Tummy Tuck and Breast Augmentation Mommy Makeover

  • Posted on: Jun 17 2024
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This 37 year old patient came to see Dr. Medalie at his Beachwood, Ohio clinic to discuss mommy makeover with a tummy tuck surgery and breast augmentation. She elected to have a full abdominoplasty (also known as a tummy tuck) with liposuction of the abdomen, flanks and sides as well as breast augmentation with 370 cc saline breast implants. The surgery was performed as an outpatient and the patient is shown 6 months after her body contouring  and breast augmentation procedure. She is extremely happy with her new body and mommy makeover. Below is information from the American Society of Plastic Surgery. Plastic Surgery results can vary

What Are The Steps Of A Tummy Tuck Procedure?

tummy tuck procedure includes the following steps:

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The Incision

A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and belly button.

Tummy tuck incision front abdomen

The shape and length of the incision will be determined by the amount of excess skin. Once the abdominal skin is lifted, the underlying weakened abdominal muscles are repaired.

A second incision around the navel may be necessary to remove excess skin in the upper abdomen.

Tummy tuck incision front abdomen sutures

The upper abdominal skin is pulled down like a window shade. The excess skin is trimmed and the remaining skin is sutured together. A new opening for the belly button is created. The belly button is popped through to the surface and sutured into position.

Tummy tuck side before and after

Step 3 – Closing The Incisions

Sutures, skin adhesives, tapes or clips close the skin incisions.

Step 4 – See The Results

Your tummy tuck will result in a flatter, firmer abdominal contour that is more proportionate with your body type and weight. Get more information about tummy tuck results.

Step 2 – The Incision

Incisions are made in inconspicuous areas to minimize visible scarring.We will discuss which incision options are appropriate for your desired outcome. Incision options include: along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (axillary incision). I prefer the IM fold approach because recent literature suggests that it is associated with a lower incidence of capsular contracture. Ths incision for a silicone implant is by necessity larger than one for a saline implant because the silicone implant is pre-filled and the saline implant starts empty.

breast augmentation incisions

Incisions vary based on the type of breast implant, degree of enlargement desired, your particular anatomy and patient-surgeon preference.

Step 3 – Inserting And Placing The Breast Implant

After the incision is made, a breast implant is inserted into a pocket either:

submuscular and subglandular breast implant placement

A. Under the pectoral muscle (a submuscular placement)

B. Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)

C. Dual-plane which is partly under the muscle (in the upper pole) and partly under the breast (lower pole). This procedure is more frequently used in women who have had children and have some droop to their breasts.

The method for inserting and positioning breast implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon’s recommendations.

Step 4 – Closing The Incisions

Incisions are closed with layered sutures (that dissolve) in the breast tissue and with sutures, skin adhesive and surgical tape to close the skin.

breast augmentation incision locations

Over time the incision lines will fade. The quality of scar depends on many things, including your genetics, exposure of your body to nicotine and infection.

Step 5 – See The Results

The results of breast augmentation are immediately visible. Typically they start high and then over time settle to a lower and more natural appearance. I usually tell patients that what they see is not what they get until 3 months after the surgery.

*Plastic surgery results can vary from patient to patient and are not guaranteed

 

 

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