Tummy Tuck procedure Through Incision Under the Breasts? Tri Valley Plastic Surgery

I have no stretch marks and I have fairly tight skin. I have very severe diastasis. I'll be having a breast augmentation, and was wondering, is it possible to also have a Tummy Tuck procedure done with the incision under the breasts, not from one side of the hip to the other?

Reverse abdominoplasty

ou're describing a technique called a reverse abdominoplasty. You are correct that the incision changes from being from hip to hip to being across the entire chest at the level of the inframammary fold. This can be an effective technique for patients with significant amounts of excess skin above the umbilicus. Here are the things that are important to consider: 1. Even though the majority of the scar is hidden within the breast fold, the scar typically also continues between the breasts. 2. This technique usually makes it more difficult to deal with excess skin and fat below the umbilicus because it is unusual to continue the dissection below the umbilicus meaning that the area you're improving is really just above the umbilicus. 3. This technique usually does not allow for plication of your abdominal muscles below the umbilicus. Plicating the abdominal muscles helps to improve the contour of your abdomen. 4. This technique is not used as often meaning that your surgeon may not have as much experience with it. In my San Francisco area practice, I've done hundreds of abdominoplasties but only a handful of reverse abdominoplasties (all with good results!). These limitations are the reason that in people looking for purely cosmetic improvement typically wind up choosing a more traditional technique. There have also been several articles regarding improving excess upper back skin by placing incisions in the inframammary folds as well. I hope this helps.