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Is Breast Augmentation Through Tummy Tuck Incision Possible?

I had read of a procedure that allows a breast augmentation while doing a tummy tuck, using the tummy tuck incision rather than incising the breast. Is this a commonly used procedure? Would it be as accurate placement if it was done using this method?

Asked 28 months ago by nomorebigbelly in Crown Point, IN

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Transabdominal breast augmentation

Transabdominal breast augmentation or (TABA) is exactly what you described. While performing a tummy tuck, breast implants are placed through this incision in a precise manner to also perform a breast augmentation. Although, I am not the first person to do this, I have written this technique up in the plastic surgery journals and have presented it to other plastic surgeons at national meetings. It is for a limited number of patients. If the breasts sag significantly, it would be done in ... more

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Breast augmentation through a tummy tuck incision?

Hello, Yes, a breast augmentation can be performed through a tummy tuck incision. Although the same result can theoretically be achieved by doing so compared to an incision in the breast fold, areola, or arm pit, the amount of control that the surgeons has is potentially less. If my loved one asked which I would recommend for them I would say to perform the breast augmentation through a standard incision and get the best result possible with the lowest risk for... more

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Remus Repta, MD

Phoenix Plastic Surgeon

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Breast Implants Through a Tummy Tuck Incision

Placing breast implants through the tummy tuck incision is definitely possible, but not recommended. It may sound like a good way to reduce incision scars, but the tradeoffs are not worth it. It is harder to create the implant pockets with the precision breast augmentation deserves. The results from this approach may increase the risk of poor implant motion, malposition, or asymmetry. As plastic surgeons, we are always sensitive to minimizing scars, but not to the... more

Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Mommy Makeover - with no visible breast scars

You are asking for a Mommy Makeover with no visible breast scars. Although it is done, I do not think it is a great operation. Look at the patient in my video - her breast augmentation was via a periarolar incision. Direct approaches (such as the infra-mammary approach or periareolar approach) give excellent visualization to allow for a lot of finesse in the result of the breast augmentation. With the trans-abdominoplasty approach, either a small tunnel will be... more

Michael A. Bogdan, MD

Dallas Plastic Surgeon

ASAPS ASPS

Breast Augmentation thru Abdominoplasty Incision

Possible to do but not recommended. There are many creative ways to perform some of the plastic surgery that we do. But at times those creative ways are not always the best way of doing it and has compromises. So, no it is not recommended. It is a compromise and not optimum. The periareolar incision heals so well and provides an accurate way to place the implant, why do it in a compromised way? Hope that helps and gives you some insight.

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

Separation of breast and belly

While the idea of a scarless breast augmentation is appealing, the reality is that techniques which compromise the inframammary fold, (where the breast meets the chest wall), which would need to be done in order to place the implants through the top aspect of the abdominoplasty flap are not freebies. Surgical manipulation of this area can result in "bottoming out" of the breast implant, where the breast slides off the chest into the upper abdomen. Most of the other consultants... more

Lavinia Chong, MD

Orange County Plastic Surgeon

ASPS

Breast augmentation through a tummy tuck is not recommended

Breast augmentation through an abdominal approach is a fairly old procedure which was also called a TUBA or a trans-umbilical breast augmentation. The advantage was a scar off the breast though we seldom hear much about the technique any longer. The technique required special instruments and was 'blind' in that it was difficult to control the implant placement, and submuscular augmentation was quite difficult. The procedure applied to saline implants inflated in place. Augmentation through... more

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Peter E. Johnson, MD

Des Plaines Plastic Surgeon

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Yes But...

Breast augmentation done at the same time as an abdominoplasty using implants is not a new procedure , it would be similar to the dissection of a Tram flap breast reconstruction however without the view from above. It would be harder to get homeostasis and bleeding is more difficult to detect since the breast pocket is in continuity with the abdominal cavity there is a large dead space that can fill up with blood. I know of at least one death from this technique when done by a board... more

Walter D. Gracia, MD

Arlington Plastic Surgeon

Breast Implants through a tummy tuck incision

Placing breast implants through a tummy tuck incision is possible and the results can be quite impressive in experienced hands. This can be a good option if you are having a tummy tuck and desire "scarless" breast implants and I have incorporated it into my practice. I agree with the previous posters that it is technically more a more difficult than placing the implants through traditional incisions. As always, speak to a board certified plastic surgeon about this if you are interested.... more

Matthew Schulman, MD

New York Plastic Surgeon

ASPS

Possible, but not popular

Joderbug, It is certainly to place breast implants through an abdominoplasty. Speak to your plastic surgeon regarding this option. The concerns are violating the breast crease to place the implants and working from a more distant site than the breast itself. This might lead to less control in the positioning of the implants. Good luck!

