Dr. Massimo Gianfermi is a surgeon specializing in body contouring surgery and specifically in abdominoplasty, abdominal surgery.



Excess skin and fat that accumulates around your abdomen can prevent you from getting the figure you want. Sports and weight training alone may not be the answer in some cases. This excess skin is frequently secondary to pregnancy, weight loss or due to the natural aging process. Countless men and women attempt to tone their figure and regain harmonious contours through proper diet and exercise. However, once your skin has lost its elasticity, no non-medical solution is able to restore its contours and firmness. Dr. Gianfermi performs abdominoplasty with liposuction of the abdomen to remove excess fat and skin in order to restore an aesthetically pleasing, firm stomach.


Before and after

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Who is abdominoplasty for?


A balanced diet and regular exercise are the keys to a harmonious figure. However, despite these efforts some patients are naturally predisposed to lack abdominal firmness with or without excess skin. Dr. Gianfermi will help you determine the best abdominoplasty technique based on your request and his clinical examination.


After pregnancy, distension and excess abdominal skin may persist. Weakening of the abdominal muscles can create the appearance of a round belly. Dr. Gianfermi's abdominoplasty technique can specifically target the problems of laxity and excess skin that many women face after pregnancy.


Significant weight loss after bariatric surgery or dieting alone is the cause of excess skin and fat around the abdomen, hips and more broadly around the waist. These excesses form these unsightly bulges. This is all the more frustrating for patients who have already made numerous efforts to find their ideal body. Dr. Gianfermi customizes the abdominoplasty technique for each patient for an optimal result.

Techniques used for Abdominoplasty

Abdominoplasty and Liposuction of the abdomen


The incision is located on the lower abdomen, a few centimeters above the vulvar fork (usually lower than a cesarean scar).

The incision follows the natural curvature of the abdominal fold, with each end curving progressively upward.


Treatment of excess skin below the umbilicus

The ‘ mini-abdo’ is reserved for patients who have good skin elasticity in the upper abdomen and isolated laxity in the lower abdomen (the lower “bulge”). The incision is limited and placed very low on the abdomen, so it can be easily concealed. This removes excess fat and skin from the lower abdomen.

Isolated Diastasis

For whom

Patients who can benefit from a cure for isolated diastasis are thin, with a slight excess of skin and significant muscle laxity. This is the cause of a round belly, especially after eating, without true excess skin.

Extended liposuction and abdominoplasty

Marked liposuction for harmonious curves

Dr. Gianfermi always uses liposuction on the hips, lateral chest and pubic area with all of his abdominoplasty techniques. This helps to harmonize the curves and balance the hips with the new contour of the abdomen. Restoring this balance creates a natural look and improves the overall aesthetics of your abdomen.


Drains are usually not put in during the procedure. This reduces pain and discomfort secondary to the device. The compression girdle is placed as soon as the procedure is over. It decreases edema and accelerates recovery. It must be worn for 1 month day and night and then 1 month during the day. The day after the operation it is usual to have bruising and swelling. This will improve rapidly during the first two weeks.

Most patients can drive within 7 to 10 days after surgery and can return to work within two weeks. You will need to limit your physical activities for four weeks after surgery. The swelling will be largely resolved by 6 weeks after surgery.

Frequently asked questions

Dr. Gianfermi performs a abdominoplasty with the patient under propofol sedation. He rarely uses general anesthesia for this procedure. Dr. Gianfermi also uses a long-acting anesthetic block that lasts three days, so most patients wake up with little discomfort.
Dr. Gianfermi takes into account how the patient wears underwear or swimwear when determining the location of the incision so that the resulting scar can be easily hidden.
All stretch marks and other imperfections present on the excised skin will be permanently removed. This allows you to achieve a smoother abdominal appearance.
Tummy tuck results should be lasting if you follow proper postoperative care. Additional weight loss or gain can alter your results. Therefore, you will be advised to maintain a stable weight after your surgery.

Schedule a consultation

29 avenue de Suffren
75007, Paris