REPA combined with Abdominoplasty in Moncloa-Aravaca

The surgical treatment of abdominal rectus diastasis has evolved towards increasingly precise and safe techniques. One of the most innovative and effective combinations is the union of the REPA technique (Preaponeurotic Endoscopic Repair) with abdominoplasty. This approach corrects the separation of the abdominal muscles while simultaneously removing excess skin and fat, achieving a result that is both functional and aesthetic.

At Centro PAD, we offer this combined procedure at our reference center in Moncloa-Aravaca, with surgeons specialized in minimally invasive digestive surgery and high-precision abdominal aesthetic procedures.

What does the REPA technique consist of?

The REPA technique allows repairing the diastasis without large incisions, using an endoscopic camera that is inserted between the skin and the aponeurosis (the fascia covering the abdominal muscles). Through small incisions (barely 1 cm), a continuous suture of the rectus muscles is performed, returning them to their original anatomical position.
A reinforcement mesh can be placed if there is weakness in the abdominal wall or associated hernias.

What does abdominoplasty contribute to this treatment?

Abdominoplasty, also known as an abdominal lipectomy, is a surgical procedure that removes excess skin and fat from the lower abdomen, as well as tightening the abdominal muscles if necessary. In the case of REPA combined with abdominoplasty, the muscles have already been precisely repaired endoscopically, so the abdominoplasty focuses on aesthetic improvement:

Removes excess skin.
Improves abdominal contour.
Repositions or improves the appearance of the navel.
Removes stretch marks located on the lower skin.

This combination achieves exceptional results in terms of health, posture, and body aesthetics.

Indications for REPA + Abdominoplasty

This procedure is indicated for people who have:

Moderate to severe rectus abdominis diastasis.
Excess abdominal skin, especially after pregnancy or weight loss.
Presence of umbilical or epigastric hernias.
Weakening of the abdominal girdle that affects posture and functionality.
Motivation to improve the appearance of the abdomen without compromising functionality.

Benefits of the REPA and Abdominoplasty Combination

Comprehensive treatment of diastasis

The muscular separation is anatomically corrected, improving posture, reducing lower back pain, and optimizing abdominal function.

Visible and lasting aesthetic improvement

The abdomen regains a flat, firm, and youthful appearance by eliminating abdominal laxity.

Prevention of future hernias

The use of a mesh reinforces the area and reduces the risk of recurrence.

Single procedure, complete results

Avoids performing two separate surgeries, minimizing risks, anesthesia, and recovery times.

Minimally invasive technology

With the REPA approach, incisions are small, resulting in less pain and scarring compared to traditional techniques.

How is the procedure step by step?

At Centro PAD, we follow a detailed surgical protocol to maximize safety and outcomes:

Complete initial evaluation: abdominal wall ultrasound, medical history, and physical examination.
Personalized surgical plan, deciding the type of incision, mesh placement, and aesthetic management.
Combined surgery under general anesthesia:
- First, the REPA technique is performed, repairing the muscles from the inside using endoscopy.
- Then, the abdominoplasty is carried out, removing skin and fat, and creating a new aesthetic contour.
Controlled postoperative care in the hospital (24–48 hours).
Close follow-up with periodic check-ups and physical therapy as needed.
Duration of the intervention: between 3 and 4 hours.

Recovery after REPA + Abdominoplasty

Recovery varies by patient but usually follows this pattern:

Visible results from the first week, improving up to 6 months later.
Hospital discharge in 1 or 2 days.
Use of a compressive abdominal binder for 4 to 6 weeks.
Relative rest for the first 10 days.
Light physical activity after 2–3 weeks.
Gradual return to work in 3 or 4 weeks.

Why Choose Centro PAD in Moncloa-Aravaca?

At Centro PAD, we are pioneers in advanced digestive surgery in Madrid, with a specialized team in abdominal wall, diastasis, and aesthetic surgery. Thanks to the combination of cutting-edge technology and a human-centered approach, we offer optimal results with maximum comfort for our patients.

Our center is strategically located in Moncloa-Aravaca, with easy access and personalized care from the very first visit.

We offer:

Experts in digestive and abdominal aesthetic surgery.
Operating rooms equipped with state-of-the-art endoscopic technology.
Comprehensive care: diagnosis, surgery, recovery, and follow-up.

Frequently Asked Questions About REPA Combined with Abdominoplasty

1. In which cases is it recommended to perform REPA along with abdominoplasty?
When, in addition to muscle diastasis, there is abdominal skin laxity or excess fatty tissue, it is advisable to combine both procedures to achieve a complete functional and aesthetic result.

2. Will I have visible scars after the surgery?
The REPA technique leaves minimal scars in the pubic area. The abdominoplasty leaves a low scar (at bikini level), which over time can be very well concealed. Overall, the scars are very acceptable aesthetically.

3. Is it riskier to have both surgeries at the same time?
Not necessarily. If the patient is properly evaluated and in good health, performing both surgeries together reduces the number of anesthesias and recovery times, without significantly increasing the risk.

4. When will I see the final results?
Although the abdomen looks flatter from the first days, the final results are usually seen between 3 and 6 months after, when the swelling disappears and the tissue fully heals.

5. Is it possible to finance this surgery?
Yes. At Centro PAD, we offer tailored financing plans so you can access the treatment more comfortably and without financial worries.

If you are looking for an effective solution for rectus diastasis with abdominal laxity in the Moncloa-Aravaca area, at Centro PAD we offer you the possibility of performing REPA combined with abdominoplasty in a single procedure, with all medical guarantees and a personalized approach.

Regain Your Well-being with the Best Specialists in Digestive Surgery

At Centro PAD, we have expert digestive surgeons in Moncloa-Aravaca ready to assist you.

✅ Personalized care and state-of-the-art technology
✅ Da Vinci robotic and laparoscopic surgery for faster recovery
✅ Highly experienced medical specialists in digestive surgery

Book your consultation today and take the first step toward recovery.
Visit us in Moncloa-Aravaca or contact us now for more information.

Información básica sobre protección de datos Ver más

Responsable: Instituto de Cirugía Robótica, Colon, Proctologica y Pared Abdominal, SLP..
Finalidad:
Legitimación: Por consentimiento del interesado.
Destinatarios y encargados de tratamiento: No se ceden o comunican datos a terceros para prestar este servicio.
Derechos: Acceder, rectificar y suprimir los datos.
Información Adicional: Puede consultar la información detallada en la Política de Privacidad.