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.
I Want Fuller Breasts and a Flatter Tummy, but Not the Huge Scars, What Are my Options? (photo)
Doctor Answers (23)
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 with smaller scars will most likely not make the changes you describe.
In general, the scars are well hidden and well healed and fall beneath even a 2 piece bathing suit. Be certain you consult with a plastic surgeon certified by the American Board of Plastic Surgery and look at several examples of his results and the healed scars. Patients are generally so excited about the improvements after surgery the last thing they are concerned about is the scarring. I find patient have a greatly improve body image and can wear a much greater array of clothing choices.
It is almost always best to perform the correct procedure or no procedure at all. Saving a few centimeters of scar length is usually not worth having an inferior result.
Finally, the stretch marks which cannot be removed would probably benefit from Fraxel laser. This will make them thinner an less noticeable.
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 your pictures you would obtain a very unsatisfactory result and be unhappy with the minimal amount of skin that would be removed with this procedure in your case.
Your pictures indicate that you need a full tummy tuck and circumvertical breast lift +/- implants based on your desired size.
I hope this helps.
Web reference: http://www.drpaulgill.com
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 you are slim and fit-appearing, but with loose skin of your breasts and tummy areas.
A mini-tummy tuck will NOT give you a good result, only dog ears, and the need for a second operation to try to "fix" the inadequate result that you got, rather than what you "saw" in your mind's eye and no plastic surgeon can achieve (research on this site about mini tummy tucks, and you will see what we mean).
Since implants cannot lift your breasts, this is not an option to help the ptosis (sagging) your breasts exhibit even with your arms up, and a periareolar "lift" provides minimal lift, scars that are often puckered, pleated, and irregular (because of the discrepancy between the outer cut circumference and the areola's circumference), and breasts that are still saggy and now flattened with visible scars. A carefully tailored full breast lift (plus implants if you do wish more fullness) will give you immeasurably better results, and if you heal like most patients, the scars are actually superior to donut lift scars. For examples click on the web reference link below. Good luck and best wishes! Dr. Tholen
Web reference: http://www.mpsmn.com/photogallery/breast-lift-mastopexy-5870
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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.
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 better and even the scar around the areola tends to look better because there is little tension on it (unlike the donut procedure).
With regard to your tummy, you have lots of extra skin, stretch marks and a large fold over your belly button. You would be best served with a regular tummy tuck (it's not even a close call). Keep in mind that a mini still has a pretty long scar and just won't get the job done nearly as well. Best to get the results you want (one operation is better than two), but keep the scar nice and low, within your bikini line where you won't have a problem with it. My patients worry about the scar before surgery, but not after.
It is not unusual for a patient to come it to see me wanting one thing and I know that is not going to do the job for her, so I have to show her what will. I've attached a link to the tummy tuck section of my website. You can also check out the breast section if you like.
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 realistic expectations of outcome with smaller surgery.
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 scars you are willing to accept and the results you really want. In general the tighter you want it, the more scars which you are left with. Good luck.
Web reference: http://www.cosmeticsurgerybaltimore.com/
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.
Web reference: http://www.basuplasticsurgery.com
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 many of the stretch marks. At a consultation your surgeon may recommend a vertical, horizontal, or both incisions in addition to the incision around the areola
- Abdomen: Although not doing muscle tightening may be reasonable, limiting your surgeon to the lower abdomen (most of us would define this as a mini-TT), you will get no correction of the skin overhanging the navel, and it will probably look even more noticeable than now with a tightened lower abdomen. In addition, although there would be a scar around the navel with a full TT, the navel should look more attractive than it does now.
I would think twice before signing on with a surgeon who accepts your limitations.
Breast and tummy surgery
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 with a nice "inni" one. Be sure to select an experienced board certified plastic surgeon.
Best of luck,
Web reference: http://widderplasticsurger.com
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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