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Darren M. Smith, MD, FACS

Before & after

Tummy tuck + breast lift and slight reduction

Before and after photographs from Dr. Darren Smith’s practice. Individual results may vary.

Mommy Makeover Case 9

Mommy Makeover

Abdominoplasty with muscle plication and contouring liposuction, plus breast lift with tissue auto-augmentation and slight reduction without implants. Photographs taken three months apart.

Patient goal
A flatter, firmer abdomen and naturally lifted, proportionate breasts without implants.
Treatment
Full abdominoplasty with rectus muscle plication, abdomen and waist liposuction, and inverted-T breast lift with auto-augmentation and a slight reduction.
Technique
Prior low transverse scar incorporated into a low abdominoplasty incision; umbilical incision placed within the belly button’s natural contours; breast reshaping using existing tissue.
Photographed
Age range
80 years old
Implants
No breast implants
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Individual results may vary.

Before and after full abdominoplasty with rectus muscle plication and contouring liposuction, combined with an inverted-T breast lift using her own tissue and a slight reduction, without implants. Individual results vary. Before-and-after photographs taken 3 months apart.View larger ↗
Before and after full abdominoplasty with rectus muscle plication and contouring liposuction, combined with an inverted-T breast lift using her own tissue and a slight reduction, without implants. Individual results vary. Before-and-after photographs taken 3 months apart.
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Her goals for her breasts and abdomen

This 80-year-old patient wanted to move toward the appearance she remembered before pregnancy. Excess, sagging abdominal skin and a slight bulge remained after pregnancy and prior abdominal surgeries. She also wanted to correct breast drooping and achieve a lifted, balanced contour without implants.

Full tummy tuck, muscle repair and contouring liposuction

Dr. Darren Smith performed a full abdominoplasty with rectus muscle plication to repair the diastasis and restore a flatter, firmer abdominal contour. Contouring liposuction further refined the abdomen and waistline.

Her prior low transverse scar was incorporated into the abdominoplasty incision. The incision was placed low and designed to remain concealed beneath the underwear line. The umbilical incision was similarly positioned within the natural contours of the belly button.

Breast lift with a slight reduction, without implants

Her breast procedure was an inverted-T mastopexy, or breast lift. Dr. Smith removed excess skin and reshaped and elevated her breast tissue to create a more balanced, proportionate appearance. The plan preserved her natural fullness while lifting the contour and slightly reducing overall breast size.

Her lift included auto-augmentation: rearranging her own existing breast tissue to redistribute fullness as part of the reshaping. No breast implants were used. Auto-augmentation is distinct from transferring fat into the breasts.

One combined breast and abdominal result

The before-and-after photographs were taken three months apart and show her breast and abdominal contours following the combined procedures. This patient appears as Breast Reduction Case 4, Tummy Tuck Case 8 and Mommy Makeover Case 9.

Her age is part of her individual story; surgical planning depends on an assessment of health, anatomy, goals and the proposed procedures.

Explore mommy makeover planning, breast reduction and breast lift surgery, or request a consultation with Dr. Smith.

Individual results vary.

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