Can an Upper abdominal lift be combined with a breast lift procedure?

You are asking about a reverse abdominoplasty which can be effective with lose, excess upper abdominal skin. It can be performed with a lift using a lower incision along the fold. It has to be performed correctly so the breast scars do not get pulled down from the abdominal forces. Consult with a board certified plastic surgeon well versed in this procedure.

Most of the time a reverse abdominoplasty is done in massive weight loss patients as a tandem to reduce surplus skin. The incision at the upper abdomen and lower chest is not favorable relative to a conventional abdominoplasty incision along the very lowest portion of the abdomen.

The upper abdominal lift you are asking about is called a reverse abdominoplasty because it pulls up instead of down. The scar is placed where the bottom edge of the breast is, but only a limited amount of lift can be accomplished unless the incision is continued across the midline, which would leave a scar in a more visible location. You will want to make sure your surgeon has experience with this.

Thank you for your question. It is possible to have these procedures at the same time. That being said you will want to discuss your options with the operating surgeon to ensure you are a candidate. Best,

The key word in your question is subtle.  A breast lift with exchange of implants and a minor upper abdominal lift is possible but there is concern for blood supply and post procedure drooping of implants.  Make sure you are evaluated and have your surgery performed by a Board Certified Plastic Surgeon.  You can find one on ASPS.  

Good question, one, which is asked frequently by MM patients.  If you needed only implant exchange, it is feasible that subtle "epigastric" or midriff contouring can be achieved by separating the skin off the rib cage and advancing it into incisions at the base of the breast.  I've done this most successfully, combining Strattice to support the breast implant but it's technically challenging because so much tension is developed that the scar line frequently widens or become thick. Midline recruitment of skin is limited. Concurrent breast lift can be done, provided the blood supply is not by inferior pedicle.Skin laxity in the midriff occurs as a consequence of aging but also when the results of a mini-TT (i.e. tightness below the belly button) contrast sharply with normal "wear and tear".  In the MWL (massive weight loss) patient, a midriff lift is feasible because excess skin removal is accomplished in a "fleur de lys"(vertical scar) abdominoplasty pattern, thereby tightening not only the redundancy below the umbilicus but also above it. Although it may sound appealing, this approach has its limitations, which depend on the patient's anatomy, surgeon experience.