How can my IMF be reconstructed? (Photo)

Question

Almost 2 years ago i opted for a reverse tummy tuck at the same time as a breast lift with implant exchange. Now i have no imf and my implants are too small. One surgeon recommended imf reconstruction but he wouldn't perform it and the other to increase my implants from 335cc to 550cc. What should i do?

Daniel Barrett, MD · Answer

Dear fdelarosa14,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Wayne I. Yamahata, MD · Answer

A risk of a reverse tummy tuck is the lowering of breasts from tension. This risk is probably increased when combining this with a breast lift. The inframammary folds can be raised with capsulorraphies, but it will be a challenge. Have you discussed this with your original surgeon? This would be the appropriate place to start.

Gary M. Horndeski, MD · Answer

You need scar revision to make the scars look more attractive. At the time of scar revision, the closure can help define the IMF. I would not recommend going to larger implants. You can also revise the tummy tuck at the same time.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

Progressive tension sutures are key to preventing a reverse abdominoplasty failure. Your breasts need new implants, capsular tightening with mesh,  breast lift scar revision, and a IMF reset via revision reverse abdominoplasty, all of which I've done numerous times.

Connie Hiers, MD, FACS · Answer

I am not a fan of the reverse tummy tuck because it often just pulls the breasts down over time. I would suggest repairing the fold, using mesh if needed, but not going larger. A heavier implant will increase your risk of bottoming out again, especially as you age.

Darryl J. Blinski, MD · Answer

Based on your nice post photos, the initial error was doing a reverse tummy tuck at the same time of implants and breast lift now you do not have a capital I capital MF fold formed and have bottom of implants. Best to virtual consult with. But reconstruction of the capital IMF fold is difficult and may take a mesh and suturing technique to the ribs. Fee 10,000 and $20,000 with enlarging the implants also. Again, best of virtual consult with.

How can my IMF be reconstructed? (Photo)

Answers (6)

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