Is tummy tuck and lipo ok for an athletic person? What would be an ideal natural breast implant size for my MM? (photos)

Question

Mommy makeover for fit person? 36 YO 5’9” steady weight of 135. Mom-of-4 with twins + 2. I run 4 times a week am athletic. Looking for breasts that look NATURAL and compliment frame + activity. Curious if tummy tuck is okay for an athletic person? I don't have much saggy or excess skin. Wanting to + breasts & flatten the lower tummy bulge & refine thigh/butt. Should only lipo on tummy, waist AND THIGHS (see pic) to re-shape - or will the tummy tuck + breasts be best for outcome?

Alex Campbell, MD · Answer

Thank you for your question. Based on your information and photos you appear to be a good candidate for a breast augmentation with possible lifting, tummy tuck and liposuction. You ould also have a brazilian butt lift for better contouring of your body. Combination procedures can give powerful results but safety is key.  You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Kenneth Hughes, MD · Answer

A short-scar tummy tuck was developed to enhance a patient’s abdomen and get rid of excess fat and skin in a way that created more attractive results. The shorter scar it leaves is the same length as that of the mini tummy tuck.  While the mini tummy tuck is less invasive, it also isn’t as comprehensive as the full tummy tuck. A short-scar tummy tuck, however, offers double the amount of loose skin and fat removal that a mini offers.As a bodybuilder, I augment professional athletes frequently.  I think for those people in whom the living is made by athletic performance, the implant can be placed above the muscle.  Other patients will be happier longterm with submuscular placement.  Schedule an in-office consultation with a board certified plastic surgeon who performs hundreds of BAMs and TTs annually for an evaluation of your goals and selection of the best size/type implant for you.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Rodney A. Green, MD · Answer

I will go through the various areas of concern.Your breasts: it depends on what volume you would like to have added to your breasts. If you add enough volume then you will not need any lifting of the breast. This is something that we determine in the office with sizing implants. If you don't want to increase the volume at all then a breast lift would be an option.Your abdomen: based on your history you probably will benefit most from a tummy tuck. This will tighten the muscles and skin, and improve your waistline as well as correcting the bulging of the lower abdomen.Flanks and buttocks: liposuction of your flanks will be helpful to improve your overall contour and you may want to transfer some or all of that fat to the buttocks to improve your contour in this area.These options are personal preferences and it is something that you need to go through with your plastic surgeon to see what makes sense for you within your budget.

Pejman Aflaki, MD · Answer

Hello and thank you for the question. I believe you are a good candidate for a tummy tuck and breast augmentation. Ideally, patients seeking mommy makeover have completed their pregnancies, are at or close to their ideal body weight and are otherwise healthy. As you correctly pointed out, you don't have a lot of extra skin, however you have developed laxity of the abdominal wall muscles in the midline that will be take care of with tummy tuck to give you a flat abdomen. In terms of breast surgery, I think you do well with breast augmentation alone (no lift needed). Many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter among others are important in selecting the implant size. Choosing the right implant should be a shared decision between you and your plastic surgeon. In a typical consultation, you try a variety of in-bra sizers and in combination with several other measurements that your surgeon will do, the final implant volume is selected. Other things to discuss in your consultation are type of implant (saline vs. gel), location of incision and implant pocket (below or above muscle). Best,
Pejman Aflaki, M.D.
  
Johns Hopkins-trained plastic surgeon

Melinda Lirag Lacerna-Kimbrell, MD, FACS · Answer

Hi! Thank you for your questions. From the photos provided you look like a perfect candidate for a tummy tuck and breast aug. For the breast augmentation depending on the size you would prefer will determine whether or not you would need a lift as well. The tummy tuck will help to improve the tightness of your muscles and get rid of any access skin. Also, Lipo to the flanks will help to achieve the overall aesthetic look and give you more of an hour glass shape. Make sure to always see a board certified plastic surgeon.

Trent D. Douglas, MD, FACS · Answer

Thanks for submitting your question and photos.  A comprehensive makeover is quite an undertaking so make sure you plan your recovery as carefully as you plan your surgery, especially with four kids running around.  Conservative liposuction can certainly address the stubborn areas on the hips and thighs that don't go away no matter how much you exercise.  Your abdomen looks more like muscle stretching than loose skin so just repairing the separation of the muscles is the best approach since there really isn't a lot of skin to remove.  Your surgeon can guide you as to breast implant selection.  There are a number of measurements in addition to your personal desires that are variables in the decision on implant size.  I think you can achieve a fabulous result, remain athletic and enjoy a very natural appearance.  Make sure you choose a board-certified plastic surgeon and best wishes on a speedy recovery and great result.

Tania Medina de Garcia, MD · Answer

Hello dear!
  
Thanks for the photos and provided information as well.
  
Based on your photos you are a good candidate for a mommy makeover, 
which in your case will  consist in tummy tuck, liposuction and breast 
lift with implants.      
  
The combination of a liposuction with the a traditional tummy tuck 
has become a very common procedure. It is safe to combine the two 
procedures mainly to address the hip and flank areas. This is a very 
effective way to extenuate the contour of the waist along with the 
abdominoplasty. 
  
In general you may be a good tummy tuck candidate if: 
You are 
physically healthy and at a stable weight, You have realistic 
expectations, You are a non-smoker, You are bothered by the appearance 
of your abdomen. 
  
The breast implants with lift can be done simultaneously, just 
keeping in mind that all depends on your health and labs test. And i 
think you'll look amazing.
  
I also recommend to visit a board certified plastic surgeon for a person evaluation and to talk about your goals. 
Good luck :)

Saul Lahijani, MD · Answer

Hello and thank you for your question!Based yon your photos you are a candidate for a moderate breast augmentation and tummy tuck. You have a nice shape and these two procedures will just help to define what you have. Be sure to set up and in-person consultation with a surgeon who specializes in this procedure.Good luck!

Tom J. Pousti, MD · Answer

Yes, based on your photographs, I think you will likely be an excellent candidate for breast augmentation and  tummy tuck surgery.

Generally speaking, the “ideal” patient for mommy makeover surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, is capable of arranging enough recovery time, does not smoke and who has reached a long-term stable weight.

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes for an outcome that you will be very pleased with.

Camille Cash, MD · Answer

You appear to be a great candidate for the Mommy Makeover and I would expect you will have excellent results.  The muscle repair portion of the tummy tuck will help flatten your abdomen.  The excess skin can be removed.  You along with your surgeon can select an implant size and style to fit with your active lifestyle and still give you beautiful shape.  Liposuction will enhance your overall curves.  I'm not sure that you will have enough fat to make a big difference in enhancing your buttocks.  An in person examination will provide better information on that.  I recommend visiting a board certified plastic surgeon in your area to learn more.

Is tummy tuck and lipo ok for an athletic person? What would be an ideal natural breast implant size for my MM? (photos)

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