Tummy Tuck Through Incision Under the Breasts?

As you'll notice above, there is general disagreement about the procedure you're considering. If skin is not an issue on your abdomen, you should consider having an abdominal wall tightening (rectus diastasis repair) through an incision placed only in the belly button. You do not need additional scars in the pubic area or underneath the breasts. The procedure takes about 60-90 minutes and can accomplish the same thing from an abdominal wall tightening perspective that a full abdominoplasty can! It can provide the exact same corsette type effect. It can be done with a endoscopic assistance or simply with an adequate lighted retractor.
Your breast implants can be placed throught the same incision (although I personally am not a fan of the transumbilical breast augmentation (TUBA).
Good luck in your research process!
Dr. Kaufman

Hello jmnda,

Thank you for your question regarding getting a reverse tummy tuck with breast augmentation. I generally don't recommend the reverse tummy tuck procedure to many patients, especially when combined with breast augmentation. Performing a reverse tummy tuck simultaneously with breast augmentation can put excessive tension on the breast incisions as well as the reverse abdominoplasty incision. Additionally, we may not be able to achieve full muscle plication through the reverse tummy tuck incision, which could impact the final results. In your case, considering your severe diastasis, I would recommend a traditional tummy tuck combined with breast augmentation. While I understand concerns about the tummy tuck scar, this approach typically yields the best overall results in terms of contouring and muscle repair. Ultimately, the decision is yours, and I respect your preferences and concerns. However, I believe it's important to prioritize safety and optimal outcomes. If you have any further questions or would like to discuss your options in more detail, please don't hesitate to reach out.

Best of luck with your upcoming procedures!

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

A Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  

#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.

Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Because you have tight skin rather than using the smaller breast scars to correct the diastasis recti (typically a bit worse below your belly button than above it, I would recommend using the tummy tuck scar as access to insert your breast implants thereby having no scars on your breasts. #Diastasisrepair#BAwithTT

The scars of this type of operation are usually unacceptable.  It is occasionaly done in massive weight loss patients as a secondary procedure to an extended abdominoplasty.  I personally have never used the approach in any other patients.

Some people call this the reverse tummy tuck. It tends to leave a more visible scar then the coventional tummy tuck. The muscle repair cannot always be completed through the upper abdominal scar but it can be accomplished through limited pubic or umbilical scars.