Understanding Tummy Tuck

If you have excessive skin and fatty deposits on your abdominal area which has refused to give in to exercise and diet, it is time to consider a tummy tuck. Aging, obesity, or pregnancy can leave you with excessive fat or skin in addition to the underlying muscles going lax. Abdominoplasty, or commonly called the tummy tuck procedure, helps eliminate this excess skin and fat in addition to tightening the underlying muscles.

Who is a good candidate for tummy tuck?

Anybody who has sagging or loose skin on the abdomen is a good candidate. You could also have fatty deposits or loose abdominal muscles. These changes are usually due to a significant weight fluctuation because of bariatric surgery or after a pregnancy.

What is the procedure like?

A tummy tuck is performed as an outpatient procedure under general anesthesia. During your procedure, the excess skin will be removed, and the abdominal muscles will be tightened; while liposuction is used to remove the excess fat from the abdominal walls, hips, and flanks. In case there are large amounts of excess skin, an extended tummy tuck may have to be performed using both a vertical and a horizontal cut resulting in a “T” shaped incision.

The technique and results of your tummy tuck depend largely on your choice of surgeon. When you choose an extremely experienced surgeon like Dr. Salzman who has been performing tummy tucks since 1989, you can be assured of stunning results and comfortable post-operative experience. Dr. Salzman adds a tumescent fluid containing numbing medication as well as epinephrine that narrows your blood vessels, thereby reducing blood loss. We also inject Exparel into the abdomen which will last for about 3 days and helps you with pain management.

Different kinds of tummy tuck

Contrary to the traditional tummy tuck, Dr. Salzman offers the no-drain tummy tuck which does not require the use of drains after your surgery. It is done with progressive tension sutures that dissolve with time. Due to the use of this technique, the development of seroma (built up fluid) is prevented and that is why drains are not required. In the absence of this technique, you would require drains for about a week after your surgery; this collects the built-up fluid and blood. Unfortunately, it makes the recovery period cumbersome since you need to keep a tab on the amount of fluid being collected, routinely clean the drains; and their use restricts movement too. No doubt then, the no drain tummy tuck offered by surgeons like Dr. Salzman is revolutionary.

If you are suffering from excessive skin and fat or muscle weakness in the lower abdomen, then we offer a mini tummy tuck to give you the best results. In order to ensure you get a slim and toned appearance, we also use liposuction to slim down your hips and waist.

Stunning results from a tummy tuck

Abdominoplasty creates a tighter and slimmer waist and you can enhance your appearance with other procedures like liposuction or lower body lifts or breast augmentation. It takes about 10 to 12 weeks to completely recover from your tummy tuck. In addition to the Exparel, oral pain medication is given to help you with any discomfort. If you have a desk job, you will be able to return to your work within 2 weeks. If you underwent a mini tummy tuck, you will be able to return to your desk job within 7 to 10 days. And with no drains, you can shower the next day too. Dr. Salzman is ready to help you feel your best self with the amazing results his tummy tucks give.

Why Get a Tummy Tuck?

A tummy tuck, or abdominoplasty, is a common procedure used for tightening the abdominal muscles and removing loose skin and fat found at the abdomen. This helps the stomach to look toned and flat.

Many women undergo a tummy tuck procedure during a mommy makeover. The mommy makeover procedure allows women to restore their figures after pregnancy. Abdominoplasty can also help patients who have undergone a dramatic weight loss in a short period of time. While many people undergo a tummy tuck mainly for cosmetic reasons, this procedure also boasts other benefits, including:

Easier to Maintain Weight Loss

With the removal of excess skin and tissue, many patients find physical activity to be more comfortable. Many patients also report feeling more encouraged and motivated when it comes to their exercise routine now that the tummy tuck has removed excess skin that was hiding their results.

