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.)
