An abdominoplasty (tummy tuck) is a surgical procedure that aims to reduce excess loose skin, primarily from the lower part of the abdomen or stomach, as well as tightening the remaining skin. Breast reduction surgery involves a combination of skin and breast tissue removal and reshaping. The surgery aims to reduce the size and weight of large breasts by lifting the breasts off the lower chest and upper abdomen. The objective is to leave the breasts smaller and lighter, sitting higher on the chest and closer to the body.
These clinical photographs are of a 48-year-old woman before and 4 months after a combined abdominoplasty (tummy tuck) and breast reduction.
This Avery patient lost 50kg following bariatric surgery, and was left with excess skin as a result, which no amount of exercise or lifestyle changes will rectify. To address the excess skin Dr Avery performed a ‘fleur-de-lis’ or FDL abdominoplasty removing 1720g of tissue.
In addition to a low horizontal incision across the abdomen (typically below the level of most underwear), from one ‘hip’ bone to the other, a fleur-de-lis abdominoplasty utilises an additional vertical incision along the length of the abdomen to address lax abdominal tissue in the upper as well as lower abdomen in both the vertical and horizontal direction. Typically the more weight that is lost sees the skin becoming loose and mobile in more than one direction.
Under guidance from Dr Avery, combined surgeries can be performed, and in this case a breast reduction was also completed with 191g tissue removed from the right breast and 254g from the left breast. The nipples were also repositioned 10cm, contributing to an overall lifted appearance to the breasts. The breast reduction was completed using an ‘anchor technique’, which is arguably the most commonly used technique for breast reduction and involves making incisions around the areola, down the midline of the breast, and across the lower crease of the breast. Scars will typically settle and fade over time, with up to 18 months before the final result can be seen.
Patients considering any form of surgery will need to come in for a consultation with Dr Avery to discuss your expectations, along with the surgical options for how these can be achieved. During your consultation with the Avery team, we will ensure that the surgery you are considering is the appropriate choice for you.
At Avery, we welcome the opportunity to have an open conversation with you to understand the changes you are looking for with surgery. Our patients’ stories matter a great deal to us.
Wherever you are on your personal journey, we would like to assist you. Your reasons for having surgery and your expectations from surgery are important conversations to have before undergoing surgery. Dr Avery will also assess your health and medical history to ensure any surgical procedure you are considering is a safe and appropriate choice for you.
You can also see more of before and after images, here. Dr Avery has extensive experience performing surgery and as we take our patients’ privacy very seriously, we do not display our full gallery online. All patients with photographs in the gallery have provided written consent.
These photos are of a real patient who has given their consent for their photos to be shown and depict surgeries performed by Dr. Gary Avery (MED0001633092) a registered medical practitioner, with specialist registration in Surgery – Plastic Surgery .
Please note that individual results will vary depending on the individual, their genetics and lifestyle factors, and all surgeries have associated risks. Before proceeding with any surgery, it is advisable to seek a second opinion from an appropriately qualified medical practitioner such as a Plastic Surgeon.
Plastic Surgeon is a regulated term that can only be used by surgeons who have completed specialty training within plastic surgery and are Fellows of the Royal Australasian College of Surgeons (FRACS). The specialty training undertaken by Plastic Surgeons includes the surgical skills required for excellence in aesthetic surgery.