Thank you for your question regarding combining a reverse abdominoplasty with a breast lift. While these procedures can be performed together, reverse abdominoplasties are generally not recommended as a common approach, particularly when you're aiming for the best overall results. A reverse abdominoplasty primarily focuses on the upper abdomen and does not address the lower abdomen, where many patients experience excess skin and fat, especially after pregnancy or significant weight changes. Additionally, this procedure does not include muscle plication, which is essential for tightening the abdominal wall if you have muscle separation (diastasis recti), commonly seen after childbirth. Without addressing these key areas, the results may be less comprehensive compared to a full tummy tuck. For patients seeking optimal results, it's usually better to consider a full abdominoplasty, which targets the entire abdomen, including the lower section and any muscle repair that might be needed. This can be combined with a breast lift. Please seek multiple consultations with board certified plastic surgeons with tons of before and after photos of your desired procedures. I wish you the best! Sincerely, Dr. Katzen