Aging, gravity, and significant weight loss are the most common reasons people develop loose skin on their body, but this can be improved with a surgical lift like a tummy tuck (abdominoplasty). A reverse tummy tuck (upper abdominoplasty) can be very helpful for patients who are concerned about excess skin and fat rolls on their upper stomach. Commonly known as "bra fat pads," this excess skin just below the breasts are especially prominent when a person is sitting. The reverse tummy tuck can also help patients who have a tummy tuck or had liposuction in their stomach, but may not be satisfied with their results due to scar tissue forming at the incision site or excess skin that has developed over time. Board-certified plastic surgeon Dr. Natan Yaker is pleased to offer the reverse tummy tuck procedure at his practice, Cosmetic Surgery Associates of Texas in Dallas.
"40, 4 Kids, Breast Reduction 3/10/16 ~ Adios B(r)EASTS of Burden! - Dr. Yaker came recommended to me by a friend I trust explicitly that had him perform lipo on her. She has met numerous other women that have had work by him also, and they all gave him a glowing review, too! I follow my gut instinct, and I had a really positive feeling about Dr. Yaker & his staff. I highly recommend him! - - Breasts have been an issue for me pretty much my entire life. At the age of 8, my breasts began to form and I became very self conscience about it because it wasn't happening to any of my other friends. I remember asking my mom to buy me a bra, and she ignored me and refused to. I became really ashamed as I could not hide my growing breasts. Fast forward to Jr. High school and the dreaded locker room. I was 11 years old and I STILL did NOT have a bra. I was so embarrassed. When I was 12, my mother finally took me bra shopping. This same year, my mother who was very small chested (and small framed) decided to get breast implants. I'll never forget her talking with our neighbors about getting it done and the husband said "Why, because your daughter is bigger chested than you are?" And she told me THAT comment was what sealed the deal for her to get one.By 13 I was wearing a 34C and getting a TON of negative attention from boys. I hated it. I wore clothes that would purposely hide by breasts. The next year when I was in high school, I remember being a friend's house in the pool and I was wearing a bikini. The guys were calling me "Droopy", because by comparison to my friend's who were smaller and perkier, I was droopy. THAT made me even MORE self conscious. By the age of 18/19 I was wearing a D cup. I never exposed my breasts and always tried to hide them, even in intimate situations - and even now at age 40 - I do the same to this day!Over the years, my weight has fluctuated - between having an underactive thyroid & Hashimotos, to 4 children, they look beat down and have literally had the life sucked out of them. But aside from the emotional issues I have had in regards to my breasts throughout the course of my life, and aside from the cosmetic aspect of their appearance, never finding bras that fit quite right and support them - they have been causing a lot of physical issues for me. I have to wear 2 bras at a time - an underwire one, then a sports bra over the top, so that I can have some lift and support. Clothes NEVER fit right - I have to get larger sizes to accommodate my breasts, and I am limited to what types of clothing I can wear. No cute off the shoulder, strapless, back cut outs, etc. The under boob sweat is ridiculous, and I have dermatological issues now - fungal growth that smells (totally disgusting & foul) and irritation, chafing and painful skin erosion. I have been to a neurologist because I was getting headaches with a vengeance again and I was having issues with my left arm going numb and tingling. Turns out, I have a pinched nerve, likely from the bras I wear to support the weight of these beasts. Creating tension in my neck/shoulder & upper back. I also have very dense, fibrocystic breasts. I often have breast pain. For my yearly mammo, I am then always referred out to get an ultrasound. This past year, my right breast (which has been getting smaller, actually) found 2 cysts in it. Both my mother & her mother have had breast cancer, so also by getting a reduction, it will help to reduce the risk.I'll never forget breast feeding my children I was so embarrassed because my boobs hung so low, I had to support my boob to hold it up AND the baby. Needless to say, I am at a point in my life that they are wreaking so much havoc on me in every way, I need to be free of them! I want to become more active and just be FREE of these damn things!Despite having letters from physicians, and test results, BCBS denied coverage for this procedure stating they felt it was only cosmetic. I appealed, and then requested an IRO which I have not heard back on yet, but even if I go broke getting this done, it will be worth it to me. Of all the stories I've read and others I've spoken with, I've yet to have someone say they regretted getting this done. It still hasn't really sunk in for me yet that this is happening, because I can't imagine having the freedom this will bring me. Just in looking at clothes on-line I realized my perspective in how I look for clothes is changing. I've always been so limited and would skip past stuff because I knew I wouldn't be able to wear it.I have read so many amazing testimonies on this site, and I can't wait to share the rest of my journey with you!Steph"- T. / RealSelf / Feb 24, 2016
