I Want Fuller Breasts and a Flatter Tummy, but Not the Huge Scars, What Are my Options? (photo) Doctor Answers, Tips
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I Want Fuller Breasts and a Flatter Tummy, but Not the Huge Scars, What Are my Options? (photo)

I am 5'6", 138lbs, I am VERY ACTIVE and strong. I like my shape, weight and body in general. I am not looking for perfection, just a little better. I would like a slight lift on my breasts do to loss of fullness on top and stretchmarks. I want to donut lift. I also would like a mini tummy tuck, no muscle repair. I just want some skin and stretch marks removed. I don't have a lot of extra flab on my hips or sides, no muffin top. Just icky skin.

23 Doctor Answers | Asked by star_reserve
+2

A Mommy Makeover Will Reshape Breasts and Flatten Tummy

Although there is some scarring is involved with a breast lift with implants and tummy tuck this is your best overall option. Here are the reasons: Only a breast lift with implants will return some of the upper breast fullness you have lost. Only the full abdominoplasty with flatten your tummy and get rid of most of the damaged skin You are an excellent candidate for both of these procedures and will get an outstanding result whereas more conservative procedures... more
+2

Options for Mommy Makeover

Thank you so much for sharing your photos. It allows us to give you more accurate recommendations. I understand your concern for minimizing scarring. We as plastic surgeons are always looking for ways to minimize or conceal scarring. However, the key principal of body contouring is that in order to achieve ideal shape and contour, we must sacrifice scars. Although you are interested in a donut lift and mini tummy tuck, based on... more
+1

If someone had a "Magic Wand" your wish could be granted.

Other than my own headline, I like Dr. Soto's the best. Your requests are certainly understandable (best result with the least scarring), but as well-trained, ABPS-certified, and experienced plastic surgeons, the best among us will not pander to your lack of knowing what most of us have learned the hard way, and will try to explain that what you ask is just not possible. Thanks for including photos; they are instrumental (but not as good as a personal examination) in helping to see that... more

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+1

A breast lift and full tummy tuck are likely your best options.

Thank you for your question and the photos. A breast lift and full tummy tuck are likely your best options. To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.
+1

What you want is "mini", but you need more to adequately deal with breast sagging and loose abdominal skin

You are not the only one who starts by saying they don't want big scars. I don't like big scars either. Here is the issue. First of all, the donut lift is useless. It does virtually nothing to correct the breast sagging and usually distorts the areola. So you get scars with little or no benefit. You have more than borderline sagging and would be best treated with a vertical (lollipop) lift. Although there is a vertical scar, the breast shape is much... more
+1

Ultimate Breast Lift= NO VERTICAL SCAR

Dear Star, Thank you for submitting photos with your question. It is apparent a donut lift will not be sufficient in your case. However, if you are looking for upper pole fullness with minimal scarring, then I advice you to research the Ultimate Breast Lift. The UBL is a new technique that reshapes the female breast and lifts it so that implants are not necessary to achieve upper pole fullness. It was designed using engineering principles to eliminate the vertical scar which... more
+1

Mommy Makeover - options

Of course a periareolar lift and mini-tummy tuck may help a little however don't expect a home run from either. To get optimal results, I recommend a full tummy tuck and a full mastopexy. The scars from both can be minimized and really do heal exceptionally well. A full tummy tuck can still be performed without muscle repair. A periareolar lift will flatten the breasts a little so be prepared to discuss with your surgeon all your options and make sure you have... more
+1

Options for tummy and breasts

Your photos are very helpful. I don't think a donut mast openly will give you the upper breast fullness you are looking for. I think you would do best with a formal breast lift but the trade of would be the additional scars. Likewise it looks like you have a good amount of extra skin above your belly button. In order to get that better you might need a full length scar. It doesn't mean that you have to have the muscle tightened though. Ultimately you will need to choose between the... more
+1

Mommy makeover procedures

All contouring procedures require some degree of scar to achieve that better form. I understand your desire to minimize scarring. But you don't want to tie your surgeons hands limiting his/her ability to give you the best shape and form. Based on your photos, you will likely need a breast lift and augmentation and a full tummy tuck. The first step would be to visit a board certified plastic surgeon to learn more about your options. Best of luck. Dr.... more
+1

I Want Fuller Breasts and a Flatter Tummy, but Not the Huge Scars

Although I do understand your desire for improvement with minimal scars, for the procedures you are contemplating you may be compromising your potential outcome so much that you may be better off not having surgery. Breast: A periareolar lift will give you a scar around the areola, result in a small change in the position of the areola, but will not give you added upper pole fullness. It will not address the stretch marks. But even a maximal skin resection will not eliminate... more
+1

Breast and tummy surgery

Dear Sara, I understand your desire for small imrovement only. "Just a little better" . For the breasts, a donut lift will improve your saggyness and raise your nipples. For the abdomen, you can do skin tightening only without tightening of the muscle , however , I would strongly recommend a full undermining of the skin all the way to the chest bone. This way you will get rid of more skin with strech marks and you will replace the sad look of the belly butten... more
+1

Be VERY careful what you ask for!

