Breast implant revision and mini tummy tuck, reverse tummy tuck - what are my best options? (Photos)

You are a good candidate for a reverse tummy tuck and a mini. The revision of the breast lift would be the same scar as the reverse tummy tuck, but connecting across the middle. I would opt for an internal bra with Galaflex rather than implant exchange, if that is available.

Dear sr8990,


breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.
Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.
While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.
If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.


Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

This is Dr Özge Ergün
Thank you for your sharing photo. This is a highly strategic and well-considered approach, combining several advanced techniques to achieve maximum definition and correction across the breasts and midsection.
1. Breast Procedure: Vertical Mastopexy with Augmentation
• Procedure: We are planning a Vertical Scar Implant Lift—clinically known as a Vertical Mastopexy with Breast Augmentation.
• Rationale: This addresses volume loss and moderate ptosis (sagging). The key advantage here is the scar profile: it requires only a periareolar and vertical incision (the 'lollipop' pattern), which is less extensive than an inverted 'T' or anchor-style mastopexy, while still providing excellent lift and shaping when combined with an implant.
2. Abdominal & Waist Contouring Strategy
• Focus: The goal is maximum lower abdominal correction with defined waistline contouring, while maintaining the shortest possible scar profile on the trunk.
A. Lower Abdomen: Mini-Abdominoplasty
• Procedure: A Mini Tummy Tuck (Mini-Abdominoplasty) will be utilized.
• Rationale: This procedure specifically targets skin laxity and possible muscle diastasis confined to the area below the umbilicus (belly button). The resulting horizontal scar is short and can be optimally placed low enough to be easily concealed by underwear or a bikini.
B. Midsection Definition: Full-Waist VASER Liposuction
• Procedure: Full-Waist VASER-Assisted Liposuction will complement the tuck.
• Rationale: VASER is critical here. It allows for high-definition sculpting—targeting fat deposits across the entire waist, flanks (love handles), and crucially, the upper abdomen. This advanced liposuction technique provides superior fat removal and induces skin retraction/tightening in the upper abdominal zone, which the mini tummy tuck does not address.
3. Addressing Upper Abdominal Skin Laxity
• The Reverse Tummy Tuck Consideration: Your preference to avoid the Reverse Abdominoplasty is noted. This procedure targets upper abdominal skin laxity but requires an incision placed in the inframammary fold (under the breasts), which, as you correctly observe, can be challenging to fully conceal in some clothing.
• Our Plan's Solution: By relying on the skin-tightening properties of the VASER on the upper abdomen, we often achieve significant contour improvement without the need for the upper scar. The final decision will depend on your skin's elasticity and the degree of laxity we observe during a physical examination.
In summary, this is a powerful combination aimed at achieving a highly refined, sculpted silhouette with the lowest possible scar burden.