What is an Avelar? What is a tummy tuck? And what kind of procedures do we do in the office versus refer out to physicians to do more extensive procedures.
A tummy tuck, in general, is a relatively extensive procedure that can be done in in an office-based setting, or can be done in a surgical suite, operating room, surgery center.
In a surgery center, typically, these procedures are the more extensive tummy tucks that not only remove excess skin, remove fat of the lower belly but also oversaw those abdominal wall muscles that you know as a six-pack ab muscles. They are oversawn to cause the ab to be tighter and the muscles to be tighter. And when you pull down on that skin and remove the excess skin, you actually have the belly button moving away too far south or lower on the abdominal wall than it should normally look.
So what we have to do in those cases is transpose the belly button, cut it out from where it is, move it up to a higher more normal area, and then replace it in a new spot on the belly wall so it looks properly positioned. That’s what we call a normal Abdominoplasty tummy tuck.
There is such a procedure that is called an Avelar tummy tuck. It comes out of South America, from a Dr. Avelar that presented this in Brazil. And what this is is really just a removal of excess skin. There is no over-sawing of the muscles. There is no repositioning of the belly button. There is liposuction involved with Avelar technique but what you do is removing excess to give you a flatter belly without doing the more extensive procedures that cause more pain, more downtime, more discomfort, and don’t necessarily leave you with a lot better aesthetic result.
We do Avelar tummy tucks here in the office. They’re done under local anesthesia which means
you’re totally awake and patients tolerate this very well.