Second breast lift and tummy tuck - options? (photos)

Question

I had a breast lift about 5 years ago they were empty all skin and I lost most of my breast tissue after 3 pregnancies and breast feeding . The last picture I attach will be before my breast lift. I was wanting to get another lift to make them more firm I don’t mind them small, they look weird. I also want a tummy tuck a local surgeon in town said I didn’t need muscle repair. I don’t want implants and all the complications that come with them.

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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. At the same time or later, a tummy tuck can be done. 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 reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Randal Haworth, MD, FACS · Answer

Based on your description and the photo you provided, it sounds like a breast lift could potentially improve the appearance of your breasts and make them more firm. A breast lift, or mastopexy, is a surgical procedure that removes excess skin and tightens the surrounding tissue to reshape and lift the breasts. This can help to restore a more youthful and firm appearance to the breasts.

It's important to have a consultation with a board-certified plastic surgeon who can evaluate your breasts and determine whether a breast lift is the right procedure for you. During your consultation, your surgeon will also be able to discuss the potential risks and benefits of the procedure, as well as the recovery process and any possible complications.

Regarding the tummy tuck, it's possible that you may not need muscle repair depending on the degree of muscle separation you have. However, it's important to have a consultation with a qualified plastic surgeon who can evaluate your abdominal muscles and determine the appropriate treatment plan for you.

Overall, it's important to do your research and choose a board-certified plastic surgeon who has experience performing the procedures you're interested in. This will help to ensure that you achieve the best possible results with a reduced risk of complications.

Best of luck !

Lane Smith, MD · Answer

You could get a mini Abdominoplasty and benelli lift for your breasts. You look to be exceptionally fit, but if you have an extra 5-10 pounds somewhere like your inner thighs, flanks, back, that fat could be liposuctioned and transferred to your breast giving you more fullness without having to add implants. If you’d like to go over in more detail, feel free to reach out for a consultation. Smith Plastic Surgery 702-838-2455

Daniel Barrett, MD · Answer

Dear Sjose,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because 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

Ramiro Morales, Jr., MD · Answer

Thank you for your question and pictures.  It looks as though you would benefit from a TT for skin removal.  As for the muscle repair, an in person consultation may answer this question or it may be clarified at the time of surgery.  Some patients despite a few pregnancies manage to maintain normal rectus muscle (six pack) anatomy and don't require muscle plication.
As for the breasts, your breasts a not too saggy per se at this point but you have developed upper pole looseness, not unexpectedly, mostly in part due to the stretch marks and inelasticity of the upper pole breast skin.  Another breast lift will tighten the skin but ultimately it will settle some again.  Adding a small implant to add some upper pole fullness would certainly help, But since you do not want implants you might consider seeing a Board Certified PS that has extensive experience in breast fat grafting as another possible as good alternative.

Connie Hiers, MD, FACS · Answer

Just as you discussed, I think another lift would nicely reshape and tighten your breasts and the tummy tuck would remove excess skin.

Hilton Becker, MD · Answer

You do have loosed skin and rippling ,
Fat grafting to your breasts  with PRP may be a good solution

Second breast lift and tummy tuck - options? (photos)

Answers (7)

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