Am I a good candidate for a tummy tuck and breast augmentation? (Photos)

Question

I have a short torso and longer legs. Am I a good candidate for a timmy tuck ans breast augmentation.

Mert Demirel, MD · Answer

Based on the photos and your description, you may be a candidate for body contouring, but the most important issue is safety and planning. A tummy tuck can remove loose abdominal skin and improve the abdominal contour, but in patients with a shorter torso, the scar position, belly button placement, and amount of skin removal have to be planned very carefully.
If there is significant abdominal fullness, it is also important to separate loose skin from fat inside the abdomen. A tummy tuck can remove skin and tighten the abdominal wall, but it is not a weight-loss procedure. If you are still planning to lose weight, it is usually better to get closer to a stable goal weight first, because further weight loss after surgery can create new looseness.
Breast augmentation may also be possible, but the breast plan depends on your current breast position, skin quality, and whether there is sagging. If the breasts sit low or the nipples are below the fold, implants alone may not be enough and a lift may be needed for the best shape.
Doing a tummy tuck and breast surgery together can be reasonable in selected patients, but it depends on your overall health, BMI, anesthesia risk, and how extensive the surgery will be. I would recommend an in-person consultation with a board-certified plastic surgeon to assess whether it is safer to combine the procedures or stage them.

Joel Patrick Maier, MD · Answer

Focusing on your tummy, I would recommend liposuction with skin removal and umbilical transposition. This can be done with an oral cocktail of pills, local tumescent anesthesia and NO drains.  This will allow for maximal fat removal and skin tightening in the same setting maximizing your results. I do not think a tummy tuck is a good option for you given the amount of tissue and BMI; the results will not be as good and you will take unnecessary risks with a tummy tuck. I hope this helps.  See attached reference as an example. Thank you for sharing.

Leila Kasrai, MD, FRCSC · Answer

It depends on your goals. If you are generally healthy and are unhappy with excess fat and skin in your midsection, as well as would prefer larger breasts, then a tummy tuck and breast augmentation may help you achieve your aesthetic goals.

Ira H. Rex III, MD · Answer

Combining a tummy tuck with breast surgery is extremely common.  It often provides a new balance of whole body contouring.  I cannot give you much information on this combination for you without and in person examination.  It is not clear at all what breast surgery might suit you best.  If you visited a board certified plastic surgeon they might be able to give you a better idea of different options available and what you could expect him surgery.

Daniel Barrett, MD · Answer

Dear Thoughtful909958,

generally speaking, you want to reach your goal weight before you consider a tummy tuck, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Vasileios Vasilakis, MD, FACS · Answer

Hello,
Thank you for the question. A combination of tummy tuck with liposuction would be the best surgery for you. 
I wish you the best. 
Vasileios Vasilakis, MD, FACSDouble Board Certified Plastic SurgeonHouston, TX.

Philip Wasicek, MD · Answer

Hello, 
Thanks for your question. 
The goal of a breast augmentation is to increase volume and enhance contour of the breasts. Some patients desire more volume, upper pole fullness, medial cleavage, lateral breast show. Sometimes a mastopexy is recommended as well if there is sagging of the breast tissue/skin/nipples. It is difficult to assess this based on your pictures with a bra. 
The goal of a tummy tuck is to remove excess skin and fat, tighten the abdominal muscles. Liposuction is frequently added to this to get a better result/contour. Based on your pictures, you have excess abdominal skin and would likely be a reasonable candidate. 
I would recommend an in person consultation with a board certified plastic surgeon who specializes in tummy tucks and breast augmentation. 
Hope this helps.

Jeffrey M. Darrow, MD · Answer

Thank you for your photos. I believe you would be best served by weight loss prior to considering your surgeries. A consultation with a plastic surgeon would allow you to understand your expected results before weight loss and the better results which you would likely achieve after weight loss. Prior to considering the surgeries your BMI should be 30 or less to maximize your results and minimize your complications. Your plastic surgeon can discuss this in detail with you. I can’t make a comment about you benefiting from a breast dog augmentation as I do not have standardized photos of your breasts nor the dimensional measurements of your breasts. can also be covered with your plastic surgeon at the time of your consultation. Best wishes.

Mehmet Ozdemir, MD · Answer

It is wonderful that you are exploring ways to feel more confident in your body, and having a short torso with longer legs provides a unique structural framework that a surgeon can beautifully optimize. Looking at your photos, you are an excellent candidate for a comprehensive body contouring transformation, but to achieve the safest and most visually striking results, the order and choice of procedures are key. Your abdomen shows a significant amount of circumferential soft tissue and redundant skin folds; a full abdominoplasty (tummy tuck) paired with targeted liposuction of the flanks will work wonders by tightening your underlying abdominal wall muscles and dramatically flattening your torso, which inherently creates a more defined, elongated waistline. However, for your breasts, a simple augmentation with implants alone would not be sufficient or advisable right now. Because there is a substantial amount of natural breast volume and associated sagging (ptosis), adding an implant by itself would simply weigh the tissue down and make the breasts look heavy and low-set on your short frame; instead, you would benefit immensely from a breast reduction or a formal breast lift (mastopexy), which can be combined with a smaller implant if you still desire that extra upper-pole roundness. This combined approach often referred to as a "Mommy Makeover" will beautifully lift your breasts higher onto your chest wall, clear away the abdominal tissue folds, and perfectly balance your proportions to make your short torso look beautifully sculpted and defined.

Kadir Berat Oyur, MD · Answer

I completely understand your frustration with wanting a comprehensive solution for your inner thighs after substantial weight loss, as this area is notoriously resistant to skin snapping back on its own. Looking at your anatomy, you have achieved a wonderful foundation, but the localized volume changes have left behind loose skin and minor residual tissue thickness along the upper inner thighs. While a surgical thigh lift (thighplasty) remains the gold standard for physically removing this excess skin and creating a completely tight profile, it does require permanent incisions along the groin or inner thigh. If you prefer to avoid significant scarring, a less invasive combination approach utilizing targeted liposuction paired with an advanced energy-based skin tightening treatment (such as Renuvion or BodyTite) can provide a very nice, smoother enhancement, though it cannot fully replicate the dramatic results of skin excision. I highly recommend an in-person physical evaluation so we can manually assess your skin elasticity, discuss your preferences regarding scarring and downtime, and tailor a plan that aligns perfectly with your goals.

Am I a good candidate for a tummy tuck and breast augmentation? (Photos)

Answers (17)

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