Time to reclaim your tummy. I agree with your other consultants that an abdominoplasty should not distort, change or diminish the appearance of your breasts.
As your consultants have mentioned, the appearance of your breasts may seem more harmonious with a more youthful abdomen. (Lavinia Chong, MD, Orange County Plastic Surgeon)
The typical abdominoplasty or mini tummy tuck done by an experienced board certified plastic surgeon should have no effect on the shape or size of your breasts.
A reverse abdominoplasty or upper tummy tuck (very rarely done) does cause scarring beneath the breasts and in the lower cleavage area. I assume you are asking about the typical lower tummy tuck. (Brooke R. Seckel, MD, FACS, Boston Plastic Surgeon)
A tummy tuck should have no effect on your breasts. Your breast shape should remain the same. Interestingly, if you should put on weight, you may notice that your breast get larger than other areas. (Steven Wallach, MD, Manhattan Plastic Surgeon)
Breast size and tummy tucks
A tummy tuck by itself will have no effect on breast size. That being said I have had patients that some time after a tummy tuck and liposuction if they gain weight that gain seems to go to increase the breast size. We always encourage patients to maintain a stable diet an exercise routine after body contouring however after correcting the “problem areas” in can be easy to let up a bit. (Michael Philbin, MD, Edina Plastic Surgeon) A tummy tuck will not alter your breasts! The skin is stretched down tightly, but the force of the pull at the top, by the ribs under the breasts, is minimal. (Randy J. Buckspan, MD, Austin Plastic Surgeon) You can contnue to enjoy your breasts, even as you enjoy your new abdomen! (Carmen Kavali, MD, Atlanta Plastic Surgeon)
In general, this will have little if any effect on your breasts. However, having a thinner waistline will give you the appearance of having larger breasts. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)
Breast may look larger after a tummy tuck
Don’t worry about negative breast changes after a tummy tuck – your breasts will either be the same or may even appear larger. If you have a “full” upper abdomen, the tummy tuck will reduce the fullness, and this makes the breasts seem larger.
I have had a number of patients who were on the fence regarding breast size when planning their mommy makeover, and I’ve advised them to wait until after the tummy tuck to make their decision. A number were surprised at the full body changes a tummy tuck makes, and then decided not to have breast implants. (Michael A. Bogdan, MD, FACS, Dallas Plastic Surgeon)
No effect on breasts from tummy tuck
You should not see a change in the size or shape of your breasts after a tummy tuck. However, many women feel that they look “bigger” simply because of the relationship between the breasts and the abdomen.
By toning and improving the contour of the abdomen, it can give the appearance of fuller breasts. (David Bogue, MD, Boca Raton Plastic Surgeon).
An abdominoplasty (tummy tuck) has no effect on the size of the breasts. By contrast, the breasts might seem to stand out more with the abdomen flattened out but there is no absolute change in volume or shape. (Vincent N. Zubowicz, MD, Atlanta Plastic Surgeon)
A traditional Tummy Tuck will not change your breasts
A traditional Tummy Tuck performed for loose abdominal skin and weak abdominal musculature will have absolutely no direct affect on breast shape or appearance.
The changes caused by a standard Tummy Tuck extend only to the upper abdomen below the rib cage an no further. There is an entity known as Reverse Tummy Tuck that is rarely performed. In this operation, instead of the abdominal skin being pulled downwards, as it is in the traditional Tuck it is pulled upwards with the excess trimmed beneath the breasts. This procedure can influence the position of the breast fold and the shape of the breast. I suspect that you are intended to have the traditional approach that will not alter the appearance of your breasts. (David A. Ross, MD, Chicago Plastic Surgeon)