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 utilized (which limits what you can see), or a wide tunnel will be used.  Because the approach is from below, if a wide tunnel is used the surgeon runs the risk of loosing a well defined infra-mammary crease - something that we would prefer to avoid.  I view this operation somewhat the same at TUBA (trans umbilical breast augmentation) - a bit of a sales gimmick.  Do your research and form your own opinion.

Dr.B

It is possible to to the BAM via tummy tuck incision, though it is not as common as traditional breast incision.  If done by an experienced surgeon, it should be OK, but it is harder, and I suspect less accurate.  I have never done it this way.

This is basically a TUBA procedure done through a tummy tuck incision. Any surgeon that does the trans-umbilical augmentation can do the trans-abdominal route. It is technically easier to do anyway. The real question is why. Since silicone implants are available to everyone over 22 for augmentation the TUBA procedure has lost interest as it is best for saline implants. The trade-off of the small breast incision for the benefits of a sub-muscular silicone implant is well worth it. The long term results and the lower risks of the breast incision usually is the best option.