Tummy Tuck (Avelar Abdominoplasty)

A tummy tuck or abdominoplasty involves removal of excess skin and fat in the lower abdomen through an incision at the bikini line. Pregnancy, weight gain and weight loss have a lasting impact on a woman’s abdomen. Quite often, after the skin and muscles have been stretched, a tummy tuck is necessary to restore the abdomen to its previous shape.

What is the difference between traditional and Avelar abdominoplasty?

Until recently, tummy tuck or abdominoplasty was performed in a very invasive fashion. Traditional abdominoplasty involves completely separating the skin from the underlying
muscles.  Therefore, blood vessels that are vital to healing are damaged and compromised, leading to a higher risk of complications. Also, such a large excision of tissue can create empty or dead space, which further increases complications.

Dr. Rina Shinn performs Avelar abdominoplasty.

Dr. Juarez M. Avelar, a Brazilian surgeon developed the Avelar abdominoplasty in the 1990s.

Unlike traditional abdominoplasty, Avelar abdominoplasty does not require the separation and elevation of the entire abdominal wall including, fat layers and blood vessels.

Instead, Avelar abdominoplasty uses liposuction to remove excess fat, leaving behind the needed matrix of connective tissue and blood vessels. A better cosmetic outcome is achieved with the Avelar abdominoplasty, since liposuction is combined with the abdominoplasty, allowing for improved body contouring.

The surgery to remove excess skin is merely an incision, instead of a large flap as in the traditional technique.

If there is significant diastasis of the rectus muscle, a second incision is sometimes made around the belly button. If needed, the fascia overlying the muscle is stretched down and sutured, thereby tightening the abdomen.

Who is a good candidate for a tummy tuck?

The ideal candidate for tummy tuck should meet most of the following criteria:

  • Is close to her ideal body weight. (within 30%)
  • Wants to remove specific areas of loose skin or fat that have been resistant to dieting and exercise.
  • This includes the laxity of underlying muscles due to pregnancy which makes it very difficult for mothers to return their abdominal area to a flat appearance. For these women, the skin and muscles have stretched beyond the point where they can naturally return to their normal location and shape.
  • At a stable weight for six months or more.
  • Has good skin tone and elasticity.
  • Is emotionally stable.
  • Understands the risks of abdominoplasty surgery and scarring.
  • Has realistic expectations of significant improvement, but realizes that perfection cannot be achieved.


Advantages of the Avelar Tummy Tuck

  • More fat can be removed with liposuction than in standard full abdominoplasty.
  • The result is a thinner abdomen with improved contour and tighter skin.
  • No disruption to the blood vessels and nerve endings.
  • It’s an outpatient procedure that doesn’t require an overnight stay.
  • Tumescent liposuction is done under local anesthesia.
    • This decreases the risks of anesthesia and brings the cost of the procedure down allowing more people to have access to a tummy tuck.
  • No drains are needed.
  • Exercise may be resumed earlier, because the abdominal muscles may not need to be tightened.


Please call Adonis Cosmetic Surgery & Spa for your consultation, 719-543-5000.