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Tummy Tuck




Abdominoplasty or "Tummy Tuck Surgery" at Radiance in San Antonio

Dr. Laura Bennack performs the Avelar "Tummy Tuck", as well as traditonal abdominoplasty in San Antonio at Radiance.

 

The Avelar Technique is a modified version of the traditional tummy tuck. It does not involve stitching the deeper layers in the abdomen (which can cause more pain and recovery time) and is performed using local anesthesia, * and mild sedation, if desired.

The tuck is performed in combination with liposuction across the entire stomach area. The belly roll, stretch marks, and the stomach “pooch” disappear revealing a smooth, taut, tight stomach.

Many women have considered a tummy tuck but have not pursued because of lengthy downtime, and the costs associated with a hospital and general anesthetic procedure. Now, you have a choice.

Call us at 210-804-0772 to book a free consult and to find out if you are a candidate for this new tummy tuck procedure at Radiance.

Frequently asked Questions about a Tummy Tuck

1. Who is a good candidate for abdominoplasty or a Tummy Tuck?
The Abdominoplasty (tummy tuck) procedure can produce dramatic results in people who have excess fat and skin in the abdominal region but are otherwise in reasonably good shape and health. Many women have stretch marks, scars, and hanging, loose skin from a previous pregnancy or from weight loss. Men also suffer from stretch marks as well as loose skin, after weight loss. A tummy tuck can achieve substantial improvement and help get rid of loose skin, stretch marks, scars, and flabby fat. A scar, from the tummy tuck incision, will be visible from hip-to-hip and will fade over time.

2. How do I decide between SmartLipo or Liposuction with a Tummy Tuck?
We can help you make the right decision. Liposuction alone may give you a flatter stomach if you don't have a lot of loose skin, or are happy keeping some of the loose skin, and want a faster recovery.

3. What is tumescent anesthesia?
Tumescent anesthesia was created in 1985 by of Dr. Jeffery Klein. Lidocaine diluted in saline is infiltrated in the area where the surgery is going to be performed. This results in a numbing of the area allowing us to do surgery without general anesthesia.
 

4. How is the Avelar Tummy Tuck different from a traditional Tummy Tuck?
The Avelar Tummy Tuck is named after Juarez Avelar, M.D.*  Our office performs it under local anesthesia (with mild sedation if the patient requests). With our Modified Avelar procedure, liposuction is performed first followed by removal of excess skin. Many people do not need the deep stomach layers stitched unless it is very obtrusive. Dr. Bennack evaluates each patient carefully to ensure they are a candidate for the Avelar procedure. If the patient needs the abdominal muscles tightened then traditional abdominoplasty can be performed, also without general anesthesia.

5. How is the Avelar Tummy Tuck procedure performed?
*Tumescent local anesthesia is done over the entire stomach area followed by liposuction to remove fat. After liposuction, an incision is made above the navel and around the lower abdomen. The incision extends from hip to hip. A new skin incision is made for the navel. The navel is re-positioned in this skin incision and the “flap” of skin resulting from the incision made above the navel and around the lower abdomen is removed. The upper abdominal skin is left intact and is stretched downwards and stitched to meet the incision in the lower abdomen. If necessary your deep abdominal muscles may be tightened. However, this may result in more post-op recovery time.

6. What happens during the recovery period and how long is it?
The recovery period brings temporary pain and discomfort that is relieved with painkillers. You may have abdominal staples and/or stitches, and be fitted with a drain to draw fluid away from the wound. The drain is usually removed in 3-5 days. The staples, if present, will be removed in about 3-5 days and the stitches (if present) may be removed in stages over the course of a few weeks, or they may dissolve on their own. Light walking, and other very gentle exercise, will help with the swelling and prevent the formation of blood clots in the legs. Our patients usually return to light work in a week. Some opt to take two weeks off, but with the Modified Avelar procedure patients usually experience less downtime.

7. Why may an awake procedure be better than one done with general anesthesia?
Our patients come to us because they prefer not to “go under” with general anesthesia which may carry additional risks. With an awake procedure you are comfortable but aware of what is going on in the surgery room. You receive local anesthesia to the area being treated and a sedative as needed. Some patients are so comfortable they fall into a light sleep, but they are not being put to sleep with general anesthesia. We recommend you do your research and visit the references below to find out more about local anesthesia, mild sedation, and general anesthesia.*

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*References
www.asahq.org/Washington/oba-oh.pdf

Journal Reference
Article Reference