How can I fix the excess skin between my breasts after a reverse tummy tuck? (Photo)

Hello ASJ1986, and thank you for your question regarding the concerns after your reverse tummy tuck.

Thank you for sharing your history and photos. A reverse tummy tuck is a technically challenging procedure that requires meticulous preoperative planning and precise surgical execution. To avoid excess skin between the breasts, the upper abdominal skin must be carefully lifted and pulled laterally during surgery. Unfortunately, when this step isn’t performed, residual skin between the breasts, like what you are experiencing, can occur.

The only definitive way to remove the excess skin between your breasts is through surgical excision, which would result in a scar between your breasts. Since you prefer not to have additional scarring, living with the skin may be your only alternative.

For the fibrosis and lipo burn scarring, I recommend lymphatic massage to reduce inflammation and improve tissue mobility. Additionally, for the scars under your breasts, consider treatments such as steroid injections or 5FU injections to soften and flatten the scar tissue. Laser treatments like Fraxel can also improve the texture and appearance of your scars over time.

I hope this helps provide clarity about your options. Please consult with an experienced, board-certified plastic surgeon or dermatologist to determine the best course of action for your specific concerns.

Sincerely,
J. Timothy Katzen, MD

The reverse tummy tuck has several potential issues, one being excess skin between the breasts unless the incision is carried out all the way across the abdomen. This area can be excised with the scar connecting both sides. With your thin tissue, scars and burns, I do not recommend skin tightening treatments with radiofrequency or J plasma because of the potential of more scarring and burns.

I'm sorry for the issues you are experiencing. In order to address the excess skin between the breasts you will need to consider excision which will involve a scar. I encourage you to visit a board certified plastic surgeon near you for a second opinion as you have several areas of concern.

I’m sorry for What happened to you.
Your provider selection process was not done well.
Was this work done in your own country by a board certified plastic surgeon?
The procedures you had are permanent and a reversible.
Unfortunately, if done poorly people can be left disfigured.
At this point it’s going to be very difficult to improve your outcome in any way.
Small partial improvements may be possible but in the big picture revision surgery may no longer be worth it.
I cannot emphasize enough, the importance of provider selection, and properly vetting providers before selecting surgery.
Delivering consistent quality liposuction results is more difficult than most people realize.
I suggest patients do that by first having multiple in person consultations with board-certified plastic surgeons in their own community.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own.
Being shown a handful of pre-selected images representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider.
An experienced plastic surgeon should have no difficulty showing the before and after pictures of at least 50 previous patients.
Truly experience used providers should have access to 100 or preferably thousands of before, and after pictures to choose from
There’s no correct number of consultations needed to find the right provider.
Considering how much variation there is a liposuction skill I recommend patients have at least four or five consultations before considering selecting a provider.
The biggest mistake patients make is having only one consultation, then scheduling surgery.
The second biggest mistake patients make is assuming that being board-certified and plastic surgery with a few years of experience and a handful of positive reviews is sufficient to confirm that they’ve mastered most plastic surgical procedures.
This is simply not true.
I wish I could be more optimistic about your outcome.,
Best,
Mats Hagstrom MD