180lbs, 5'8 - breast lift with TT or just lipo?

HI Emily,

I agree with the need for the breast lift. I would need to see your tummy with your arms down. For now, it looks like liposuction can help you but if you want a really tight abdomen, you may need a mini type of tummy to tighten the lower half of the abdomen.

Hope this helps a bit.

Best,

Dr. Christine Rodgers

Thanks for your question. From your pictures, you seem to be a good candidate for 360 lipo, which is lipo of the upper and lower abdomen, the upper and lower back, and flanks. I recommend scheduling a consult for a full evaluation. Make sure the surgeon you choose has extensive experience with mommy makeovers and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic

Your breasts are too low on the chest wall. You would benefit from a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness, 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 if not injured during your previous surgery. At the same time or later, you can undergo tummy tuck, 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.

Best Wishes,

Gary Horndeski, M.D.

Dear Emily27436,
it is hard to tell for sure without an examination. 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

Hello!
It does not look like you would need another tummy tuck from your photos. You can undergo liposuction to get a more sculpted look on the back and abdomen.
A breastlift could certainly be done at this point. You can even use some of the fat removed with liposucton to add more volume and freshness to the upper cleavage.
Best of luck to you! Be sure to see a board certified plastic surgeon - you can find one at plasticsurgery.org.

Thank you for sharing your question and photographs. If you desire the best contour of your abdomen I would advocate redoing your tummy tuck as it appears your muscles have loosened. You can refine the results with liposuction. Your breasts will require a lift +/- implant exchange depending on their age and current status.

Congratulations on your weight loss! From your photos it appears a breast lift is indicated to remove excess skin and raise the nipple position. For the tummy I think you'd have a nice improvement with liposuction alone. Once you have reached your goal weight visit with a board certified plastic surgeon near you for a consultation.

Congratulations on your weight loss! That is amazing and not easy to accomplish, especially these last 2 years. Judging from these pictures you don't appear to have any excess or lax skin so liposuction should be ok and dont feel that another abdominoplasty would benefit you significantly at this point if your goal is just to help remove some of those stubborn fat areas. If you're concerned about having some mild skin laxity you could look for a surgeon who does liposuction and radio-frequency skin tightening at the same time such as BodyTite or any of the other RF skin tightening devices out there.

Thanks for posting photos. You are borderline in needing redo TT vs just aggressive abdominal lipo. Only in person consult or virtual consults may help determine the better option. As for breasts a full lift w or w/o exchange implants. If implants over 10 years old I would exchange to newer options. Expect fees tpo range depending upon exact surgeries and implant use and type to be $12,000-$25,000.

In reviewing the front of the abdomen there are four variables that influence the shape and contour of what the abdomen looks like.

These are skin laxity, excess subcutaneous fat, muscle separation from previous pregnancies, diastasis recti and excess visceral or intra-abdominal fat.

Despite having a pregnancy after your tummy tuck it does not look like you have a significant amount of muscle separation though most likely there is some. likewise there’s probably some skin laxity.

Liposuction will not address skin laxity or any muscle separation but will reduce the subcutaneous fat layer.

If you want your abdomen to be tight and the muscle wall to be a B line between your sternum and your pubic bone then the second tummy tuck would be a better procedure.

If you simply want to reduce the subcutaneous fat layer the liposuction will do that very nicely.

The backside reducing your love handles and waist is best done with Liposuction which should generally be done treating the entire torso as a single anatomic unit.

To get a more accurate assessment and better understanding of what can or cannot be achieved with each procedure I suggest scheduling if you in person consultations with local board-certified plastic surgeons or follow up with the surgeon who did your tummy tuck in the past.

Best,

Mats Hagstrom MD