Better Posture and Abdominal Tone

After losing a significant amount of weight or after many pregnancies, the stomach muscles may weaken, resulting in sagging that cannot be fixed with diet and exercise alone. The tummy tuck will tighten the weak muscles as well as remove the extra fat and skin in order to flatten the abdomen.

Weak abdominal muscles are mostly associated with a sway back and lordosis. After getting the procedure done, many people will enjoy an improved posture. This is because the muscles will be tightened, and they will support the spine better. Improved support with better posture will be an added benefit in order to relieve back pain.

Ventral Hernia Correction

A ventral hernia can occur if the abdominal and intestine tissue has come out of the abdominal wall and forms a sack pocket. There are many reasons why people may suffer from this problem, and one of them is weakened abdominal muscles. During the hernia repair, the doctor may consider performing an abdominoplasty at once to tighten the muscles.

To learn more about the tummy tuck procedure and how you can benefit, contact our office and schedule your consultation with Dr. Salzman.

Getting a Flatter Abdomen: Why A Tummy Tuck is The Best Option

Fat cells can accumulate rather rapidly in certain areas of the body, such as the abdominal region. This can be frustrating to deal with, especially after experiencing childbirth. There are so many different ways to get rid of excess fat. Exercising and a healthy diet are great options, but they can’t always get rid of all the excess fat. Thankfully, there are multiple cosmetic procedures that address this problem. A few of the most popular procedures that address a flabby stomach are liposuction, body lifts, and a tummy tuck. All of these procedures can help you achieve a flatter stomach in different ways.

What Are the Procedures?

The different procedures performed at our office are all to help you in feeling more confident, but what do they entail?


This procedure is done by using a small cannula, which is inserted through small incisions, to suction out the fat with a surgical vacuum. This type of procedure is good for smaller amounts of fat and doesn’t usually help with large amounts of loose skin. It is often paired with a tummy tuck procedure to address these issues.

Body Lift

A body lift is a surgical procedure that helps to remove excess skin and fat around the abdominal region, including the hips and thighs. It is more commonly done on patients with massive weight loss. It is a more extensive procedure, so it often has more recovery time than liposuction or a tummy tuck procedure.

Tummy Tuck

A tummy tuck is one of the most popular forms of cosmetic surgery. There are multiple options for a tummy tuck including mini, full, and extended. The tummy tuck is a surgical procedure done under anesthesia that helps to get rid of excess skin and some fat cells, as well as tighten any weakened abdominal muscles. By making discreet incisions around the bikini line, the surgeon can then remove the excess skin on the stomach, forming it to contour to your natural body. It helps to create a firmer, smooth abdomen and can help in overall body contouring.

How to Choose?

All of these different cosmetic procedures help achieve a flatter stomach differently. If you are self-conscious about your abdominal region due to excess skin and fat, then a tummy tuck would be most helpful. Although liposuction is a mildly invasive procedure, it cannot address loose skin on the abdomen the way a tummy tuck can. A body lift can be helpful as well, as it is a procedure that addresses fat and skin excess all the way around the waist. The tummy tuck is one of the top five cosmetic procedures performed in 2017 and is performed on around 120,000 people per year. It has given proven results and is a long-term solution for reconstructing your abdomen to be firmer, smoother, and smaller.

Regain your confidence in your tummy by contacting Dr. Salzman today to schedule a consultation.

What to Expect from Your Tummy Tuck Procedure

Excessive fat of the abdominal area, sometimes combined with loose abdominal skin and laxity of abdominal muscles, can be a cause for frustration for many patients who find diet and exercise to be ineffective. This change in appearance is often caused by fluctuations in weight, pregnancies, or surgeries for weight loss. The most effective way to correct this problem is surgically, through a tummy tuck procedure. Here’s what you can expect from your surgery day and recovery.

