Tummy Tuck Lifting the Skin Up Underneath the Breasts

Most laxity of the front of the abdomen is treated very well with a tummy tuck. Occasionally excessive loose skin and fatty deposit just beneath the breast and loose and redundant skin above the umbilicus can be treated using an approach from the top. It is essential to do this right. The tissue needs to be fastened under the breast or the scar will migrate down. In certain individuals the scar can be hidden nicely. Bit of experience is needed for this and make sure that your plastic surgeon has the necessary knowledge and technique for this.

The reverse abdominoplasty is an excellent operation for the right candidate. It is not as common as a traditional abdominoplasty because the majority of people have the upper abdominal skin excess corrected by the standard abdominoplasty. People with excess skin above the belly button after abdominoplasty or isolated upper abdominal skin excess naturally benefit from this procedure.

Concerns about the operation come from the potential need to extend the scar completely across the chest in the space between the breasts. This is the only location where the scar is visible as the remainder of the scar is positioned beneath the breast. This area over the breast bone can form a wide raised scar which is why many surgeons are reluctant to do this operation. A variation of the operation if the skin excess is mild to moderate can avoid the central scar making this an excellent procedure.

Seek out a board certified surgeon with experience with this operation and see if you are a good candidate for the procedure. Good luck 

This is a procedure which is called a reverse abdominoplasty and is typically used for patients following massive weight loss.

There are basically two versions of the reverse abdominoplasty.

First, and most commonly, if a breast lift is being performed, through relatively limited incisions, the upper abdomen is tightened.  This is a relatively weak procedure and is best used for patients who are already getting a breast lift and who don't need a lot of tightening.

The second technique involves a long incision across the upper part of the abdomen.  A larger tummy tuck can be performed this way, but the incisions meet in the middle, which is unsatisfactory to most patients in this day and age.

There are actually several variations of the abdominoplasty procedure, one of which is the reverse abdominoplasty. It is done exactly as you describe. with the incision tucked under the crease along the bottom of the breasts. The tricky part is where the scar crosses the midline between the breasts, but sometimes it can be limited to under each breast only. The reverse abdominoplasty works when there is loose skin in the upper part of the abdomen only. It's a great option to have but most patients do better with the standard approach.

A tummy tuck is a safe and effective procedure to contour the abdomen, create a tight waist, and remove extra skin, fat, and stretch marks.

In our practice, we feel that as every patient is unique so should be every tummy tuck. The incision that we use for every patient depends on their own specific anatomy, the goals that we want to achieve, and the areas we wish to treat or correct. In a small portion of patients we have performed a tummy tuck where the incision is not in the lower abdomen, but in the upper abdomen in the Infra mammary folds. Please note that this incision location may not help everyone but a small minority of patients. This incision is usually not popular with patients as it can create a scar that it may be more difficult to camouflage then a lower abdominal incision that can be hidden with a small bikini.
To get the results you want, your best bet is to work with a plastic surgeon that is board-certified by the American Board of Plastic Surgery and has a lot of experience performing tummy tucks, liposuction, and body contouring, as well as breast surgery. Extensive experience in all these fields will be necessary to complete this advanced tummy tuck appropriately.
 

Many times after a formal tummy tuck patients are left with a roll of skin along the upper abdomen and along the inferior aspect of the breast.again, where there is loose skin the choice is simple,cut it away.If you have had a previous tummy tuck you must be careful.

What you are describing is a reverse abdominoplasty which is sometimes donw for laxity of the upper abdomen usually reserved for patients after a full tummy tuck.

There are some patients that may benefit from a reverse abdominoplasty and it is as you describe where the excess skin is removed by bringing the skin up to the inframmary crease. For the massive weight loss patient this may be done after the regular abdominoplasty has been done and there still is some upper abdomen excess. The mid line scar is a potential problem and sometimes can be avoided by pulling up and laterally.

If this is what you want you should consult with a Board Certified Plastic Surgeon to see if you are a good candidate. 

Yes! It is a reverse tummy tuck. It is infrequently done. Seek a few PS's who have done this operation. From MIAMI Dr. Darryl J. Blinski