Upper reverse tummy tuck in combo with a lower mini tummy tuck. Any risks or negative aspects of this? (Photo)

First, your belly button looks good in the photos, and my guess is that your skin tone would not allow a full abdominoplasty to be done without a high scar. Depending on what your skin tone is, a mini could work nicely for the lower abdomen. The reverse tummy tuck would place the scar where the bottom part of the breast lift scar would be except for the part across the midline. You might be able to get a little bit of lift with excision of some skin only below the breasts, but this would be minimal. It is hard to second-guess the surgeons who have actually examined you personally. See my website for pictures of the combo you describe ("bidirectional abdominoplasty"). It is not a common procedure but it might be a reasonable option for you.

Thank you for your question and posting an appropriate picture. There are a few patients that are good candidates for a mini abdominoplasty. Based on your picture, you seem to be one. Your bellybutton area of concern can be corrected during a mini tummy tuck with endoscopic plication up to your xiphoid process (breast bone). You need to be examined in person for precise  recommendations.

From the photographs you look like an excellent candidate for a more traditional abdominoplasty were the incision is below the bikini line horizontally across the lower abdomen. I've never heard of the combination of procedures you just described.