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Abdominoplasty (Tummy Tuck)


Dear Prospective Patient,

Thank you very much for your inquiry regarding abdominoplasty surgery, also known as a “tummytuck”. This procedure
can produce amazing rejuvenation to your belly, especially if you’re a woman after child-birth or after significant weight
loss. The two options for body contouring of the abdomen and hip area include: 1. body liposcultping (removing fatty
tissue) and 2. abdominoplasty (removing both fatty tissue & excess skin, and repairing any division of your abdominal

I have considerable experience in the field of plastic and reconstructive surgery with completion of residency and
fellowship at Stanford University Medical Center. I remained at Stanford University as a Clinical Professor for seven years
and am currently Adjunct Professor at Touro University, college of Osteopathic Medicine. I have multiple board
certifications including the American Board of Cosmetic Surgery in Breast, Body & Extremity, and in Facial Plastic
Surgery, the American Board of Otolaryngology-Head & Neck Surgery and the American Board of Facial Plastic &
Reconstructive Surgery. I am director of the Institute of Advanced Body Sculpting in Las Vegas, NV and Laguna Beach,
CA, and at Estrella Aesthetics & Surgical Arts in Corona, California.

Dr Troell is known as an expert by his peers and is a national trainer for three techniques in body contouring including
VASER ultrasound assisted and high definition liposuction, SlimLipo laser assisted liposuction and the Body-Jet
water-jet assisted liposuction techniques. He has presented overt 14 physician training workshops in the last several
years on body contouring and multiple national presentations including three at the World Congress of Liposuction
in New York City in October 2013 and was the keynote speaker at the California Academy of Cosmetic Surgery annual
meeting in Newport Beach CA in 2013 speaking on Stem Cells & Platelet Rich Plasma in Autologous Fat Transfer in
Aesthetic Procedures: Art, Science & Surgical Technique.

If the amount of excess skin is predicted not to tighten satisfactory from VASER liposuction alone, excision of fatty tissue
and skin will be recommended. Abdominoplasty is usually performed under general anesthesia with a low abdominal
incision with suturing of the abdominal muscle (rectus muscle). If required, the muscle plication carries the most discomfort
and longer recovery.

Avelar lipo-abdominoplasty uses liposuction to thin the abdominal tissue and then excise excess skin. Since it combines
these two techniques, it is referred to as a “combi-tuck”. Most patients can be done with a wetting solution containing local
anesthesia under the skin, tumescent anesthesia, along with oral sedation supplemented by mild intravenous sedation,
however, it is more comfortable to perform under general anesthesia. Dr Troell performs ultrasound liposuction on most
patients simultaneously with abdominoplasty for optimal results.

The recovery with the Avelar lipo-abdominoplasty is longer than liposuction with three to seven days requiring narcotic
medication, however, much shorter than traditional abdominoplasty. With the Avelar tummy tuck one can expect mild
bruising and swelling with patients returning to work within five to ten days.

During your initial free consultation, we will discuss your aesthetic concerns and discuss your treatment options. Please
visit my website at to view tummy tuck before and after pictures.

Sincerely & Respectfully,
Robert J Troell, MD, FACS
firma dr troell

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Interested in a FREE consultation with our Medical Director, Certified Aesthetic Trainers, or beauty consultants? Call us at (951) 272-4455 today to book your appointment. Our Staff at Estrella Aesthetic & Surgical Arts