Operation Guide for the Sculpt Tummy Tuck with Breast Fat injections

Loose skin and empty breasts are a fact of life after having a baby. Many women seek cosmetic surgery to get a flat tummy and perky breasts after giving birth for this reason.

The Sculpt tummy tuck with breast fat injections can significantly improve the bodies of post-pregnancy mummies in just one surgery. For new mums looking to tighten the tummy and increase breast fullness, this combined operation gives fantastic results.

Sculpting the body is all about removing unwanted fat in the right spots, and enhancing other areas while you’re at it. The Sculpt tummy tuck with breast fat transfer accomplishes both. The belly fat that is removed during the procedure is transferred to the breasts, giving post-pregnant women a beautiful and shapely figure.

In this surgery, Dr. Bernard Beldholm, FRACS performs a modern Sculpt tummy tuck with liposculpture and fat injections into the breasts. This multi-purpose operation helps fill empty breasts, tighten loose skin on the tummy and repair separated abdominal muscles after pregnancy.

This is one of his preferred surgeries for new mums because it gives such incredible results by addressing all their most common cosmetic concerns in a single operation.

How pregnancy changes the body

A woman’s body undergoes a great deal of change after pregnancy. The main concern is usually excess loose skin and stretch marks from the tummy being stretched to accommodate the growing baby.

Typically, new mums also have sagging breasts that lack fullness. Separated ab muscles after pregnancy is also a common complaint. This condition is known as diastasis recti.

Finally, weight gain is common during pregnancy. After reaching a stable weight with diet and exercise, many mums still wish to refine certain areas of the body that are hanging on to stubborn fat. The Sculpt tummy tuck with VASER liposculpture is ideal for this.

Benefits of the Sculpt tummy tuck with breast fat transfer

A tummy tuck with liposculpture is excellent for removing loose, hanging skin while addressing excess fat on the tummy, flanks, love handles, under the breasts, side rolls on the breast and more. Since fat is removed, it creates a perfect opportunity to use it to your advantage.

Fat injections are a great way to restore fullness in empty breasts after breastfeeding. The fat is removed from one area and then used to enhance the breasts in this procedure. A breast fat transfer restores fullness to empty, sagging breasts. It can also correct uneven breasts (breast asymmetry).

In Dr. Beldholm’s Sculpt tummy tuck with fat injections into the breast, it is possible to correct loose skin on the tummy, repair separated ab muscles, refine pockets of unwanted fat and use that fat for breast enhancement. All this in just one surgery!

Not only are multiple cosmetic problems corrected at once, it also reduces cosmetic surgery costs for patients. By doing it all in one surgery, that means patients will only go under the knife once, undergo anesthesia one time, reduce time off work and driving and only go through the recovery period one time.

Sculpt Tummy Tuck with Breast Fat Transfer Operation Guide

A step-by-step surgery guide follows for Dr. Beldholm’s Sculpt tummy tuck with fat transfer into the breasts.

This is a complex surgery. A lot happens when you get a Sculpt tummy tuck with fat transfer since we are addressing loose skin, fat removal, abdominal muscle repair and breast enhancement at once. It’s important to get everything right in the operation.


Cleanliness is essential in the operating room. Before the operation begins, everything must be sterilized properly. Betadine prep is what Dr. Beldholm uses to sterilize all the areas that he will perform the surgery on. The operating room also has special sterile drapes that are placed above and below the patient to prevent contamination.

Anesthesia and Intubation

Like most cosmetic surgery, general anesthesia is a must for patient comfort and safety. A mask is placed on the patient’s mouth so that the lungs are pre-oxygenated. This provides stable oxygen levels to allow safe intubation (breathing tube).

The anesthesiologist tests the oxygen levels to be sure it is safe to proceed with intubation. Blood pressure and pulse are monitored as well. The anesthetist will also look into the larynx with a video scope. That allows a clear view of the larynx to ensure the patient is ready for intubation. It is critical that the patient is stable before surgery begins.

Apply Local Anesthetic

The first step of the operation is preparing the areas that will get liposuction. Lignocaine (lidocaine) with adrenaline solution is infused into these areas using a pump and a cannula. Dispersal must be nice and even to achieve even, smooth liposuction results. A fanning technique works well for this. Multiple incisions allow access to all the areas that will be liposuctioned. While this process takes time, it must be done correctly to get a good result.

Harvesting Fat

Once the liposuction fluid is in, the next step is performing standard liposuction. Liposuction has two purposes in this procedure. First is to sculpt the abdomen. The second is to harvest the fat that will later go into the breasts to restore breast fullness.

The harvested fat that is removed during liposuction goes into a sterile canister. The fat itself is mixed with fluid that must be removed prior to injection. Nearly 40% of the harvested fat is made up of fluid that will be filtered out. Because of this, the surgeon must ensure that there is enough fat leftover to achieve the patient’s desired breast fullness.

Clean and Separate the Fat for Injection

The fat must be purified as much as possible to get a great result. Dr. Beldholm prefers the Revolve system from Allergan. The fat is washed by revolving in the canister about four or five times. When this process is complete, the fat that remains is clean and pure, ready to be injected into the breasts.

Afterward, the fat is removed from the canister. Then it is transferred to small syringes that will be used for the breast injections.

