Mommy makeover: Can I get away with just a mini tummy tuck and breast implants only (no lift)? (photos)

You are not a candidate for a mini tummy tuck. Your excess skin is too great and extends too widely. You will need a full tummy tuck. In terms of your breasts, you would benefit from a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time or later, a tummy tuck can be done. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. After 6 months, liposuction and fat transfers to the breasts can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Based on your photos, I would suggest that you can certainly improve the abdominal appearance with a mini tummy tuck. However, your best results will be with a full tummy tuck. A breast lift will elevate the nipple and improve the shape of the breast, but will not add volume. That is why I would suggest an implant for upper breast volume. Good luck!

Thank you for your question, and for sharing your pictures and history. In my assessment, you would benefit most from a full tummy tuck rather than a mini version. The full procedure would better address the skin laxity and also allow for more effective muscle repair. A mini tummy tuck might not provide the desired results based on the extent of skin and underlying muscle laxity.
Regarding the breast procedure, simply opting for implants without a lift could result in a less satisfactory outcome. Implants alone, given the present state of your breast tissues, might cause the breasts to sag further over time. An anchor or at least a lollipop mastopexy (breast lift) in conjunction with implants would likely offer a more aesthetically pleasing and lasting result.
In short, while a mini tummy tuck and breast implants alone are possible, I believe the combination of a full tummy tuck and breast lift with implants will give you the most satisfactory and enduring results.
Good luck in your decision-making process.
Sincerely,
Dr. Katzen.