James R. Cullington, MD

This is common to repair all ventral hernias at time  of abdominoplasty as well tightening any weakness there 

Drug abuserd are not great candidates for elelective surgery cocaine is especially bad for noses Of never use again and don't abuse other drugs no problem but drug pt tend to be deceptive so careful delay is normsl

In general 300cc is equal to a cup  size so an the surface 600 cc should do the job 36 to 38 is chest size and wil not change with implant Bra cup size are not standard but brand specific so you should be examined and try on implants to judge the size that you desire 

these are often done together There are coverage problems for reimbursement so that must be worked out if done separately then do the hernia first then the cosmetic tummy tuck jrc

• Yes you can enlarge the small one  or reduce the big one implants are easy small scar Reduction leaves a bigger scar but is all your tissue