Tummy Tuck: Q&A
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Tummy Tuck Through Incision Under the Breasts?
I have no stretch marks and I have fairly tight skin. I have very severe diastasis. I'll be having a breast augmentation, and was wondering, is it possible to also have a Tummy Tuck done with the incision under the breasts, not from one side of the hip to the other?
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20 Doctor Answers |
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jmnda
in la, ca usa
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Reverse Upper Abdominoplasty for Diastasis
I regularly perform upper tummy tucks for excess skin in the upper abdomen withtthe scars hidden in the inframammry fold under the breasts.
This surgery can be performed alone if the only concern is excessive or loose skin in the upper abdomen. Often, patients with this concern have had a mini tuck from another physician who did not address fullness in the upper abdomen.
Usually, however, I perform an upper abdominoplasty in conjunction with a mini tummy tuck. The muscle repair...
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Great concept, but bad idea for your situation.
A reverse abdominoplasty is sometimes done in patients undergoing large breast reduction surgery since the incision goes from one side of the chest to the other. However, if you are having breast augmentation, then you should have very small incisions (<3 cm each). The incision to do the reverse abdominoplasty would be closer to 30 to 40 cm. Even if you did not mind the incision, the results from reverse abdominoplasty do not look as nice as traditional abdominoplasty. Please really...
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No Do-Over's: A Scar is Forever
If you are concerned about an incision across the pelvic brim, which should be hidden by your underwear and most swimwear, you should ask the surgeon if he (or she) would, in good conscience, place the proposed incision on his wife or sister's chest. I'd be willing to bet the answer would be NO, approximately 999 times out of 1000.
First, there is nothing inherently wrong with placing breast implants through the inframammary fold, with the exception that this incision is sometimes visible...
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Los Angeles Plastic Surgeon
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Consider a though the belly button abdominal wall tightening procedure!
As you'll notice above, there is general disagreement about the procedure you're considering. If skin is not an issue on your abdomen, you should consider having an abdominal wall tightening (rectus diastasis repair) through an incision placed only in the belly button. You do not need additional scars in the pubic area or underneath the breasts. The procedure takes about 60-90 minutes and can accomplish the same thing from an abdominal wall tightening perspective that a full...
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Don't try this
This would be an ill advised procedure in my opinion. It is possible however to do a rectus diastasis repair from a small lower abdominal incision. Some surgeons even do this endoscopically.
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Reverse tummy tuck
Patients who have loose deep fascia may want to get this tightened. This can be done through minimal incisions (endoscopic tummy tuck or hybrid tummy tuck). It is no longer necessary to get a hip to hip incision to tighten the entire deep fascia.
It is possible to remove a small to moderate amount of upper only abdominal skin through a breast lift incision, not through a breast augmentation incision. It can actually be a very satisfying procedure for a fit woman without a lot of loose...
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I would avoid this in most cases
This technique (a reverse abdominoplasty) is helpful only in certain cases, and the two biggest problems with it are the presence of the scar and the inability to adequately contour the abdomen. A traditional tummy tuck works very well and the scar is not only hidden but will usually fade quite a bit with time.
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Reverse abdominoplasty
You're describing a technique called a reverse abdominoplasty. You are correct that the incision changes from being from hip to hip to being across the entire chest at the level of the inframammary fold. This can be an effective technique for patients with significant amounts of excess skin above the umbilicus.
Here are the things that are important to consider:
1. Even though the majority of the scar is hidden within the breast fold, the scar typically also continues between the breasts...
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A tummy tuck is rarely performed through an incision under the breasts.
The scars of this type of operation are usually unacceptable. It is occasionaly done in massive weight loss patients as a secondary procedure to an extended abdominoplasty. I personally have never used the approach in any other patients.
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Diastasis Repair
I would not recommend a "reverse" tummy tuck when having a breast augmentation. A reverse tummy tuck places the incision in the upper chest rather than at the lower abdomen. This is particularly useful for women with excessive skin in the upper abdomen rather than the lower abdomen. Often, this is performed after massive weight loss and can be combined with a breast reduction or lift.
For issues related only to a diastasis or separation of the rectus muscles, I recommend a...
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