I started consultations with surgeons for mommy makeover. I am 5'6" 150 lbs, 38 yo. Ps states need a horizontal & vertical incision because most of my belly bulge is at the bottom but I will need MR for diastasis from 2 pregnancies. If it is a FTT, why two incisions. And for implants ps wants areola incision but I prefer mammary fold. Also, with thin chest would saline look good or should I go with silicone. Under or over muscle?
Best Tummy Tuck Technique for Me
Doctor Answers (17)
Best Tummy Tuck Technique for Me
Now these are great posted photos. Sounds like you need MORE in person opinions. Based upon your photos I recommend Full horizontal (only one incision) TT with 3 layered muscle repair and subpectoral inframammary incision augmentation.
Mommy makeover options
Although the procedures that are best for your depend on your goals and body characteristic you would likely be best served by:
1) a full tummy tuck with one horizontal incision in your lower bikini line (I suspect the plastic surgeon you have seen was recommending a lower tummy tuck and a reverse tummy tuck at the same time)
2) breast augmentation with silicone implants. the incision is not that important really so choose the one that you want. It appears that you are a good candidate for either subfascial (on top of the muscle) or subpectoral (under the muscle). Which one would look best depends on the size of the implant and how much laxity you have. If you choose saline implants I would definitely recommend under the muscle as saline on top of the muscle does not look very good.
Last but not least ask for and look at the plastic surgeons before and after photos. These will give you a better idea if the type of work they do is in line with your expectations.
All the best,
Mommy makeover techniques
The angle from which these photos were taken makes it a bit difficult to say for sure, but it does NOT look like you would need a vertical component to your tummy tuck incision. It looks like you would do fine with a traditional tummy tuck which also allows for muscle plication. I don't see any reason why you couldn't have an inframammary approach to your breast augmentation. It is hard to tell how much breast tissue you have, but if your chest wall is thin, I would recommend a submuscular approach. The choice between saline and silicone is up to you. Silicone implants tend to feel more natural, but some women fear the history associated with silicone implants. If the thought of silicone makes you uncomfortable, then go with saline. That choice is up to you...
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Mommy makeover incisions
I would agree with you concerning the tummy tuck and breast augmentation. I prefer an incision under the breast and believe you would get an excellent result without the need for a lift. Make sure the implant is compatible with the diameter of your breast. I prefer under the muscle and either saline or silicone would be available to you. The nuances of that discussion are beyond the scope of this answer.
The tummy tuck should be able to be achieved without a vertical component to the scar.
All the best,
Talmage J. Raine MD FACS
Mommy Makeover San Diego
My opinion: Regular tummy tuck (or "fitness" tummy tuck), saline or gel OK, inframammary approach preferred (your crease is sharp and well defined), and no vertical incision necessary. You will look great, provided your child bearing days are behind you, you are a non-smoker, you're generally healthy, you follow instructions, and communicate well with your doctor. In agreement with other responders, I would be inclined to see several board certified plastic surgeons before committing.
From your photos, it looks like you would do well with a traditional FTT (horizontal incision only). You do not need a vertical incision. For your breasts, I would suggest inframammary crease, subpectoral, silicone or saline implants. You already have a well-defined crease- perfect for an IMF incision. Seek a second opinion with a board-certified plastic surgeon.
Options for a mommy makeover
I would vote that you do not need a vertical scar for the tummy tuck.
It looks like you have enough implant coverage that either saline or silicone should do fine. In that case, I generally recommend saline for all of its advantages. Shorter scar, less expense, no silent ruptures...
I would vote for a IM crease incision. You have a great place to hide the scar, why put in on the visible part of the breast around the nipple.
Traditional tummy tuck and inframammary fold breast augmentation
Based on your photos I would recommend a traditional tummy tuck (no vertical incision) with liposuction of the flanks. The breast implants can certainly be inserted through an inframammary incision (breast fold). A board certified plastic surgeon can easily evaluate you and recommend the best approach for you. There is no need for any vertical incisions to be made on your abdomen based on the photos you have submitted.
Tummy tuck and breast incisions
I would agree with the other posts that you probably do not need a vertical incision, which is usually reserved for patients who have excessive skin and stretch marks that I don't feel will be improved with a traditional abdominplasty (often massive weight loss patients). Regarding breast implants, I feel that the decision would be up to you - both incisions offer a very nice result in most patients as long as they do not have a tendency to form hypertrophic or keloid scars. In the future, if you need revisions on your implants or have a complication, you might need the inframmary or fold scar anyway as it tends to offer slighly easier access to the breast pocket. Saline versus silicone and pocket placement is an individual decision between you and your physician. More of my patients choose silicone implants and I place them in the subpectoral position for a variety of reasons, but we talk about the pros and cons of all the options.
Say No to the Vertical Incision
First, I believe that you do not need a vertical incision for your tummy tuck. The traditional lower incision will suffice. All your needs to produce a flatter appearing tummy through this incision. Concerning your implants, either silicone or saline is appropriate but the use of an areolar incision in patients of color has been problematic in my experience because the scar may not be well concealed. An infra mammary incision is a good choice. Second opinions with a complete exam by other board certified plastic surgeons may be necessary before you move forward.