Tummy tuck

This is precisely why exercise alone is no longer sufficient in many cases.
Whilst building muscle can improve body contours, it often fails to fully correct excess or biologically overstretched skin, or the instability of the abdominal wall.
For many patients, a successful tummy tuck therefore represents more than just an aesthetic improvement.
They often also report:

• greater stability
• better posture
• a calmer physical sensation
• and a much more balanced core.

Modern abdominal wall surgery involves more than just removing skin

In the past, tummy tucks often focused primarily on removing excess skin.
Today, based on decades of experience, Dr Wiedner and Dr Richter know that, in the long term, good results depend far more on:

• inner stability
• Fabric quality
• biological resilience
• controlled healing
• and a uniform distribution of stress.

A key component of modern abdominal wall surgery is therefore the functional stabilisation of the abdominal wall.
This involves bringing separated muscle structures back together and realigning the body’s core.
It is precisely this that often results not only in a flatter abdominal contour, but also in a generally more stable and natural sense of body awareness.

Different techniques for different anatomies

Not every abdominal wall requires the same operation.
It is precisely in this respect that Dr Wiedner and Dr Richter see one of the key differences between standardised procedures and truly personalised body surgery.
For minor excess skin in the lower abdomen, a mini-tummy tuck may be sufficient, for example.
In other situations, so-called free-floating techniques allow for greater mobilisation of the abdominal skin whilst ensuring controlled scar formation.
However, particularly following significant weight loss, smaller-scale approaches are often no longer sufficient.
In such cases, traditional abdominoplasties, TULUA approaches, anchor incision techniques or circumferential body lift or abdominoplasty procedures may be necessary in order to:

• excess skin
• instabilities
• Tissue relaxation
• and to restore the body’s overall silhouette in a harmonious way.

The choice of technique never depends solely on the amount of excess skin.
The following factors are always decisive:

• Fabric quality
• skin elasticity
• Scar condition
• Body proportions
• Previous operations
• and the long-term resilience of the tissue.

The significance of existing scars

Previous operations, in particular, play an important role in the planning process.

Scars from caesarean sections, appendectomies or gallbladder operations often cause changes:

• Blood circulation
• Fabric tension
• the natural mobility of the tissue layers
• and the biological strength of the abdominal wall.

That is why Dr Wiedner and Dr Richter take great care to incorporate existing scars into their surgical planning.

In many cases, existing scars can be incorporated into new incision lines or made to look better.

At the same time, tissue that has undergone previous surgery often requires a particularly gentle dissection technique.

Modern techniques for reducing stress and voids

An important aspect of modern abdominal wall surgery today is the targeted reduction of so-called cavities between the layers of tissue.
In the past, major surgical procedures often left gaps in which wound fluid or seromas could form.
That is why Dr Wiedner and Dr Richter specifically use modern tension-reducing techniques such as so-called progressive tension sutures.
In this procedure, the tissue is attached to deeper structures in a step-by-step and controlled manner.
This makes it possible to:

• Reduce voids
• Distribute tension more evenly
• Reduce seromas
• and create smoother contours in the long term.

In their view, these techniques play a crucial role, particularly in cases involving major abdominoplasty or body lift procedures, in terms of:

• Healing
• Comfort
• Stability
• and long-term dimensional stability.

The body must be viewed as a whole

A truly harmonious result is often not achieved simply by tightening the abdomen.
Particularly in the case of tummy tucks, it may be advisable or even essential to also:

• Hips
• To the side
• Size
• or to specifically contour or suction the centre of the back.

After all, aesthetic perception always arises from the overall silhouette.
It is often the combination of:

• Abdominal wall stabilisation
• Skin tightening
• Waist contouring
• and smooth transitions help patients feel ‘completely at one with themselves’ again.

This is precisely why Dr Wiedner and Dr Richter never view the body in isolation, but always as a functional and aesthetic whole.

Joint planning and operational experience

At the UNIQ Institute, more complex body-contouring procedures are often planned jointly by Dr Wiedner and Dr Richter, and in many cases they also perform the surgery together.
Both have been working intensively on the following for many years:

• body contouring surgery
• Tissue physiology
• voltage conditions
• biological healing
• and long-term dimensional stability.

Dr Richter has published numerous textbooks, academic papers and delivered international lectures on these topics. Dr Wiedner, too, has been active in academic research for many years and is involved in the international training of plastic surgeons.
It is precisely this shared experience that enables highly nuanced planning and individually tailored surgical approaches, particularly in more complex cases.

Naturalness rather than over-correction

Dr Wiedner and Dr Richter deliberately adopt a calm and anatomically oriented approach.
Their aim is not maximum toning or an artificial body shape.
The focus is rather on:

• Stability
• Mobility
• Fabric quality
• harmonious proportions
• and a sense of physical well-being that feels natural in the long term.

In her view, the most challenging aspect of modern abdominal and body surgery does not lie in achieving the most dramatic transformation.
It lies in restoring function, tissue and silhouette to a calm and lasting state of balance.