It's not easy to find anyone that does this in Australia - from my initial research- but wondering if I'm even looking for the right procedure? As the title suggests, I think I would benefit from a (reverse) abdominoplasty with (upper gastric) hernia repair plus breast fat transfer and (likely) a mastopexy? Would love an experts insight into whether doing all of this at the same time is common and would potentially suit my problem areas.
Answer: Reverse abdominoplasty with hernia repair plus breast fat transfer? Thank you for your question and photos. I do see why it is hard to find or convince board certified plastic surgeons to go along with your plan. You not only have loose muscles and plus hernia in the upper abdomen, but you also have looseness in the lower abdomen below the belly button. A reverse abdominoplasty will not give you good or reliable results for your problem. If you were my patient, as a Total Definer surgeon, I would do a full abdominoplasty with a low pubic bone level incision. You most likely will end up with a short vertical scar in the midline, perpendicular to the horizontal abdominoplasty scar. You do not have significant fat on your body (what I can see) which would make a difference in your breast size. Reviewed your previous results and they show modest and nice increase in size, but fat grafting does not address the sagginess of the breasts. Having a breast lift done in your situation would involve only a vertical incision besides the circumareolar incision. You were probably thinking that most surgeons do an anchor type of lift, and the scar would help reshape the breasts and also serve as the upper abdominal incision. That will not be the case. BTW, the hernia can be repaired as easily from below, without making an upper abdominal incision. Good luck in your search.
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Answer: Reverse abdominoplasty with hernia repair plus breast fat transfer? Thank you for your question and photos. I do see why it is hard to find or convince board certified plastic surgeons to go along with your plan. You not only have loose muscles and plus hernia in the upper abdomen, but you also have looseness in the lower abdomen below the belly button. A reverse abdominoplasty will not give you good or reliable results for your problem. If you were my patient, as a Total Definer surgeon, I would do a full abdominoplasty with a low pubic bone level incision. You most likely will end up with a short vertical scar in the midline, perpendicular to the horizontal abdominoplasty scar. You do not have significant fat on your body (what I can see) which would make a difference in your breast size. Reviewed your previous results and they show modest and nice increase in size, but fat grafting does not address the sagginess of the breasts. Having a breast lift done in your situation would involve only a vertical incision besides the circumareolar incision. You were probably thinking that most surgeons do an anchor type of lift, and the scar would help reshape the breasts and also serve as the upper abdominal incision. That will not be the case. BTW, the hernia can be repaired as easily from below, without making an upper abdominal incision. Good luck in your search.
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Answer: Reverse Abdominoplasty + Breast procedures Great question. Reverse tummy tucks (RTT) are usually not commonly talked about, however in certain patients i is the most appropriate procedure to achieve the best results. The incision for a reverse tummy tuck is in the breast folds which is the same incision that is used for breast lift procedures. So RTT is often done at the same time as a breast lift as they use similar incisions. Epigastric hernias can be repaired through a RTT as well depending on their size and location.
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Answer: Reverse Abdominoplasty + Breast procedures Great question. Reverse tummy tucks (RTT) are usually not commonly talked about, however in certain patients i is the most appropriate procedure to achieve the best results. The incision for a reverse tummy tuck is in the breast folds which is the same incision that is used for breast lift procedures. So RTT is often done at the same time as a breast lift as they use similar incisions. Epigastric hernias can be repaired through a RTT as well depending on their size and location.
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May 14, 2024
Answer: Surgery I am not sure what you have been reading, but the standard tummy tuck would be much more helpful. I would suggest the breast lift as well. Once lifted, fat could be added later. If you just add fat, you will be some bigger and still sagging. Adding volume does not correct sagging. Reverse tummy tucks are usually not good procedures long term for they often just gradually pull the breasts down even lower. Also, the reverse tuck does not address the lower abdomen. If you do have a hernia, have that repaired first and insurance will probably cover that procedure.
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May 14, 2024
Answer: Surgery I am not sure what you have been reading, but the standard tummy tuck would be much more helpful. I would suggest the breast lift as well. Once lifted, fat could be added later. If you just add fat, you will be some bigger and still sagging. Adding volume does not correct sagging. Reverse tummy tucks are usually not good procedures long term for they often just gradually pull the breasts down even lower. Also, the reverse tuck does not address the lower abdomen. If you do have a hernia, have that repaired first and insurance will probably cover that procedure.
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March 4, 2024
Answer: Considering options From the submitted photos it appears you would benefit from a standard abdominoplasty versus a reverse tummy tuck. The hernia repair can often be addressed at the same time. I encourage you to consider implants rather than fat transfer to the breast as the latter can form microcalcifications that can interfere with breast imaging. Seek a double board certified plastic surgeon who may be able to correct the hernia as well as address the cosmetic procedures.
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March 4, 2024
Answer: Considering options From the submitted photos it appears you would benefit from a standard abdominoplasty versus a reverse tummy tuck. The hernia repair can often be addressed at the same time. I encourage you to consider implants rather than fat transfer to the breast as the latter can form microcalcifications that can interfere with breast imaging. Seek a double board certified plastic surgeon who may be able to correct the hernia as well as address the cosmetic procedures.
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February 28, 2024
Answer: Optimal Procedure Choice (Standard Tummy Tuck) Over Reverse Abdominoplasty Dear Straightforward194722,
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February 28, 2024
Answer: Optimal Procedure Choice (Standard Tummy Tuck) Over Reverse Abdominoplasty Dear Straightforward194722,
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February 23, 2024
Answer: Tummy tuck I would recommend a standard abdominoplasty. Reverse tummy tucks are reserved for rare and specific cases. You will have a nice result possibly a vertical scar, but I would not hesitate to proceed. For your breasts, I doubt you have enough fat as a donor, but a small implant will suffice and no need for a mastopexy. Thanks.
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February 23, 2024
Answer: Tummy tuck I would recommend a standard abdominoplasty. Reverse tummy tucks are reserved for rare and specific cases. You will have a nice result possibly a vertical scar, but I would not hesitate to proceed. For your breasts, I doubt you have enough fat as a donor, but a small implant will suffice and no need for a mastopexy. Thanks.
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