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Breast implants placed through tummy tuck incision

There are surgeons who will place breast implants through the abdominoplasty (tummy tuck) incision. This is basically the same concept as the TUBA (trans umbilical) approach. I do not perform this procedure because I personally feel it takes away too much support of the lower aspect of the breast implant and is basically a "blind" dissection. If you decide this is the way you want your procedure performed I suggest you search and find a board-certified plastic surgeon who performs... more

Michael C. Edwards, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Breast augmentation through the tummy tuck incision

Performing a breast augmentation through the tummy tuck incision is possible. However, it is very uncommon and technically more difficult than a straightforward tummy tuck and breast augmentation. Additionally it take more time, so you will be under anesthesia for longer and have additionally operating room and anesthesia fees. Also, if your implants need to be adjusted or you decide to have a different size, then you will need the standard incision anyway. I hope this is helpful. Good... more

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David Shafer, MD

New York Plastic Surgeon

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Breast augmentation with tummy tuck

Yes this can be done. It is not popular for a few reasons. The placement of the implant in this situation occurs by disrupiting the breast crease which we tytpically pefer to preserve during a traditional breast augmentation procedure. Therefore, we use a smaller approach or have to reconstruct the crease with stitches.This can result in a slightly higher risk of asymmetry and/or incomplete release of the muscle see video

Otto Joseph Placik, MD

Chicago Plastic Surgeon

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Breast implant through the tummy tuck procedure

Although it can likely be done, it is not as easy for the surgeon to perform. I would not say it is commonly done.The reason is that the surgeon would need to suspend all of the abdominal skin in order to gain access for the breast implant and this can be difficult. Also, the retractors that are lighted that are used to illuminate the pocket where the implant will be placed are usually not long enough to use.Tuba, or a transumbilical breast augmentation has some believers but as... more

Julio Garcia, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Tummy Tuck, Abdominoplasty, Breast Augmentation, Mommy Makeover

It is possible to do a breast augmentation through an abdominoplasty incision, but it is my preference to separate the two operations into two incisional entries. This protects the implants from entering into the abdomen if there were to be migration or displacement. The scars on the breast augmentation remain quite small. The lower fold of the breasts should not be entered as one would have to do in going through the abdomen to complete the augmentation through... more

Francis (Frank) William Rieger, MD

Tampa Plastic Surgeon

ASPS

Safe to do them at the same time but not through the same incision

Trying to put breast implants through an abdominoplasty incision has drawbacks. There is higher chance of getting what is called a "bottomed out" look. This is when the implant has migrated down because you have opened the tissue between the abdomen and the breast pocket. There is a slightly higher chance of infection in the breast pockets. A lot of times when a person has an abdominoplasty it is because she has had children or has lost a lot of weight. For this... more

William Aiello, MD

Orange County Plastic Surgeon

ASPS

Breast augmentation through an abdominoplasty incision

This can be done in some limited circumstances. If the breast is simple being augmented it is satisfactory. if the breast requires a lift then the placement of the implants should be approached directly through the breast. All the best, Talmage J. Raine MD FACS

Talmage J. Raine, MD

Chicago Plastic Surgeon

ASAPS ASPS

Breast augmenation through Tummy Tuck Incision

Yes it can be done but I do not recommend this approach. The exposure is not as good and implant position may be less than optimal. As the augmentation incisions are so small, i do not find the abdominal approach to be indicated.

Richard Linderman, MD

Indianapolis Plastic Surgeon

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Breast Implants through the tummy tuck incision

I do not recommend this. I do not think that this will allow for the best result. I agree that you need direct access to the area and in my opinion, the peri-areolar incision gives you the best access and therefore the best chance for a great result for breast augmentation surgery.

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Tom J. Pousti, MD

San Diego Plastic Surgeon

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Trans abdominoplasty breast augmentation

yes. some surgeons do these procedures commonly. the truth is, the further your incision is from the area you are operating, the more control you lose. that is why most plastic surgeons avoid the TUBA (breast augmentation through the belly button). breast implants can be typically placed through very small incisions on the breast, or even in the armpit. sometimes the sacrifice of a small scar for the offer of improved control is worth it.

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Eric Chang, MD

Baltimore Plastic Surgeon

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Yes it is possible

I have done this procedure on a select few patients with some very nice results. The operation is done through an abdominoplasty or tummy tuck approach and the implants are placed into a pocket in the chest area both silicone and saline implants can be used as well. The issue later becomes ten years down the road or in the case of saline implants when they need to be replaced if they should rupture. The pocket is more easily created near an incision nearer to the... more

Kimberly A. Henry, MD

Greenbrae Plastic Surgeon

ASAPS ASPS

Breast Augmentation is Probably Best Kept Separate from a Tummy Tuck

Disadvantages outweigh Benefits for using Tummy Tuck scar to place Breast Implants Mommy Makeover procedures combining a Breast Augmentation and Tummy Tuck are highly satisfying for both patients and surgeon. While it is possible to place breast implants through the Tummy Tuck incision, the disadvantages would seem to outweigh the benefits: Benefit Admittedly, not placing separate incisions for Breast Augmentation is a benefit, and conceptually I like this idea.... more

Nick Slenkovich, MD

Denver Plastic Surgeon

ASAPS ASPS

Breast augmentation through abdominoplasty incision?

Sure, it's possible, and few plastic surgeons want to admit they haven't done something others claim to have done. If a plastic surgeon has done pedicled TRAM flap breast reconstructions, abdominal tissue is separated from its native position, but left attached to the rectus muscle for blood supply. This tissue is then transposed through the upper abdominal area to the breast or breasts after mastectomy. Placing implants via this approach is indeed possible in similar fashion,... more

Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon

ASAPS ASPS

Combining abdominoplasty and breast augmentation

It is possible to undergo breast augmentation through a tummy tuck incision, but I favor a separate incision through the areola to acheive uniform results with good cosmesis.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Procedures can be combined

Procedures can be combined. the breast part has a higher risk of contamination due to the inability of betadine to completely prep and open abdomen.have a detailed discusssion with your surgeon . have done several that way and so far ok