Aesthetic Surgery of Virginia: Enrique Silberblatt, MD
3505 Brambleton Avenue
Roanoke, VA 24018
Phone: (540) 776-1600
Monday–Friday: 8:30 a.m.–5 p.m.

Tummy Tuck

Dr. Silberblatt performs tummy tuck surgery in Roanoke, VA, for individuals who have loose skin on their abdomens despite regular exercise and a balanced diet. A firm, flat stomach and slim waist can sometimes be impossible to achieve with traditional methods, especially after pregnancy or significant weight loss that can overstretch the skin and muscles. Tummy tuck surgery repairs these conditions and restores a more attractive, youthful contour to the midsection.

Are You a Candidate for Tummy Tuck Surgery?

Good candidates for a tummy tuck typically have the following characteristics:

  • Excess, sagging skin, with stretch marks often showing on the abdomen
  • A protruding belly caused by separated abdominal muscles
  • May have residual pockets of fat around the midsection
  • Are within 10% of their recommended weight
  • Are healthy nonsmokers

Like each of the procedures Dr. Silberblatt performs, a tummy tuck—also called an abdominoplasty—is highly customized. During consultation, Dr. Silberblatt will discuss your concerns and goals for your surgery. He will prioritize your wishes and draw from his expertise and experience to create a personalized treatment plan that will be both effective and safe.

Tummy Tuck Options

Dr. Silberblatt offers a few different options for tummy tuck surgery. At your consultation, he will give his recommendation for which type of tummy tuck is right for you.

Full Abdominoplasty

A traditional tummy tuck restores the appearance of the entire abdomen. Dr. Silberblatt uses an incision that runs along the pubic area from hip to hip, that is easily covered by underwear or swimsuits. There is a second incision concealed within the contours of the belly button. He repairs separated abdominal muscles, if necessary, resulting in improved definition of the waist. He removes the span of excess skin, pulling the remaining skin taut over the newly contoured abdomen and closing the incisions with absorbable sutures. In many cases, surgical drains are not necessary.

Lipo-Abdominoplasty

A lipo-abdominoplasty combines liposuction with a traditional abdominoplasty but alters the planes and extent of the tissue lifted from the underlying fascia to preserve the circulation to the skin. It allows for reduction of fat in the upper abdomen, something a traditional abdominoplasty may not.

Mini-Abdominoplasty

For patients who have only a small amount of excess skin in the lower abdomen, a mini tummy tuck can be an effective option. Patients opting for a mini tummy tuck should have little or no excess skin above the belly button. If the loose skin is more extensive or the abdominal muscles are stretched from pregnancy, a full tummy tuck may be a better option. The mini tummy tuck uses a slightly shorter lower abdominal incision and requires no navel incision. This, combined with the fact that there is no muscle repair, make for an easier recovery than what full tummy tuck patients experience.

Belt Lipectomy

A belt lipectomy addresses only redundant skin that folds or rolls over the lower abdomen. The incision length depends on a patient’s specific needs but is only as long as necessary to remove the unwanted skin and create an aesthetically pleasing result. Since no skin is lifted off the underlying fascia and there is little or no tightening of the rest of the abdominal skin, the procedure can sometimes be done under local anesthesia. The procedure is best for someone who is concerned with skin folds in the lower part of the abdomen but is otherwise satisfied with the appearance of their tummy.

Dr. Enrique Silberblatt

Dr. Silberblatt performs all treatments and procedures himself—from minimally invasive injectables to complex surgeries. He is by your side every step of the way, from easing your nerves at the consultation through celebrating your beautiful new look after recovery.

Meet Dr. Silberblatt

Tummy Tuck Recovery and Results

Recovery varies depending on the type of abdominoplasty done and how your individual body heals. You will be advised to ease into walking the day of your surgery to promote circulation and help prevent the formation of blood clots. However, for the most part, you will be advised to take it easy and rest for the first week or so.

  • If a full abdominoplasty or a lipo-abdominoplasty is done, activity is restricted for 2 weeks. If a drain is placed, it will be removed after 7 days. Any sutures that need to be removed will come out within 2 weeks. Activity resumes guardedly after 3 weeks and progresses to normal by 6 weeks. It is usually not possible to return to work before 2 weeks and may take as long as 6 weeks for jobs requiring high levels of activity.
  • If a mini-abdominoplasty is done, an abdominal binder is placed, and activity is limited for 1 week. Activity is slowly begun after 2 weeks, slowly progressing to normal by 6 weeks.
  • If only a belt lipectomy is done, then an abdominal binder is placed, and moderate activity may be resumed after a few days of rest.

A tummy tuck can provide long-lasting results through the removal of bulky, excess skin and the belly bulge caused by separated abdominal muscles. You will see improvement right away, but keep in mind that you will not be able to see your final results for several weeks, or even months, as it can take a while for swelling to go away completely.

Initially, the scar will be raised and pink, but over time it will gradually fade to match your surrounding skin tone. You must make sure to follow post-op instructions carefully—this will assist in a healthy recovery and help attain optimal results.

Tummy Tuck FAQs

Will a tummy tuck get rid of stretch marks?

Stretch marks in the lower abdomen can sometimes be completely removed along with the excess, sagging skin during a tummy tuck. However, stretch marks above the belly button or outside the span of removed skin may remain. Even if stretch marks remain after your procedure, their appearance is often greatly improved by pulling the skin tight and smooth.

Can I have liposuction at the same time as my tummy tuck?

Dr. Silberblatt often uses liposuction during a mini-abdominoplasty, and for a full tummy tuck, he performs a lipo-abdominoplasty for appropriate individuals. Safety is his top priority, along with an excellent outcome. If there is a risk that combining procedures might compromise the blood supply to the healing abdominal tissues, Dr. Silberblatt may recommend doing liposuction first, then scheduling the tummy tuck for a later date.

What happens if I get pregnant after a tummy tuck?

While it is not unsafe to get pregnant after a tummy tuck, pregnancy after this procedure will most likely compromise your results. Another pregnancy will stretch the skin again, separate the abdominal muscles, and could leave you with many of the same aesthetic concerns that bothered you before your tummy tuck. Dr. Silberblatt recommends that patients wait until they are done having children to schedule the procedure.

Contact Aesthetic Surgery of Virginia

Dr. Enrique Silberblatt is committed to providing his patients with the highest quality cosmetic surgery treatments and procedures. To learn more about liposuction request a consultation online or call us at (540) 776-1600.

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