Upper abdominal “pouch:" Do I need a reverse tummy tuck or another breast lift? (photos)

Dear Enoapir,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

hello, thank you for your question. I would consult a plastic surgeon to see you in person for a full assessment.

The reverse tummy tuck would be effective but it does leave a scar across the external region. It may be very visible. Another alternative to consider is explantation and lift using The Bellesoma Method. 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

A reverse tummy tuck is an option for loose upper abdominal skin especially when there is already a scar at the inframammary fold. One thing to be aware of is that the scar will go across the midline where it can be visible. It appears that you would benefit from re-doing the breast lift at the same time and possible adding an internal bra with Galaflex for support.

If the lower portion of the breast is tightened it will tighten your upper abdominal skin a little bit. What you really need is a standard tummy tuck to get the best result

Thank you for your question. The way to re-create the effect of a reverse Tummy tuck is exactly as you have done. Pull up on the skin underneath both breasts and if this corrects the problem, then you are a good candidate. It appears that you also have a small pouch below your belly button as well. If this bothers you, this could be corrected with a mini tummy tuck and combined with a reverse tummy tuck so that you could avoid a longer abdominal incision. Good luck.

It is possible that skin laxity from your previous breast surgeries could contribute to the appearance of an upper abdominal "pouch." A reverse tummy tuck is a surgical procedure that can address loose skin and excess fat in the upper abdomen by tightening the skin and muscles. It involves making an incision in the breast crease and pulling up the abdominal skin and fat, then suturing it in place. A breast lift alone may not address the issue, but it may be possible to combine a reverse tummy tuck with a breast lift revision or implant removal if necessary.

However, it is important to note that any surgical procedure carries risks and potential complications, and it is important to discuss your medical history and specific concerns with a qualified plastic surgeon. They can evaluate your anatomy, discuss your goals, and recommend the best treatment options for you.

I hope this helps,
best of luck !

This might be due to different factors related to weight loss. 1- skin excess 2 - muscle diastasis. Reverse abdominoplasty can help but sometimes the excess skin comes also from the breast and back. In that case, we need to also do a torsoplasty and/or an extended breast lift.

A reverse tuck could be done and it would remove the excess upper abdominal fullness, but only for a while. Many of these tucks wind up pulling your breasts down and sagging again. You could try minimally invasive skin tightening with radiofrequency treatment like ThermiTight or Renuvion. Neither
CoolSculpt or EMSculpt really gives much skin tightening. You other choice is a full tummy tuck. The mini tuck would not address that area.

An in person evaluation is best, but it appears you would have the best outcome from a tummy tuck. This would address the excess skin as well as correct any abdominal wall laxity. A breast lift will not address the excess skin on your upper abdomen. See a board certified plastic surgeon near you to learn more.