Hi there- While I appreciate that you are willing to accept a less than perfect outcome, and that you believe your compromising on this may allow you to avoid a larger procedure, it is important that you understand that these compromises are likely to cause you to have a strange, funny looking, and conspicuously "operated on" appearance... The very most unhappy women I meet are those who had such a procedure, thinking they would be able to avoid a larger scar, or that they would be... more
+1

Scars and breast/tummy surgery

By your photos, it seems that you would need a full tummy tuck in order to get the best shape, and that you would have disappointing results with a mini-tummy tuck. The tummy tuck scar is a low scar, which can be easily hidden by underwear or bikini. As for the breasts, if you are interested in having more upper fullness, you would need a breast augmentation. In addition, you would probably also benefit from a breast lift as well, but with the breast augmentation, this... more
+1

Breast lift with minimal scar and limited tummy tuck

With a donut mastopexy ( breast uplift ) you will end up by having a concealed scar around your areola, you will get perckier breasts whith some degree of lift . However do not expect to get a fuller upper pole of your breasts. A mini tummy tuck would nor address your concerns, you would benefit from a full abdominoplasty, tightening of the abdominal muscles are recommended, however, it could be optional. Incision for the tummy tuck could be designed the way that the... more
+1

In Tummy Tucks And Breast Lifts, Sometimes Less is Less

You need an in person consultation with a Board Certified Plastic Surgeon who has lots of experience in the Mommy Makeover. Your concerns about excess scarring are very reasonable, but to choose a lesser surgery may still leave you with excess scarring and an incomplete result which may seriously disappoint you. Scarring after major body procedures may have something to do with your genetics, but very often has something to do with your surgeon's attention to detail. Most... more
+1

Breast Lift and Tummy Tuck Options?

Although your concerns regarding scores are understandable, I do not think you will do well with either one of the procedures you have mentioned. Based on your pictures, it is clear that you will do well with a full breast lift and a full tummy tuck. Any lesser operation would not provide you with acceptable results. If you are seeking to achieve increased fullness along these superior poles of the breasts, breast augmentation may also be helpful. Breast lifting and tummy tuck... more
+1

Tummy tuck - abdominoplasty with breast lift

Your desire for fewer skin scars and the least aggressive surgery are understandable but not reasonable. Obviously the more excess skin you remove in a tummy tuck or breast lift the longer the scar will be otherwise you will end up with puckering and distortion. It is hard to tell from a front view but it looks like your nipples are well below the level of the breast crease even with your arms raised over head. In such cases the donut would be so big that the inner and outer edges of... more
+1

Mommy makeover

An option for your abdomen would be an umbilical float abdominoplasty which could limit the lower tummy scar. The doughnut mastopexy would have a limited scar, but tends to flatten your breast. Most plastic surgeons feel that their patients are more accepting of a lollipop scar from a vertical mastopexy as a trade for a much better conical breast shape.
+1

Tummy tuck and breast lift.

Based upon your photos you are weight appropriate,but have excess loose skin in the breasts and in the abdomen. You look like a good candidated for full breast lift and full tummy tuck and possibly breast augmentation for upper pole fullness. Yes, sadly these surgeries leave scars, so you have to decide if the scars are worth the trade off. Only a physical exam by a plastic surgeon can guide you fully, but I think that based on what I am seeing smaller measures will not do... more
+1

Minimizing scars with Breast and Abdominal procedures

I understand your concerns regarding limiting scars to acheive your goals. However, a donut-lift and mini-abdominoplasty would likely be insufficient for you. To acheive optimal results, I feel that you would likely require breast lift with augmentation (augmentation mastopexy) and traditional abdominoplasty to remove the stretch marks. As always, it is very important to consult with a board-certified Plastic Surgeon for a full evaluation.
+1

Unfortunately, Not A lot!

I know its not what you want to hear but you need to be realistic. To start with, the periareolar or donut mastopexy would be a mistake in a patient like you. You would get no additional upper fullness and the scars would probably stretch within a year. I feel from the photos you show (which are with your arms up) make your breast look higher than they are naturally. I feel that for the lift you would need at least a vertical mastopexy. As far as the abdomen, a... more
+1

Tummy Tuck, Breast lift

Short cits to avoid long scars will result in suboptimal results that you may not be happy with. Cosult a board certified plastic surgeon to discuss each procedure and what to expect from each procedure.
+1

Mommy makeover options

I think your goals are good ones. I would first recommend you have a face-to-face consultation with a board-certified plastic surgeon in your area. Based on your pictures, I don't feel that a periareolar (or donut) mastopexy would give you the upper pole fullness of your breasts that you desire without the addition of an implant. A mini-tummy tuck is reasonable, but will also be limited in how much of the stretch marks it will be able to address, but may be able to... more
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