I had read of a procedure that allows a breast augmentation while doing a tummy tuck, using the tummy tuck incision rather than incising the breast. Is this a commonly used procedure? Would it be as accurate placement if it was done using this method?
Is Breast Augmentation Through Tummy Tuck Incision Possible?
Doctor Answers 48
Breast augmentation through a tummy tuck incision?
Yes, a breast augmentation can be performed through a tummy tuck incision. Although the same result can theoretically be achieved by doing so compared to an incision in the breast fold, areola, or arm pit, the amount of control that the surgeons has is potentially less.
If my loved one asked which I would recommend for them I would say to perform the breast augmentation through a standard incision and get the best result possible with the lowest risk for complications or less-than-ideal result.
All the best,
Breast Augmentation Through Tummy Tuck Incision
I have performed many of these combination procedures over the past few decades and think it is a great idea without significant increased complications.
Breast Augmentation is Probably Best Kept Separate from a Tummy Tuck
Disadvantages outweigh Benefits for using Tummy Tuck scar to place Breast Implants
Mommy Makeover procedures combining a Breast Augmentation and Tummy Tuck are highly satisfying for both patients and surgeon.
While it is possible to place breast implants through the Tummy Tuck incision, the disadvantages would seem to outweigh the benefits:
Admittedly, not placing separate incisions for Breast Augmentation is a benefit, and conceptually I like this idea.
Control and visualization - placing breast implants from the tummy tuck decreases control and visualization of the operation (especially silicone implants because silicone implants come fully-filled).
Capsular contracture - separate incisions allow us to keep the two areas of the tummy tuck and breast augmentation apart, and this should reduce the chances of cross-contamination and subsequent capsular contracture.
Hope this helps,
Nick Slenkovich MD, FACS
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Breast Implants Through a Tummy Tuck Incision
Placing breast implants through the tummy tuck incision is definitely possible, but not recommended.
It may sound like a good way to reduce incision scars, but the tradeoffs are not worth it. It is harder to create the implant pockets with the precision breast augmentation deserves. The results from this approach may increase the risk of poor implant motion, malposition, or asymmetry.
As plastic surgeons, we are always sensitive to minimizing scars, but not to the point of disproportionately compromising the outcome of the surgery.
Mommy Makeover - with no visible breast scars
You are asking for a Mommy Makeover with no visible breast scars. Although it is done, I do not think it is a great operation. Look at the patient in my video - her breast augmentation was via a periarolar incision. Direct approaches (such as the infra-mammary approach or periareolar approach) give excellent visualization to allow for a lot of finesse in the result of the breast augmentation. With the trans-abdominoplasty approach, either a small tunnel will be utilized (which limits what you can see), or a wide tunnel will be used. Because the approach is from below, if a wide tunnel is used the surgeon runs the risk of loosing a well defined infra-mammary crease - something that we would prefer to avoid. I view this operation somewhat the same at TUBA (trans umbilical breast augmentation) - a bit of a sales gimmick. Do your research and form your own opinion.
Breast Augmentation thru Abdominoplasty Incision
Possible to do but not recommended. There are many creative ways to perform some of the plastic surgery that we do. But at times those creative ways are not always the best way of doing it and has compromises.
So, no it is not recommended. It is a compromise and not optimum. The periareolar incision heals so well and provides an accurate way to place the implant, why do it in a compromised way?
Hope that helps and gives you some insight.
Transabdominal breast augmentation
Transabdominal breast augmentation or (TABA) is exactly what you described. While performing a tummy tuck, breast implants are placed through this incision in a precise manner to also perform a breast augmentation. Although, I am not the first person to do this, I have written this technique up in the plastic surgery journals and have presented it to other plastic surgeons at national meetings. It is for a limited number of patients. If the breasts sag significantly, it would be done in a more conventional way with a lift procedure.
Separation of breast and belly
While the idea of a scarless breast augmentation is appealing, the reality is that techniques which compromise the inframammary fold, (where the breast meets the chest wall), which would need to be done in order to place the implants through the top aspect of the abdominoplasty flap are not freebies. Surgical manipulation of this area can result in "bottoming out" of the breast implant, where the breast slides off the chest into the upper abdomen. Most of the other consultants agree that it is preferable to use another approach. Good luck.
Breast augmentation through a tummy tuck is not recommended
Breast augmentation through an abdominal approach is a fairly old procedure which was also called a TUBA or a trans-umbilical breast augmentation. The advantage was a scar off the breast though we seldom hear much about the technique any longer. The technique required special instruments and was 'blind' in that it was difficult to control the implant placement, and submuscular augmentation was quite difficult. The procedure applied to saline implants inflated in place. Augmentation through an abdominoplasty incision is possible though there seems again to be little interest in the procedure and added risk of a poorly positioned implant, or adding to what would extend beyond the more conservative and safe tummy tuck procedures practiced today. Keep in mind as well that as your breast implants wear they will be in need of replacement and any of the other three choices, inframammary, periareolar, or transaxillary is a better approach.
Best of luck,
Breast augmentation done at the same time as an abdominoplasty using implants is not a new procedure , it would be similar to the dissection of a Tram flap breast reconstruction however without the view from above. It would be harder to get homeostasis and bleeding is more difficult to detect since the breast pocket is in continuity with the abdominal cavity there is a large dead space that can fill up with blood. I know of at least one death from this technique when done by a board certified Plastic Surgeon. I would not recommend it.
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