I am a 40 yr. old mother. I am 5’6” 110 lbs. I would like breast augmentation with 400 cc silicone. The implant width for Mentor high profile is 12.3cm. (My breast width is 11.5 cm) Would this implant size fit? I need an umbilical hernia repair (was approved by insurance with a general surgeon). I am considering a tummy tuck at the same time with a plastic surgeon in my network. Do I need a modified tummy tuck? The general surgeon wants to put in a mesh for the hernia.
Answer: I have an umbilical hernia and want 400cc implants. Too big? Need a tummy tuck - all 3 together? Hello! Thank you for your question! These procedures can be effectively and safely performed in one setting. Fading an umbilical hernia is also reasonable - it is already in the surgical field and will provide great access for repair, while not adding much additional time or risks to the procedure itself. The breasts and tummy tuck are commonly performed together, often referred to as the "mommy makeover". If you are healthy and your surgeon decides that s/he could perform the procedures in a safe time for you, these procedures certainly can be done in one stage. Staging the procedures to have them performed at various times will likely not have any cost benefit for you. When you combine procedures, there is often a discount that is provided by the surgeon for multiple procedures. Also, when having multiple procedures performed at the same time, you save on anesthesia and facility fees, which otherwise are paid for with each individual procedure. In addition, you may benefit by the single recovery time. It is your decision as to whether you have your procedures performed in one or multiple stages, but your surgeon will give his/her recommendations. I would consult with a plastic surgeon well-versed in these procedures and discuss your concerns with your surgeon and see what your options are as well as have an examination. Your safety is ultimately the most important factor and is always on the mind of your surgeon when making such decisions. Hope that this helps! Best wishes for a wonderful result!
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CONTACT NOW Answer: I have an umbilical hernia and want 400cc implants. Too big? Need a tummy tuck - all 3 together? Hello! Thank you for your question! These procedures can be effectively and safely performed in one setting. Fading an umbilical hernia is also reasonable - it is already in the surgical field and will provide great access for repair, while not adding much additional time or risks to the procedure itself. The breasts and tummy tuck are commonly performed together, often referred to as the "mommy makeover". If you are healthy and your surgeon decides that s/he could perform the procedures in a safe time for you, these procedures certainly can be done in one stage. Staging the procedures to have them performed at various times will likely not have any cost benefit for you. When you combine procedures, there is often a discount that is provided by the surgeon for multiple procedures. Also, when having multiple procedures performed at the same time, you save on anesthesia and facility fees, which otherwise are paid for with each individual procedure. In addition, you may benefit by the single recovery time. It is your decision as to whether you have your procedures performed in one or multiple stages, but your surgeon will give his/her recommendations. I would consult with a plastic surgeon well-versed in these procedures and discuss your concerns with your surgeon and see what your options are as well as have an examination. Your safety is ultimately the most important factor and is always on the mind of your surgeon when making such decisions. Hope that this helps! Best wishes for a wonderful result!
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CONTACT NOW March 27, 2014
Answer: Umbilical Hernia In Combination With Breast Augmentation It’s not unusual to perform breast augmentation, tummy tuck, and umbilical hernia repair during the same operative procedure. This approach offers the patient significant advantages including lowered cost, improved results because of synergy and a single recovery. When this approach is utilized patients need to be done having children. They should also be in good health with no significant risk factors for surgery. It’s also important that the plastic surgeon and general surgeon have a good working relationship, so the procedure is well coordinated. It’s difficult to know what type of procedure you will ultimately need without performing a physical exam. Your pictures suggest that a full abdominoplasty would be appropriate, but a mini abdominoplasty might also be an option. Your choice of implant size and style doesn’t seem unreasonable but again it’s difficult to say without an examination. This decision is based on the patient’s anatomic findings and unique aesthetic goals. It’s important that you consult a board certified plastic surgeon. This surgeon should be able to make an appropriate recommendation.
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CONTACT NOW March 27, 2014
Answer: Umbilical Hernia In Combination With Breast Augmentation It’s not unusual to perform breast augmentation, tummy tuck, and umbilical hernia repair during the same operative procedure. This approach offers the patient significant advantages including lowered cost, improved results because of synergy and a single recovery. When this approach is utilized patients need to be done having children. They should also be in good health with no significant risk factors for surgery. It’s also important that the plastic surgeon and general surgeon have a good working relationship, so the procedure is well coordinated. It’s difficult to know what type of procedure you will ultimately need without performing a physical exam. Your pictures suggest that a full abdominoplasty would be appropriate, but a mini abdominoplasty might also be an option. Your choice of implant size and style doesn’t seem unreasonable but again it’s difficult to say without an examination. This decision is based on the patient’s anatomic findings and unique aesthetic goals. It’s important that you consult a board certified plastic surgeon. This surgeon should be able to make an appropriate recommendation.