The Procedure

In a traditional tummy tuck procedure, excessive skin around the abdomen is removed, the abdominal muscles are tightened, and liposuction is sometimes performed on the excess fat of the flanks, hips, and abdominal wall. This procedure is also known as abdominoplasty, and it is performed under general anesthesia. An incision is a necessary part of the procedure and, if there is a large amount of skin to be removed in a horizontal and vertical direction, then a ‘T’ shaped incision is made. Blood vessels are narrowed with the help of numbing medicines and epinephrine, combined to make a tumescent fluid. Surgeons also use pain managing injections like Exparel.

A no-drain tummy tuck procedure is the one in which drains are not required during the recovery period. Progressive tension sutures or TissueGlueâ are used for this purpose, as they dissolve with time. The advantage of this technique is that it diminishes the chances of seroma development so drains are not required. This technique is very popular because dealing with drains during recovery time can be very uncomfortable. Dr. Salzman is an expert in performing no-drain tummy tuck surgery.

The Recovery

The standard recovery time for tummy tuck procedure takes about 10 to 14 days. The Exparel injection given by anesthesia under ultrasound, (TAP Block) can last for up to 3 days, allowing movement and managing pain for a quicker recovery. Patients can usually return to their non-stressful work routine after two weeks; however, some patients who have physically-challenging jobs may require an additional couple weeks before they can feel fit enough to resume their work.

Consulting with Dr. Salzman before your surgery is the most important step of your procedure process because the suitability for every individual is different. Dr. Salzman can also make sure you’re aware of the specific risks and factors involved with a tummy tuck procedure and plan the best surgical technique for you. To schedule a consultation, contact our office by calling or filling out our online form.

Tummy Tuck or Mini Tummy Tuck: Which Is Best for Me?

Most people have a little extra baggage around their middle and most people would probably, given the opportunity, would opt to get rid of it. Fortunately, there’s a tummy tuck to fit your unique needs! If you’re looking for a surgical solution, a tummy tuck is a great way to slim and restore the abdominal area, and you’ve got a couple options. Here’s what you should know about these two types of tummy tucks as you plan your consultation.

Traditional tummy tuck

The traditional tummy tuck is a tried and true method to overhaul the stomach area. This technique uses incisions to gain access to the underlying fat and muscles which can be repositioned and tightened with sutures. This has even been shown to have medical benefits for postpartum women who suffer from back pain or urinary incontinence because of weak abdominal muscles. After this is accomplished, any extra, saggy skin can be removed before the skin is pulled down and closed. Sometimes, liposuction can be used along with this technique to remove any stubborn fat in the area.

Mini tummy tuck

Although this technique is called ‘mini’, it can still be just as effective for patients looking for results below the belly button. The same technique as a traditional tummy tuck applies, but the mini tummy tuck is not as invasive and usually requires less downtime. Dr. Salzman can also perform liposuction on the lower body and hips during this procedure, meaning it’s a great option for overall rejuvenation of the lower body if your stomach area is otherwise satisfactory.

Which is best for me?

The best way to determine which tummy tuck is best for you is through a consultation with Dr. Salzman, where you can discuss what you would like the change and how you want it to look. However, a good way to determine which would benefit you most is through location— if you have stubborn fat and excess skin below the belly button, a mini tummy tuck can help. If the fat and loose skin extend higher, a traditional tummy tuck may be required. Dr. Salzman can also recommend whether you might benefit from just liposuction or even a non-surgical fat reduction procedure!

To schedule your consultation with Dr. Salzman and see what options are available to you, contact our office or fill out our online form. We serve patients looking for great results in the Louisville and surrounding areas.

Why Choose Emsculpt®?

There are a lot of options when it comes to non-surgical body sculpting because many patients are finding great results. Emsculpt is the latest technology in this category to hit the market, but you should know what makes it different from other options like CoolSculpting® or Vanquish™, and why you should be sure to ask about it at your body sculpting consultation.

