Sonya Merriman, MD

A front close sports bra works well for most patients until the breasts soften and settle a bit. It should be comfortable (not too tight) and supportive. If your band size was 32 before surgery, you might want to go up a size or two to because of the post op swelling that occurs even below the breasts. Best of luck to you!

I agree with all of the other answers. Local wound care until the area has healed is best.  And after it is healed, if the scar is still a problem, you would need to wait several months before trying to revise it again.  If the tissue is still swollen and the surrounding tissue has not relaxed enough, another wound separation is likely.  Best of luck to you.

It looks like you would do very well with a traditional tummy tuck without the extended incisions. I do not think that you would get a satisfactory result with a mini tummy tuck. Is it possible that there is some confusion between the terminology of mini, traditional and extended? 

Regarding scars, several factors determine what the scars look like once they are healed. The primary factor is your genetic healing tendencies. The best way to predict that is how you have healed from previous incisions. If you don't have any previous incisions/scars, the next best predictor is how your family members have healed. 

The next factor is environmental factors like smoking, sun exposure etc.  You definitely should not smoke or use other nicotine containing substances for several weeks before and after your surgery. And no sun on the scar until it is mature. 

The next factor is surgical technique to reduce tension on the closure and to minimize the risk of infection. I have found that quilting sutures or progressive tension sutures do an excellent job of taking tension off of the closure and gives the best chance to lead to a thin, fine scar. Infection along the incision or tissue loss can cause the scar to be very unsightly so minimizing that risk is needed. 

I think pressure on the scar for a few weeks after is helpful too. Once the sutures are out, I have patients use paper tape on the incision for several weeks.

Best of luck to you with your surgery and recovery! It looks like you are an excellent candidate.

These puckers or pleats will change dramatically for the better over the next few months! Time will do wonders. I think you will be fine.

Hi! Since you state you don't mind having some natural hang, implants alone would work well for you and look very nice and natural. For the price range you are looking for, you could use saline implants in many locations. Silicone gel implants would probably put you above your price point. Good luck with your surgery. Remember, always seek out the expertise of a surgeon certified by the American Board of Plastic Surgery.

Based on your photos which are helpful, but not as good as an in person evaluation, it looks like your primary problem is excess skin rather than excess fat. In this case, the best procedure would be a tummy tuck. You may want to go back to your surgeon and make sure your goals are clear and the results that you can expect from the planned procedure are very clear to you. And make sure your are working with a plastic surgeon certified by The American Board of Plastic Surgery. 

A BBL that could be achieved with your current amount of available fat would be very modest at best. 

Good luck with your upcoming surgery and recovery!

Your photos do not show anything that looks out of the ordinary for someone one week after a tummy tuck that includes liposuction. I also don't see anything that looks like dog ears. I think you will be very pleased with your results as your swelling subsides. Your plastic surgeon did a very nice job. Best of luck with your recovery!

The only way to remove the skin and still give you a pleasing shape is to do it as part of a tummy tuck. A tummy tuck would give you a very nice result, where as liposuction alone or just removing some skin would give you rather disappointing results. Liposuction alone would not take care of you already loose skin and would probably make it worse. A limited skin excision would only address part of the skin looseness, not all of it and won't take care of any of your post baby fat. A tummy tuck which includes liposuction to contour the waist and thin the fat above the belly button, muscle repair and removal of the skin and fat below the belly button is the only procedure that will give you a really nice result. Best of luck to you!

Implants will change the size of your breasts, but not the shape. You have significant true ptosis (sagging of the breast where not just breast tissue is below the fold, but the nipple is below the fold). You will not get a pleasing result with implants alone. The implants will settle down to your current fold, and you will still have breast tissue hanging off of the implant. You will need a lift to get a nice result, and 800 cc's is not safe with a lift at the same time (and not even without a lift actually). Best of luck with your procedure!

The liposuction involved in a BBL would reduce the fat remaining in your stomach area, but will not improve the looseness of the skin. If part of your pouching of the stomach is because your muscles have separated from your pregnancy, liposuction won't fix that, but a tummy tuck will. Of course, you don't want to do a tummy tuck until you are through having children, because a pregnancy after a tummy tuck could very well undo the results of the surgery. Also, as far as the BBL goes, you do not have a lot of fat to work with, and might need to gain a little weight to have more available for the buttock augmentation, depending on what degree of buttock augmentation you want. Good luck with your goals!