Will a full TT fix all this laxity and can I still do high profile implants? (Photo)

Thank you for your questions. I will answer regarding your tummy tuck.

Your sort of result is why I rarely recommend a mini. From the photo you show, I believe you may benefit by conversion to a fully tummy tuck. I would suggest you get another opinion or two.

Best of Luck,
Dr. Jim Romanelli.

Hello Tabitha1703, and thank you for your question regarding abdominal laxity and breast revision concerns.

From your photos and history, it is clear that a full tummy tuck would be necessary to address the excess skin and laxity in your lower abdomen. A mini tummy tuck is insufficient for the amount of excess skin you currently have. A full tummy tuck will remove the extra skin and tighten the abdominal area, providing noticeable improvement. Most plastic surgeons would agree this is the best approach for your situation.

Regarding your breast revision, it is highly likely that you can maintain high-profile or even ultra-high-profile implants during your revision surgery. The scar tissue around your current implants is likely minimal, typically about 1–2 tablespoons per side. The removal of this scar tissue should not significantly impact your ability to use high-profile implants. Once the scarring is removed, and your breasts are revised, you should be able to achieve a more symmetrical and aesthetically pleasing result while keeping your desired implant profile.

I hope this information helps clarify your options and provides reassurance about achieving your goals. Please consult with a board-certified plastic surgeon who specializes in revisions to ensure the best results.

Sincerely,
J. Timothy Katzen, MD

Thanks for your question! It's difficult to determine if you have enough skin over the internet. I would encourage you to get one or two more in-person evaluations. And yes, you could absolutely switch to a full profile from an extra full. Best of luck!

Dear Tabitha1703,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for sharing your photos! With regards to your tummy tuck, it appears that you do have extra skin and laxity that can be removed with a revision procedure. A significantly improved result is possible by removing the excess tissue, ensuring a proper plication, and by "re-draping" the soft tissues of the abdomen. In order to improve the breast scarring, the breast lift procedure needs to be repeated. It is difficult from the photos to determine if the scarring is due to infection or if perhaps there was too much tension on the closure due to the skin resection or the implant. Revision would likely also include a mesh to help support the implant, especially if you want to maintain the same size and shape. I would not focus too much on the implant profile but rather the overall shape and size that you desire. The implant profile itself is determined by a patient's requested appearance and their anatomy. You should discuss your care with a Board Certified Plastic Surgeon who will be able to provide more information. If you are ever in Arizona I would be happy to see you. Thank you for your question!

Your abdomen would benefit from a 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 reduce weight. At the same time or later, you can have the implants replaced and the scars can be revised.

Best Wishes,

Gary Horndeski, M.D.

Hello; Mini Abdominoplasty has been performed before. Possibly, at the same time or before; Liposuction was also realized on the abdomen. Therefore, the abdomen; even though it seems very loose from the outside; due to the fibrosis, its elasticity is greatly reduced. That's why; I think, for a full Abdominoplasty; it cannot be implemented. Also, due to poorly performed Liposuction on the abdomen; there are pits. In this case, with Vaserlipo on the abdomen; depressions, that are caused by previous Liposuction; can be decreased as much as possible. For loose skin; Renuvion J Plasma can be performed. In order to correct for scar enlargement on the breasts and skin; pockets at the base of the breast; removing for UHP breast prostheses; 30-40 cc small volume; it can be replaced with an HP prosthesis. Thus, without creating excessive tension on the breast skin, which will cause for stitches to expand; scars can be erased. Excess skin at the base of the left breast; that creates pockmarks; in the same order, it can be fixed.

I think this is the third time I've responded to your post. Breasts: total capsulectomy on contracted side, likely partial on the seemingly unaffected side. Diminish profile to high so that a slightly small implant can fit under the smaller canopy from a revision breast lift. Abdomen: you absolutely would benefit from a conversion to full tummy tuck. It will lower your scar, tighten your abdominal skin, and tighten your pubis.

Hi, thank you for sharing your question. It may be possible to achieve your goals but an in person evaluation would best determine the outcome and the plan. A combination of skin removal and liposuction to treat your midsection would be needed.

You need to post a photo with your arms down by your sides for your abdomen. I would suggest going smaller because of the bottoming out issue with your implants.