Lose skin under breasts after tummy tuck - can this be fixed with an extended tummy tuck? (Photos)

Question

What are the odds of getting the sides smoothed out with an extended tummy tuck without a FDL or reverse tummy tuck? I want to have realistic expectations. Also getting a breast lift and augmentation and arm lift.

Gary M. Horndeski, MD · Answer

The loose skin under the breasts can be helped by the Bellesoma. This technique reshapes your breast tissue creating upper pole fullness without implants, elevates them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This technique will decrease the probability of needing a fleur de lis because the upper abdominal skin will be pulled up. This can also include the arms by doing a brachioplasty as well as axillaplasty to take care of the hanging skin.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. From the photos, a circumferential lower body will give you the best results. I would not perform a FDL or reverse tummy tuck in you.
I wish you the best.
Vasileios Vasilakis, MD, FACSDouble Board-Certified Plastic SurgeonHouston, TX.

Elisa Stein, MD · Answer

CallieDreaminnn,It will be difficult to redrape the excess upper abdominal skin fold with a traditional abdominoplasty alone. Extended the incisions to your flank or even 360 degrees may not allow for the smooth contour you desire. The fleur de lis abdominoplasty will pull in horizontally along your upper abdomen, but your laxity is also vertical. A reverse tummy tuck does help that area, but will not help with your significant lower abdominal laxity. If you stage all your procedures, your breast lift could incorporate elements of a reverse tummy tuck to improve that area. Dr Stein

Camille Cash, MD · Answer

You can anticipate improvement in the abdominal contour with an extended tummy tuck but may still have some loose skin, which may be more noticeable in certain positions.  To get the best outcome a fleur de lis approach would be recommended for you.  This would remove skin from both the horizontal and vertical planes for the maximum improved contour.

Lose skin under breasts after tummy tuck - can this be fixed with an extended tummy tuck? (Photos)

Answers (4)

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