Breast lift & reverse tummy tuck? Could the stomach skin get pulled up at the same time? (Photos)

Hi, thank you for sharing your question. To answer your question, yes. This can be done at the same time and address your concerns. Based on the photos, you seem to be a good candidate.

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for an reverse abdominoplasty to get rid of excess skin to your upper abdomen. It would require using the same incisions for your breast procedure and both can be done at the same time. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can create a surgical plan that is best for you and your goals!

Thank you for your question regarding whether you can undergo an anchor breast lift, a reverse tummy tuck (abdominoplasty), and whether the stomach skin can be pulled up at the same time. Thank you for your history and your pictures. Most plastic surgeons would not advise performing a reverse tummy tuck and an anchor mastopexy (breast lift) at the same time. The anchor breast lift incision is created in the shape of an inverted letter T. The blood supply to the nipple-areolar complex can be either superior or inferiorly based. Nonetheless, the horizontal component of the anchor mastopexy forms the foundation of the breast lift. If this incision is inferiorly dissected to create a reverse tummy tuck, this jeopardizes the vascularity or blood supply to the nipple, breast flaps, and incision. Also, if you perform a reverse tummy tuck and anchor breast lift through the same incision, the incisions and dissections are opposing vectors. That means the breast pulls the skin toward your head, and the reverse tummy tuck portion pulls the skin toward your belly button. These opposing forces could lead to wound opening. Therefore, performing the anchor mastopexy and reverse tummy tuck through the same incision is very risky, and most plastic surgeons would not perform the anchor mastopexy and reverse tummy tuck simultaneously. In a closer analysis of your pictures, you don’t need a reverse tummy tuck. Most of your skin irregularity is above your C-section scar and below your belly button. Most plastic surgeons would recommend a mini tummy tuck by placing the incision slightly below your prior C-section scar and pulling the excess skin and fat lower abdomen tight. The mini-tummy tuck should get a flatter tummy than a reverse tummy tuck. Therefore, most plastic surgeons would not recommend combining a reverse tummy tuck with an anchor mastopexy. If you have any more questions regarding the tummy tuck or abdominoplasty, please contact an experienced plastic surgeon. Since an abdominoplasty can be a difficult procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing tummy tucks. Do your research. Make sure your chosen plastic surgeon has performed at least 100 abdominoplasties. Make sure they have the before-and-after pictures to prove it. Carefully examine their before-and-after pictures and check their reviews on RealSelf. Good luck! Sincerely, Dr. Katzen, MD, MBA (Aesthetic, Cosmetic and Reconstructive Plastic Surgeon), President of the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, , International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Thanks for your question. Yes, you can combine a breast lift with a reverse tummy tuck. That said, a reverse tummy tuck only addresses loose abdominal skin and fat above the belly button. Hope this helps. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

Dear 29292929,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thanks so much for your question,

breast lift (mastopexy) and a reverse tummy tuck can be performed simultaneously, and it’s possible for the stomach skin to be pulled up as part of the reverse tummy tuck procedure.

Because the incisions for both procedures can be located in the same area (beneath the breasts), it’s possible to perform both a breast lift and a reverse tummy tuck during the same surgery. The upper abdominal skin can be pulled upward and tightened at the same time that the breasts are lifted.

A consultation with a board-certified plastic surgeon is the best way to explore this option further and develop a customized surgical plan that aligns with your aesthetic goals.

Sincerely,
Dr. Emmanuel Mallol

You would definitely benefit from a breast lift, but I would not recommend a reverse tummy tuck at the same time. Placing tension lifting the abdominal skin along the breast fold increases the chance of wound breakdown. Another thing to think about - your abdomen looks nearly perfect. I would suggest focusing on the breasts, and leave the abdomen alone.

Thanks for your inquiry and pictures. These two procedures can be done at the same time, but you need to find a doctor with a lot experience to make sure the crease of the breast is maintained. Best of luck.

The technique I recommend for the breasts is 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. This technique lifts the upper abdominal skin higher. If you want a full reverse tummy tuck then that can be performed through this technique. However, it is probably not necessary as the The Bellesoma Method should resolve your problem.

Best Wishes,

Gary Horndeski, M.D.

A reverse tummy tuck works very well with a breast lift. The scar is in the inframammary crease where it would be if you were just having the lift or the reverse tummy tuck anyway so it is a logical combination. One important difference is that the scar continues across the midline between the breasts, and the reverse tummy tuck only improves loose skin in the upper abdomen.