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January 4, 2014
Answer: Umbilical Hernia Repair - Same time as TT and BA Breast implants/Breast Lift and Tummy Tuck as well as smaller procedures like an umbilical hernia repair are Often Performed Together.Different surgeons will recommend different procedures including doing more than one at a time. Some surgeons also differ in ability, time it takes to do the same procedure and general. It makes this a difficult choice for patients. Based on my own experience I would do all at once as long as it takes 4 or less hours. Surgeons should never perform elective operations that they are uncomfortable performing or feel unwise for them, nor should t)hey be faulted for doing so. However, for me, I typically perform a tummy tuck and breast augmentation at the same time and usually takes about 3-4 hours so I recommend this be done in one surgery and this is what many refer to a Mommy Makeover.Not only that,if you did not need a breast lift, I usually place breast implants through the Tummy Tuck incision but I prefer this technique. Tummy Tuck and Breast Augmentation Combination makes sense and is safe. Contrary to some of the answers I have found that the recovery time is not delayed and is the same as the tummy tuck procedure by itself. That is because you are healing simultaneously and not sequentially - both heal at the same time. The procedure only takes me about a half hour to 45 minutes longer than the tummy tuck alone. Best of all, I usually put in the breast implants through the tummy tuck incision so that there are no scars on the breasts.I have performed many of these combination procedures over the past few decades and think it is a great idea without significant increased complications
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CONTACT NOW January 4, 2014
Answer: Umbilical Hernia Repair - Same time as TT and BA Breast implants/Breast Lift and Tummy Tuck as well as smaller procedures like an umbilical hernia repair are Often Performed Together.Different surgeons will recommend different procedures including doing more than one at a time. Some surgeons also differ in ability, time it takes to do the same procedure and general. It makes this a difficult choice for patients. Based on my own experience I would do all at once as long as it takes 4 or less hours. Surgeons should never perform elective operations that they are uncomfortable performing or feel unwise for them, nor should t)hey be faulted for doing so. However, for me, I typically perform a tummy tuck and breast augmentation at the same time and usually takes about 3-4 hours so I recommend this be done in one surgery and this is what many refer to a Mommy Makeover.Not only that,if you did not need a breast lift, I usually place breast implants through the Tummy Tuck incision but I prefer this technique. Tummy Tuck and Breast Augmentation Combination makes sense and is safe. Contrary to some of the answers I have found that the recovery time is not delayed and is the same as the tummy tuck procedure by itself. That is because you are healing simultaneously and not sequentially - both heal at the same time. The procedure only takes me about a half hour to 45 minutes longer than the tummy tuck alone. Best of all, I usually put in the breast implants through the tummy tuck incision so that there are no scars on the breasts.I have performed many of these combination procedures over the past few decades and think it is a great idea without significant increased complications
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July 12, 2012
Answer: Breast Augmentation and Tummy Tuck with Umbilical Hernia Repair
Thank you for your question and pictures.
From the photos it does look like you would be a good candidate for breast augmentation surgery as well as tummy tuck surgery and hernia repair.
It would be in your best interests to be examined by well experienced board-certified plastic surgeons; you will receive the best advice after an examination and a full discussion of your goals, treatment options, and the pros/cons of each option.
A hernia by definition is a full thickness defect in the abdominal wall whereas a diathesis recti refers to a separation/spreading of the abdominal wall muscles.
The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. in my practice I find the use of goal pictures to be very helpful. in your case you could use your own before breast-feeding pictures as the goal. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
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CONTACT NOW July 12, 2012
Answer: Breast Augmentation and Tummy Tuck with Umbilical Hernia Repair
Thank you for your question and pictures.
From the photos it does look like you would be a good candidate for breast augmentation surgery as well as tummy tuck surgery and hernia repair.
It would be in your best interests to be examined by well experienced board-certified plastic surgeons; you will receive the best advice after an examination and a full discussion of your goals, treatment options, and the pros/cons of each option.
A hernia by definition is a full thickness defect in the abdominal wall whereas a diathesis recti refers to a separation/spreading of the abdominal wall muscles.
The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. in my practice I find the use of goal pictures to be very helpful. in your case you could use your own before breast-feeding pictures as the goal. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
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July 12, 2012
Answer: I Have an Umbilical Hernia & Want 400cc Implants. 2 Big? Need a Tummy Tuck & All 3 Together?
Great posted photos but the questions are better answered in an in person evaluation. I believe 400 cc HP implant are OK. As for the TT I think you need a short scar full TT, but not sure. Seek additional in person consults, please.
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Answer: I Have an Umbilical Hernia & Want 400cc Implants. 2 Big? Need a Tummy Tuck & All 3 Together?
Great posted photos but the questions are better answered in an in person evaluation. I believe 400 cc HP implant are OK. As for the TT I think you need a short scar full TT, but not sure. Seek additional in person consults, please.
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