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Combining Breast Lift, Implant Size Reduction and Tummy Tuck Possible?

asked 2 years ago by Yankees in Minneapolis, MN
Latest answer by Larry S. Nichter, MD, MS
Question viewed 5,093 times
Tags: age 25-34, abdomen, belly button, breasts, female, 5 ft 8 in to 6 ft 0 in, silicone implant, 200-249cc, 550-599cc, body, fat, implant size, skin, stretched

Is it possible to get a breast lift, breast implants size reduction and tummy tuck all at once? I have no natural breast tissue left, thin skin with little elasticity. I'd like to reduce my silicon 550cc down to a small implant (200-250cc) with minimal scarring.

My tummy is stretched below my belly button and it appears to be all tissue/skin. Even when I lower my body fat to 12-15%, the tummy does not improve. I'm 5'9, 30 years old and fit.

18 answers to Combining Breast Lift, Implant Size Reduction and Tummy Tuck Possible?

Combining breast surgery and tummy tuck

In many practices, these surgeries are combined. Patients must understand that complication rates are probably higher when procedures are combined, and there may be risks in addition to those if the procedures were performed individually. In large series of patients, however, combined surgeries, when performed expediently by experienced surgeons, have very low complication rates. It would not, in my experience, be advisable to reduce the implant size by 50% and perform anything but a Wise... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

Combining Breast and Abdominal Surgery?

Thank you for the question and picture. Based on the description of your health status and goals, I think you should do well combining the procedures you are contemplating in a single stage procedure. Please make sure you're working with a well experienced board-certified plastic surgeon and anesthesiologist in a fully accredited surgery center or hospital. Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

Combination surgeries have grown very common

Nowadays it is very common to combine abdominal surgery (tummy tuck) or liposuction with breast surgeries. If the patient has the right indications, and she is healthy and received a good medical clearance, then this procedure can be performed as an inpatient or as an outpatient. The current use of pain pumps in abdominoplasty have helped in making the abdominoplasty post operative recovery better tolerated.

Arturo Guiloff, MD
Palm Beach Plastic Surgeon

Combining breast implant exchange, breast lift, and tummy tuck

It is possible to combine a breast implant exchange, breast lift (mastopexy) and tummy tuck provided you are in good overall health. This should be confirmed by visiting your primary care physician and receiving medical clearance which typically involves an EKG, labs, and a comprehensive physical exam. Also, your plastic surgeon should be able to complete all the procedures in a reasonable amount of time. Whether you may need to stay at an overnight facility after the surgery is another... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Combining procedures

Hi, Thank you for your question! Yes, these procedures can be performed at the same time on the right patient and by the right surgeon. This should be done by a board certified plastic surgeon who has experience in combining these specific procedures. However, anytime procedures are combined, the amount of time in the OR is increased so this also increases your risks for surgery. It is important to understand this fully. It would also depend on which type of each procedure you have as... more

Sam Speron, MD
Chicago Plastic Surgeon

Combining several procedures is possible

It is possible to perform all of this procedures in one sitting. From this picture, the implants appear to be subglandular. I would recommend change the pocket to under the muscle. The lift will most likely require a T incision, I would recommend tailoring the size at the time of surgery. For the abdomen, a mini-abdominoplasty will probably be enough. When consulting with a surgeon I would recommend to check their credentials.

Victor Manuel Perez, MD
Kansas City Plastic Surgeon

Breast lift and tummy tuck are often combined

Procedures are often combined in cosmetic surgery to help reduce the cost, and reduce the recovery or down time after a procedure. The key to combined procedures is safety and a pleasant experience. If the combined procedures are lengthy, say over four to five hours, the risk of a smooth recovery may be affected. Also, if the combination, say submuscular breast augmentation and significant muscle repair during a tummy tuck, make you distinctly uncomfortable and the experience a regret... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Combining breast revision and a tummy tuck

Your breasts do not go along with the rest of your physique very well so downsizing the implants and going below the muscle if they are not already is very reasonable. You will for sure need a full lift with a crease incision because of how much extra skin you will have to deal with. With respect to your abdomen, a tummy tuck will tighten the lax skin but you will have a slightly higher scar than some because of the fact that you don't have that much extra skin. These surgeries can be... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Combining these operations is certainly possible

It is very common to combine tummy tuck with breast surgery; this combination of procedures is known as a "mommy makeover". A couple of things: 1) Downsizing your breast implants sounds like a very reasonable thing to do. The sheer size of your current implants has likely stretched out the breast skin envelope and weakened the supporting ligaments. When you downsize to such a smaller implant, a significant amount of revision will be required of the internal breast pocket. In... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Breast and tummy surgery

It is perfectly fine to exchange breast implants and perform a breast lift along with a tummy tuck. I do this all the time. It really is no problem.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast and tummy surgery at the same time should be fine

Breast and tummy surgery at the same time should be fine. Your breast implant size can be reduced, but there will be significant scrs, which will be permanent. Your abdomen will be best served by a 'Low Scar' Abdominoplasty with full undermining and 'free float' of the umbilicus.

G. Gregory Gallico III, MD
Boston Plastic Surgeon

Breast implant size reduction, lift, and tummy tuck

Yes, these procedures can and are often being done at the same time. These procedures are often combined as a "mommy makeover" and is done after all the pregnancies have been completed and the havoc of those pregnancies can now be corrected.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Breast lift, implant size reduction, and tummy tuck can be done together

Absolutely, you can get these operations done together. As for the implant size reduction I find no problem in using a 250 cc implant with a full mastopexy. Good Luck!

Darryl J. Blinski, MD
Miami Plastic Surgeon

Mommy Makeover

It is possible to combine a breast lift, implant exchange, and tummy tuck. Your request for minimal scarring, however, is somewhat problematic. The breast lift procedure will result in a significant amount of scarring, especially with a reduction in the volume of your implants. I also agree that combining mastopexy and implant exchange is risky, especially if you are a smoker.

John Whitt, MD
Louisville Plastic Surgeon

Are the procedures I want Possible to do at once?

Hi there- It would be possible to do the procedures you are interested in at one operation, however... Your satisfaction with doing so is going to greatly depend on the techniques used and the experience of the surgeon in doing these particular procedures. Many plastic surgeons won't do these combination procedures because the outcomes in less experienced hands are a bit unpredictable. As long as you do your homework, you should be able to approximate your goals.

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Combining breast lift, implant size reduction and tummy tuck is possible

Performing a breast lift, implant size reduction and tummy tuck together is possible but there are a few things you need to be aware off. As regard the breasts - " I have no natural breast tissue left, thin skin with little elasticity. I'd like to reduce my silicon 550cc down to a small implant (200-250cc) with minimal scarring. " Replacing your implants with smaller ones and lifting the breasts would not be a minor procedure and may not be done with minimal scarring. Because of... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast implant exchange, downsizing and tummy tuck

SEE VIDEO FOR EXAMPLE: To some degree you are discussing essentially a "mommy makeover" Your procedures can be performed and you are an excellent candidate and I would anticipate great results. However, some surgeons are reluctant to perform a combination breast implant exchange and breast lift (right greater than left) due to concerns with the blood supply to the nipple. This procedure has a higher revision rate than other procedures see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Combining Breast Lift with Implant and Tummy Tuck Often Advantageous

Yes, it would be possible and in fact is common to combine breast procedures including implant exchange and lift at the same time. This is essentially in the Mommy Makeover category. I would use a short scar, lollipop scar, technique and think that you would do well. It also sounds like you are a good candidate tor a tummy tuck.