Build muscle while you lose fat

Although many other body sculpting treatments are effective at reducing stubborn fat in areas of the body that are prone to it, Emsculpt has an added benefit. This procedure uses electromagnetic energy to induce contractions in the muscle (similar to a workout) beyond what the muscle can achieve on its own. This not only burns fat but also forces the muscle to remodel itself to adapt to the contraction. With a few treatment sessions, you’ll notice an improvement in overall muscle tone and contours.

Augment your diet and exercise results

Emsculpt is a great option if you’re already working on slimming down and achieving the body you’ve always wanted because it can speed up your results and give you the progress you’ve been looking for. Emsculpt can also be a great way to jumpstart a new diet and exercise regimen if you’re looking to improve your body’s tone if it’s already at or near your ideal weight. You can still work towards your great results without downtime or recovery from a surgical procedure.

Use it along with other body sculpting procedures

Fortunately, you’ve got plenty of options when it comes to pairing your Emsculpt treatments with another non-surgical body sculpting procedure. Whether it’s CoolSculpting, Vanquish, or Exilis, you can plan your treatment plan with the help of our expert aestheticians to get the best results from these treatments. Although treatments like CoolSculpting might be spaced further apart than Emsculpt, you’ll find great results over a wider amount of time as you continue your diet and exercise regimen.

We’re proud to offer Emsculpt as an effective option for patients looking to achieve the body they’ve worked hard for. To learn more about this new technology, contact our office and schedule a consultation with our expert aesthetic staff who can begin planning the right body sculpting treatment plan for you.

Moms, It’s Time for Your Makeover

Spring is the time of year for flowers, rain showers, and celebrating what makes mommies great. the Moms make a lot of sacrifices, but feeling great in their body shouldn’t be one of them. Many women experience pregnancy and childbirth but feel resigned to the toll that it can take on their body. A mommy makeover is a set of procedures that can restore and rejuvenate the body to its pre-pregnancy state. Here are some of the things that can be included in your customized treatment.


The breasts play an important part in pregnancy and nursing, but they can, unfortunately, change permanently in shape, size, and position during the process. Many women find their breasts have grown to an uncomfortable size or become stretched out and saggy. A mommy makeover can include a breast procedure to lift, reduce, or augment the breasts to restore them to their natural shape. It can sometimes even be performed with a combination of two techniques, like a reduction and lift. Dr. Salzman can help you plan your treatment techniques to ensure you get the breasts you want.


Perhaps the most affected area during pregnancy and childbirth is the stomach, which can be left with excess skin or pockets of fat due to the way the female body stores fat during pregnancy. Diet and exercise sometimes aren’t enough, so a tummy tuck can restore a slim, contoured abdomen. Many women also struggle with loss of muscle tone in the abdomen, which can be corrected by tightening and suturing the abdominal muscles, which is commonly practiced during the procedure. These can become stretched and ineffective during childbirth and are unable to be restored through exercise.


Although the breasts and stomach are the two most commonly treated areas, many women opt for additional procedures to add the finishing touches to their new body. Whether it’s additional liposuction, fat transfer, vaginal rejuvenation, facial procedures, or non-surgical rejuvenation techniques, it can be a great way to feel like a new, better you.

To begin your mommy makeover journey and discuss any questions you may have, contact our office and schedule a consultation with Dr. Salzman.

Introducing: The Drain-Free Tummy Tuck!

Tummy tucks are one of the most commonly performed plastic surgery procedures to date. In fact, the tummy tuck procedure has risen 104% from 2000 to 2016, according the ASPS. After childbearing or weight loss, the abdomen can have some remaining fat around the belly button with a little bit of extra skin and some laxity to the underlying abdominal muscles, creating an unsightly bulge. During a tummy tuck procedure, the extra fat is removed with liposuction, the redundant skin is removed, and the abdominal muscles are tightened and placed back into the midline creating a sleek, tight and thin abdomen.

