38 Female , 3 vaginal deliveries with breastfeeding 12 months with each kid. Prior under muscle silicone implants placed 15 years ago. My skin is not taut anymore. I don’t hate my breast size but they aren’t as full as I would like on the upper portion of my breasts. I’m considering implant exchange for tad larger size to get the fullness. Post partum I had small prolapse and did pelvic floor therapy and this helped close my diastasis recti a lot. I’ve always had an outie but I was more fit and skin taut, the outie went well with my figure. Now it’s stretched out and with the loose skin I’m not liking the look. What are my options surgical and non surgical? I’m 4 years pp and done having kids. My size is about where I was prior. 140-145 lb,5’7” size 4-6
July 21, 2025
Answer: Explant w/Bellesoma Method and tummy tuck Your breast photographs are limited but you may benefit from explantation with 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. This will also pull up the upper abdominal skin. At the same time, a tummy tuck can be done. This will cut out the extra skin, fat and tighten the abdominal wall. If you have an umbilical hernia then this will be corrected as well. Best Wishes, Gary Horndeski, M.D.
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July 21, 2025
Answer: Explant w/Bellesoma Method and tummy tuck Your breast photographs are limited but you may benefit from explantation with 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. This will also pull up the upper abdominal skin. At the same time, a tummy tuck can be done. This will cut out the extra skin, fat and tighten the abdominal wall. If you have an umbilical hernia then this will be corrected as well. Best Wishes, Gary Horndeski, M.D.
Helpful
July 18, 2025
Answer: Morpheus8 can help you tighten loose skin on the abdomen for a more defined look. Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in. Best, Dr. Karamanoukian Realself100 Surgeon
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July 18, 2025
Answer: Morpheus8 can help you tighten loose skin on the abdomen for a more defined look. Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in. Best, Dr. Karamanoukian Realself100 Surgeon
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