about abdominoplasty with Dr. Marco Vricella in Madrid, Marbella and Gibraltar.
Abdominoplasty removes excess skin and fat from the mid and lower abdomen, tightens the abdominal wall with internal sutures and, in the full technique, repositions the navel. It is especially effective when laxity does not respond to diet or exercise — such as after pregnancies or major weight loss.
The scar is positioned just above the pubic area, extending toward the hips, always concealed beneath the bikini line or underwear. It is a horizontal scar that, with appropriate aftercare — sun protection, moisturising, topical silicone — fades significantly over the first year. Full maturation takes 12 to 18 months.
Yes. Lipoabdominoplasty combines skin resection with simultaneous liposuction of the flanks, waist or hips, delivering a more comprehensive remodelling of the lateral and abdominal contour. Dr. Vricella assesses whether this combination is appropriate for your case during the consultation.
Relative rest is recommended for the first 10–14 days. A post-operative compression binder is worn for 6 weeks. Most patients return to normal daily life in the third to fourth week, with a gradual return to exercise from the second month. Swelling diminishes noticeably within the first few weeks.
Short walks can be resumed from the first week. Low-impact exercise is reintroduced progressively from the second month. Intense abdominal work — such as crunches or weight training — is typically resumed from month 3, always under Dr. Vricella’s guidance.
Initial results become visible once early swelling subsides, around 4 to 6 weeks post-surgery. The definitive outcome — with tissues fully settled, muscle wall stabilised and scars matured — is appreciable from 6 to 12 months after the procedure.
Results are highly stable over the long term, provided a stable weight and healthy lifestyle are maintained. The skin and fat that have been removed do not return. Future pregnancies or significant weight fluctuations may alter the outcome, which is why the procedure is best undertaken once a family is complete.
You can request a consultation via the form on this page, by phone or by email. Dr. Vricella’s team will get in touch to arrange your first appointment in Madrid, Marbella or Gibraltar. Contact us now →
First Step
Book Your Consultation Today
Take the first step towards a flatter, firmer and well-defined abdomen. Dr. Vricella and his team will assess your case personally, answer all your questions and design the most appropriate plan for you — with no obligation.
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