The Drain-Free Tummy Tuck

In many patients’ minds, they fear the tummy tuck operation because they have heard that it hurts and that you must have a drainage tube. Well, no more! Dr. Salzman is amongst the first plastic surgeons in the United States to do what he calls a “drainless, painless tummy tuck.” Instead of a drain, TissueGlu™ is sprayed between the skin that has been lifted and the muscles that have been repaired underneath. We have also begun treating our patients with a long-acting numbing medicine that is placed under ultrasonic guidance by our anesthesiologists after the patient is asleep. This has reduced the tightness and pain for the first three days following the procedure.

Dr. Salzman is extremely skilled in this new tummy tuck technique. He has recently taught other plastic surgeons from around the world this new technique in a teaching course at the national plastic surgery meeting in Orlando this past October.

If you’re considering a tummy tuck, you might want to have a consult with Salzman Cosmetic Surgery and Spa to hear about the latest new tummy tuck methods. We would be happy to answer any questions that you may have!

The Modern Tummy Tuck

A “tummy tuck”, or abdominoplasty, is one of the more frequent procedures done in plastic surgery for women who have lost weight or have had developed laxity of the abdominal wall from childbirth. Over the last year or so, newer techniques have developed that make this procedure better tolerated, less painful, and overall have a speedier recovery. We have been doing drain-less tummy tucks for the last nine months and have found that, whether we place sutures or glue between the skin that’s been lifted and the underlying repaired muscles, we do not need to place a drain tube into the patient. This has allowed for earlier mobility as well as less worry of having to deal with the drain. There’s also no extra hole made for the drain to pass out of the body. Pain reduction with tummy tuck is paramount to a quick recovery. Recently, we have been doing a nerve block, called TAP block, which places the long-lasting numbing medicine called Exparel™ directly into the nerves that supply feeling to the front part of the abdomen under ultrasound guidance. This has had a profound reduction in the pain experienced by our patients during the first few days after surgery. I like to think of this new method as the drain-less, painless tummy tuck. We have also been using ultrasound in our office for over five years now and feel quite competent in being able to assess the amount of fluid that can build up when these drain-less procedures are done. Should there be the necessity of removing this fluid, rather than sending our patients to a radiologist at a hospital, we can simply place a small cannula under the guidance of ultrasound directly into the area of fluid collection and remove it. This has vastly improved our patient’s recovery time compared to drains or to other practices that don’t have the expertise to provide adequate detection and removal of the small fluid collections.

What is a Drainless Tummy Tuck?

One of the most common procedures done by plastic surgeons is an abdominoplasty or “tummy tuck.” Commonly, after weight loss from childbirth or diet, the abdominal wall, including the muscle and skin will be stretched and unable to contract back to its prior state. There may also be some extra fat that is accumulated around the belly button. In a modern tummy tuck, liposuction of the front of the belly, as well as the hips and flanks is one of the components. The extra skin is removed and the muscles underneath tightened.

Classically, when abdominal skin and fat is lifted off the muscle to allow sutures to be placed, a drain, a plastic tube hooked to a reservoir that withdraws the extra fluid that accumulates in that space, is placed at the time of the operation and removed within two weeks. These drains can be cumbersome to deal with and provide some degree of anxiety both in their day-to-day presence, as well as the uncomfortable feeling when they are removed.

One of the newer advances in body cosmetic plastic surgery, is to do a “drainless tummy tuck.” Instead of placing a drain to remove the potential accumulating fluid, multiple sutures are placed to reattach the overlying skin and fat to the muscle over the entire area in which they were separated. Some progressive tension can be placed in a downward fashion such that there is less pulling on the final closure at the bottom. We have done this “drainless” method for many months now and have had the opportunity of looking at all of the patients with our in-house ultrasound after their first week. We have not found any significant accumulations of fluid that needed to be removed with an additional procedure. Our patients have been quite pleased to avoid the use of drains and have raved about the more tolerable recuperation period.

11423388 10153374288224919 6835810025692059534 n

Request A Consultation

  • This field is for validation purposes and should be left unchanged.

Request an Appointment

Scroll to Top