Will a breast lift and tummy tuck fix the breast sagging and stomach rippling? (Photos)

Question

I had breast augmentation surgery in early November of 2025 in Ecuador. During the same procedure, I also had liposuction done on my legs and my abdominal area. Because of a lack of proper communication, my surgeon did not reduce my areola size and now I'm seeing sagging of the underside of my breasts. Can this be corrected with a breast lift? Also, I have some rippling of the skin above the belly button, despite intense post surgery therapy. Can this be corrected by a mini tummy tuck via my previous (12 years ago) cesaerian section scar? PS: There is some rednress in my abdominal area in the photos because I just recently took off my compression garment.

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. From the photos, a breast lift with upsizing of the implants, and an abdominoplasty will give you the best results.
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show some lower-pole breast laxity and abdominal contour/rippling above the belly button, but an in-person exam is needed to judge skin quality and implant position. A breast lift can usually address areola size and lower-pole sagging better than implant surgery alone; the exact lift pattern depends on nipple position, areola size, scars, and how much skin needs to be tightened.

The abdominal issue is a separate problem. Rippling above the belly button after liposuction is often related to skin laxity, uneven fat thickness, scar tethering, or muscle/fascia contour, and a mini tummy tuck through an old C-section scar usually has limited ability to correct skin above the umbilicus. Since your surgery was in November 2025, revision planning is usually best after tissues have softened and a board-certified plastic surgeon can examine whether skin excision, scar release, liposuction revision, or a fuller tummy tuck is more appropriate.

Miguel Mota, MD · Answer

Hello and thank you for posting. Your first question is an obvious yes. You probably needed a lift in the first place and a lift with areolar reduction can be performed without removing your implants (if everything is in 
 order and you want to keep them). As fie your second question… A mini tummy tuck will not address the skin above the belly button, but a reverse tummy tuck will, as long as you are ok with the scar at the breast fold. 
Muscle repair may also be necessary if you want a flatter tummy. This can be done via the c section incision! If you want a reverse tummy tuck evaluation make sure to contact me or any other surgeon with experience in this procedure. 
Best of luck, 
Dr. Miguel Mota

Gary M. Horndeski, MD · Answer

At this time, I recommend explantation and lift using the Bellesoma. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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 if not injured during your previous surgery. This technique will also lift the upper abdominal skin and should take care of the excess rippling. The areolas can be reduced to the size you desire. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Luis A. Mejia, MD · Answer

Hello, thank you for the question and photos... Yes, a Breast lift, eaven using the same implants you have can really improve your breast, about the abdominal area, you can have a Mini Tummy Tuck with muscle repair to solve these issue.

Thomas Trevisani, MD · Answer

In person exam is essential. Based on posted photos- it appears that you would benefit from a breast lift+areola reduction, and possible tummy tuck . I suggest that you seek an experienced Board Certified PS and review your options in detail during your consultation

Mehmet Ozdemir, MD · Answer

Based on your description and pıcture , the breast sagging and enlarged areolas can often be improved with a breast lift, which can reshape the breast and reposition the nipple-areola complex. The abdominal rippling may be related to skin laxity after liposuction and could improve with a mini tummy tuck if the excess skin is limited to the lower abdomen. A thorough examination and review of your photos would be necessary to determine the best surgical plan.

Mats Hagstrom, MD (license on probation) · Answer

We definitely need a breast lift.
I don’t think a mini tummy tuck is going to help your abdomen.
It looks like you have anuneven fat distribution from the previous Liposuction, but not much skin laxity.
I suggest you have a few in person consultations with plastic surgeons in your community.
Best,
Mats Hagstrom MD

Will a breast lift and tummy tuck fix the breast sagging and stomach rippling? (Photos)

Answers (8)

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