Dr. Palmer performs tummy tuck (abdominoplasty) on patients that have an excess of abdominal wall skin and/or skin damage from stretch marks. Most patients also have excess fat and therefore Dr. Palmer offers the Avelar Abdominoplasty technique and finds that this provides excellent results with less risk and decreased cost for his patients.
Pioneered by Brazilian surgeon Juarez M. Avelar in the 1990’s, this procedure is performed under local tumescent anesthesia in a specialized procedure room in the office with the assistance of IV sedation. This procedure allows for the removal of excess fat and skin from the abdomen without large scale cutting and trauma.
The difference between traditional abdominoplasty and the Avelar technique is the method in which the loose skin of the abdomen is mobilized to allow removal. The Avelar method uses liposuction of the abdominal wall to allow mobilization of the skin for removal, rather than dividing connections between the skin and the underlying abdominal wall that is performed in standard abdominoplasty. This leaves the vessels, nerves, and lymphatics in place, thus preserving more of the normal anatomy and decreasing complications such as skin necrosis, fluid accumulation, and numbness.
If there is weakness of the muscles of the abdomen (diastasis rectus), a plication of the muscles (bringing them back together in the midline) will be performed to restore normal anatomy and improve overall postoperative shape.
Depending on the degree of skin laxity, the navel will be recreated (similar to traditional abdominoplasty) or simply slightly adjusted downward (similar to mini-abdominoplasty). The skin excision scar is kept low and should be hidden with a bikini. Dr. Palmer will discuss with you the position of the navel and the location of the scar before the procedure so you will know what to expect.
This procedure delivers smooth results, with less downtime and minimal disruption to the blood vessels and nerve endings. Patients experience quicker healing, more rapid return to activities, and decreased overall risk of complications. No drains are necessary.
Dr. Palmer typically can perform this procedure in the office surgical suite. Performing procedures in the office allows avoidance of the exorbitant facility fees found in hospitals. It also avoids potential infectious organisms and is typically more convenient for patients. Some patients, however, are treated more safely in a hospital setting because of related chronic illnesses. This will be determined at the time of consultation.
To determine if the Avelar Abdominoplasty is right for you call 866-963-7372 today for a free consultation with Dr. Palmer.




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Vein & Laser of Virginia provides Vein Treatment, Cosmetic Surgery, Skin Rejuvenation, Cosmetic Laser Treatment & General Surgery to patients in the following Northern communities of Virginia:
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