Inject Fat into the Breasts

Using a 2.5 mm cannula, Dr. Beldholm injects the fat into the breasts. Standard liposuction cannulas are ideal for this, he says, because they are more gentle to the fat.

Breasts injections are best administered subcutaneously, under the skin. They can also be injected under the pectoral muscle, beneath the existing breast tissue. This is a similar plane to where breast implants are normally placed.

The fat must be injected evenly to get a good result. Doctor Bernard does this by inserting the cannula, then gently withdrawing it and injected slowly as it is withdrawn. Continue fanning the fat into each breast until satisfactory results are achieved. An equal number of syringes should be used in each breast to ensure an even result, unless the patient has breast asymmetry that needs correction.

Sculpting the Abdomen with Liposculpture

Liposculpture is a key part of the Sculpt tummy tuck operation. Doctor Bernard loves VASER liposculpture because it gives excellent results with less tissue trauma than standard lipo. At this stage, he uses it to finalize and sculpt the patient’s abdomen for a beautiful finish.

This VASER machine gets very close to the skin surface, allowing better fat removal and an overall better result in Doctor Bernard’s experience. To learn more about the benefits of VASER vs. standard lipo, click here.

Abdominal Dissection

With a modern tummy tuck, it is not necessary to dissect all the way down to the abdominal fascia. In the Sculpt tummy tuck, the abdominal flap is dissected to reveal the scarpa’s fascia, which is a white-looking tissue.

Operating on this layer of the abdominal cavity creates a great seal when closing the incisions. It also minimizes tummy tuck seroma rates since it is less invasive than older tummy tuck techniques.

Because liposuction has been done, it makes the tissue quite easy to dissect. Dr. Beldholm dissects up to the level of the belly button. Creating a tunnel up to the rib area is the next step.

Create the Epigastric Tunnel

Now that the abdominal dissection has begun, the next step is to create a tunnel up to the rib area. Note that is not necessary to dissect the fat all the way around the rib area in a modern tummy tuck. Doing so limits the blood supply to the abdominal flap. Maximizing the amount of blood that reaches the flap helps reduce the risk of tummy tuck complications and speed healing.

After dissecting up to the belly button, Doctor Bernard then creates two little flaps and pulls the tissue downward. When creating the tunnel, it is best not to divide the blood supply on either side of the tunnel. Dissection continues all the way up to the rib area, until reaching the xiphoid sternum. Now the epigastric tunnel is complete.

Mark and Remove Excess Skin

Two skin flaps are marked where the excess skin will be removed. It is crucial to make sure the tension is right so that the appropriate amount of skin is removed; not too much, nor too little. Gently pushing the tissue helps achieve the right amount of tension. This can take a few tries to get it just right. Both the left and right sides are marked, then the excess skin is removed.

Close the Tissue with Sutures

A great tummy tuck requires great closures. Closing the tissues evenly at the end is vitally important. Doctor Bernard performs all the suturing in the Sculpt tummy tuck himself for this reason.

It starts in the deepest layer of the abdomen. Permanent sutures are used here to keep consistent tension on the wound as it heals. Once that layer is done, Doctor Bernard uses v-lock sutures to close the three layers above it. V-lock is absorbable, lasting about three to six months before it gets absorbed naturally by the body. The first few months after surgery, the skin really needs that extra support for good healing.

Closing the belly button well is key to a good result as well. The aim is to bury the belly button in order to hide the surgical scars. Deep sutures are used for this. It can take a bit of finagling to get the belly button closure just right, but it is well worth the extra time it takes to get a good finish.

The skin must be closed evenly across the abdominal incision. He uses a v-lock 930 suture, which goes just beneath the skin to close that final layer. The surgery finishes with one more very thin suture to close the superficial skin layer.

Assess the Result

If all goes smoothly, you should now be looking at a nicely sculpted abdomen and beautifully enhanced breasts. Note how the liposuction has sculpted the targeted areas and abdomen, giving the patient’s body a lovely shape and definition.

Apply Wound Dressings

Wound dressings are necessary to keep the incision clean and protected. Doctor Bernard uses an advanced wound dressing known as PICO negative pressure dressings.

PICO is a unique type of surgical dressing that provides suction to the wound site, thereby improving healing. The dressing also has a layer with Airlock technology that traps up to 99.9% of bacteria, making it one of the safest and most advanced wound dressings for tummy tucks on the market today.

The PICO dressings stay on for ten days post-op, then the patient will come in to have them changed at a follow-up appointment. Visit this page if you wish to learn more about tummy tuck aftercare.

Compression Garments

Tummy tuck compression garments are a staple of healing well. Compression garments have been around for some time and most cosmetic surgeons highly recommend wearing them after a tummy tuck.

To make his patient’s lives a little easier, Doctor Bernard places the compression garments on while the patient is still in the operating room, before waking up from surgery. That way, the patient is nice and comfortable by the time they get to the recovery room, rather than having to disturb the patient by placing the compression garments on while she is awake.

Sculpt tummy tuck with breast fat transfer gives beautiful results

It takes time to heal from abdominoplasty, but when the patient sees the final result of the Sculpt tummy tuck with fat transfer into the breast, they are excited and thrilled. If you are thinking about a tummy tuck with breast enhancement, this is a procedure that Doctor Bernard highly recommends to new mums.