I Am Wider After A Tummy Tuck That Before – Can That Be Improved With A Tummy Tuck Revision?

Q: Dr. Eppley, I have small breasts and herniated nipples as well. I’ve been told implants alone would work but I’m thinking not. I had a tummy tuck a year ago and looking for a revision as well. I am small in size at 5’ 2” 105 pounds and I am wider in waist after the ummy tuck.

A: Thank you for your inquiry and sending your pictures from which I can make the following comments:

1) Your tummy tuck has some scar irregularities and dog ears at the ends as well as some residual thickness between the umbilicis and the scar line. I would recommend a tummy tuck revision with  total scar revision with a little more skin removal as well as liposuction to thin out the residual fullness in the lower abdominal area and flank/waistline areas. I suspect that you did not have the waistline treated by liposuction, hence it now appears wider.

2) Your breasts are small tuberous breasts that have some sag. Implants alone would help considerablly and would be the foundation of their ‘reconstruction’ with periareolar reduction/release for the nipples. I would probably consider transaxillary implant placement and not use the periareolar areas as the pathway to place the implants.

Dr. Barry Eppley

Indianapolis, Indiana