"Excellent Dr. and staff - Had a procedure done 20 years ago. Needed another procedure done and went back. Great bedside manner from the Dr. and staff and results are perfect. Scarring almost non-existent and i'm only 5 months out from surgery."- Anonymous / Vitals / Jan 15, 2018
"Dr. Yaker is nothing shy of amazing - his staff, too! I had breast augmentation surgery and they helped me every step of the way. They are knowledgeable and caring. They truly care about each and every patient and want the best results for their patients. Post-surgery I had a little concern, and the staff was prompt to assist me. They even checked back in on me over a holiday weekend. I HIGHLY recommend Dr. Yaker! Everything was 5-stars!!"- Anonymous / RateMDs / Oct 29, 2017
"All of the staff and Dr, Yaker are awesome. You cannot find a more friendly, caring, helpful group of people. I love everything about Dr. Yaker's practice."- Anonymous / RateMDs / Oct 26, 2017
"Dr. Yaker is a true artist! He answers every question and never makes you feel like he is hurrying you along. His nurses and staff are kind and caring. They make it all worthwhile."- Anonymous / RateMDs / Oct 26, 2017
To perform the reverse tummy tuck surgery, Dr. Yaker will make either a single W-shaped incision or two smaller incisions in the natural creases between the bottom of the breasts (the inframammary fold). Once the incision is made, excess skin will be removed and light liposuction may be performed on stubborn pockets of fat to create a smooth result. The remaining skin will be pulled tight and Dr. Yaker will suture the incision closed.
The reverse tummy tuck is performed as an outpatient surgery with the patient under general anesthesia. The surgery usually lasts about 2 – 3 hours at Dr. Yaker's on-site surgical facility, which is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). After an observation period, the patient will be allowed to leave to recover at home. Patients should schedule a follow-up appointment with Dr. Yaker about 2 weeks after their surgery so he can assess their recovery and results. Most patients will need about 4 – 6 weeks to recover from their procedure, but many are able to return to sedentary jobs and perform light activities within a few weeks.
During each patient's consultation, Dr. Yaker will be able to create a custom treatment plan based on the patient's needs and goals. This treatment plan will also help Dr. Yaker estimate the cost for each patient. On average, the reverse tummy tuck costs around $7,000 – 8,000, but this will vary with each patient.
Plan Your Procedure
- Average Cost
- $7,000 - $8,000
- Recovery Time
- 4 - 6 Weeks
- Average Procedure Time
- 2 - 3 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Reverse Tummy Tuck FAQs
Reverse, Full, or Mini?
There are many abdominoplasty techniques available today, including full, mini, extended, and reverse tummy tucks, so Dr. Yaker will help each patient determine the best surgery for their needs. During the initial consultation, Dr. Yaker will listen to the patient's concerns and goals while also examining the patient's stomach before discussing his recommendations. Each patient will receive a custom treatment plan that will achieve their best results.
Patients should wear a post-surgical compression garment that will help support their core while they regain their strength and improve their blood circulation for better healing. After surgery, patients should allow their body to rest and heal, but short walks throughout the recovery period are encouraged.
What About Scarring?
Since the incision is made below the breasts in a natural crease, the scar should be almost invisible if the patient follows their scar care instructions after the surgery. Dr. Yaker or a member of his team will go over how to clean the incision and other suggestions that will help the scar heal, so that it better blends with the normal skin.
Correcting a Tummy Tuck?
Some patients who have had liposuction on the stomach or a tummy tuck may develop concerns with their results because of scar tissue that forms. The reverse tummy tuck can improve the appearance of this scar tissue so patients can get the results they want. Other patients benefit from a reverse tummy tuck years after their initial tummy tuck when natural aging, gravity, and weight fluctuations have caused excess skin in the upper abdomen.