Baruch Jacobs, MD, FACS

I think that you would get a great results with a regular tummy tuck. I don’t think that the additional scars of a circular tummy tuck would be worth the benefit. However I think you would have a better result if you had liposuction of your hips in addition to the tummy tuck for an optimal results.

It appears from your photos that you would have benefited more from a tummy tuck. I don't think that you need to wait more than a few weeks to have a tummy tuck, however, if you can lose some weight first, your results will be better.

The look you want seems to be a little ptotic (sagging), so you probably don't need a lift if you want that sagging look. It does seem that there is a difference in the size of your breasts, but that can be corrected by placing different size implants for your augmentation.

Actually, it is very common that a revision is needed after breast reconstruction - usually to change the size of the implants or to correct an asymmetry in the position of the implants. Sometimes more Alloderm can be used, but usually the Alloderm that is already there has been incorporated into your own tissue and it can be utilized for the revision.
I recommend seeing the plastic surgeon who performed your reconstruction. If that is not possible, find a Board Certified Plastic Surgeon who has experience in breast reconstruction and revisions.

It is difficult to tell from your photograph, but if those areas on your lower abdomen are excess fat then it would be amenable to remove with liposuction. It appears to be only small amounts, so it should be no problem to have the liposuction at the same time as your breast augmentation. However, you should consult with your board certified plastic surgeon to see if he is comfortable doing both procedures.