Mommy Makeover

The mommy makeover is a combination of plastic surgery procedures performed to help you get your pre-baby body back.

 

The combination of procedures utilized in our practice are customized for the patient and can included a tummy tuck (to remove loose skin and regain firmness) and breast enhancement (which can include breast lift and/or breast augmentation). Liposuction could also be added to help with body contouring.

When Is A Mommy Makeover Appropriate?

 

Pregnancy can take a toll on our bodies, affecting our breasts, tummies, legs and more. After nine months—or more, if nursing—you are probably longing for your pre-baby body. After pregnancy many women become frustrated because diet and excercise cannot achieve the results they desire and so they elect to have minimally invasive cosmetic treatments, cosmetic procedures or all of the above, to get back the shape they desire.

 

It is important to remember that combining procedures leads to longer surgery time and potentially a greater risk of complications. The biggest concern with multiple procedures in one surgical session is the length of time the patient is under anesthesia. The good news is that a tummy tuck and breast surgery are frequently performed at the same time, and usually take from three to five hours, which is safe and reasonable.

Other treatments often combined with the Mommy Makeover include:

  • Skin tighteners
  • Cellulite treatments
  • Stretch mark elimination

Mommy Makeover – Tummy Tuck

 

With all the stress we put on our midsections—during pregnancy or with weight gain and loss—it’s no wonder that, as we age, the shape and size of our stomachs change. When diet and exercise don’t provide the results that you want, a surgical procedure like a tummy tuck (or lipoabdominoplasty) may be your best option.

 

A tummy tuck permanently restores firmness to the stomach and removes any loose skin. During the procedure, an incision is made at the pubic bone (your scar, once healed, will be concealed by bathing suits and underwear) through which our plastic surgeons will tighten up the muscles. Small pockets of fat can be removed with liposuction. Once the muscles are tightened the surgeon will want to make the muscles as tight as possible so that the stomach will keep its new shape as long as possible—and the excess skin is removed.

 

Depending on the extent of your particular post-pregnancy concerns, there are a variety of tummy tuck procedures that treat different degrees of muscle and skin laxity. Some procedures are performed with limited incisions and leave shorter scars.

 

Here are the various types of tummy tuck surgery you will may want to consider either as part of your Mommy Makeover or as a single procedure:

 

  • Traditional Tummy Tuck – full abdominoplasty
  • Extended Tummy Tuck – belt lipectomy
  • Mini Tummy Tuck – short scar or small incision abdominoplasty
  • Reverse Tummy Tuck – the incision is made from the breast bone to the stomach

 

Nonsurgical Body Contouring – using liposuction, lasers or injectables
Women who have had C-sections (or Cesarean sections) are in luck—your plastic surgeon can either use or remove that incision while performing the tummy tuck, so you will have only one scar.

Mommy Makeover – Breast Enhancement

 

Some women are lucky, and bounce right back to their pre-pregnancy bodies; others struggle to get close to what they looked like before having children.

 

A typical post-pregnancy breast problem…

 

Your breasts may have been a perfect size and shape before and during pregnancy, but after breast-feeding they sag or have lose tissue volume.

 

This happens because during pregnancy and even into breast-feeding, the breasts are greatly affected by hormonal changes. Once these hormones decrease, the tissue deflates.

 

Breast enhancement—such as augmenting with implants or a breast lift—can restore shape and size to your breasts, even making them bigger and fuller than they were before you got pregnant. In general breast augmentation creates a larger size with small changes in the nipple height. With two different implants to choose from—saline and silicone—and a few different placement and incision options, too, our plastic surgeons can fill your breasts out just a little or take you substantially larger. For those who want to look most natural, silicone implants are usually the better options.

 

It’s important to know that post-pregnancy breast augmentation patients may not be candidates for implant placement through the armpit if their breasts are droopy. It may be more appropriate to place the implant through an incision around the nipple or in the breast crease so the surgeon can manipulate and adjust the tissues. Incision placement is a key area of concern, so always consult with your surgeon in your pre-op evaluation.

Mommy Makeover – Fat Removal

 

Liposuction alone can remove fat, but it cannot do anything to treat stretched muscles or extra skin. A tummy tuck takes care of all of the abdominal issues experienced by post-pregnancy women—the stretch marks, excess skin and stretched abdominal wall—and also gives surgeons the ability to bring in the waist like a corset. That’s why liposuction is often performed in conjunction with the Tummy Tuck to accentuate the waist and add definition to the abdomen. This is a crucial part of any Mommy Makeover. A nicely contoured waist blends into the flattened abdomen in a natural way. Likewise, a narrowed waist complements the proportions created by the breast procedure. The result is a body that looks much like what the patient had prior to her pregnancy or pregnancies.

 

All liposuction is essentially suction-assisted lipectomy (SAL)—the removal of fat from the body through the assistance of some form of suction. Fat removal involves the use of a cannula (a thin hollow tube that is inserted below the skin) to manually loosen fat. Suction is applied through the cannula to remove the fat from the body with specialized vacuum-powered equipment. For small, localized areas such as the face, or to harvest fat for transfer, suction may be manual, using a large syringe attached to the cannula.

 

Improvements in SAL include the ability to use smaller cannulas, thereby leading to smaller incisions and more precisely sculpted contours. This is made possible by accompanying SAL with specialized techniques, mainly tumescence and ultrasound assistance.

Mommy Makeover – Skin Tightening and Cellulite

 

Skin Tightening: For the lucky few who just need a minor bit of tweaking, a skin-tightening treatment can help. To nonsurgically treat loose skin we can use a combination of methods like a prescription-strength retinol cream, to produce collagen, followed by lasers that help build collagen. Even if your skin responds to treatment, you’ll never get the same result with a skin tightening treatments as you will with surgery because the extra, loose skin still exists to some degree. On average, the results are not permanent—maintenance sessions need to be done about once a year—and results are not predictable since not everybody responds to these types of treatment.

 

Cellulite treatments: Some anti-cellulite treatments may help to minimize cellulite. Before embarking on surgery or even noninvasive treatments to treat cellulite, you may want to look into diet and exercise programs to get your body back on track.

Mommy Makeover – Stretch Mark Removal

 

Why do stretch marks appear?

 

Weight gain and loss due to pregnancy or other reasons forces skin to stretch more quickly than it would normally. There is a “pulling” on the dermis that causes the collagen to weaken and break down.

 

While there’s no miracle cream that can fully prevent stretch marks from forming (they are genetic to some degree), you may be able to minimize the chances of getting them, or reduce their severity, by keeping the body well moisturized.

 

Stretch marks can appear almost anywhere on the body but they usually develop on the stomach, breasts, thighs, hips and butt during pregnancy.

 

How to treat stretch marks?

 

If your stretch marks aren’t fading, there are laser skin-resurfacing treatments that will help reduce them. Consult with a cosmetic plastic surgeon about how to best reduce or eliminate them.

 

Results from laser skin treatments for stretch marks are not considered permanent. Stretch marks can also be excised during a tummy tuck if they’re below the belly button they’re cut out. If they’re above the belly button they are re-positioned further down on the stomach.

Who should have a Mommy Makeover?

 

Women wanting to restore the look of their pre-pregnancy bodies.

 

Most plastic surgeons recommend letting the body heal for three to six months after delivery before surgery. You’ll also need to have stopped breast-feeding so your doctor can get an idea of the true size and position of your breasts. If you are done having children, it is safe to go ahead with a Mommy Makeover.

 

Who should not have a Mommy Makeover?

 

If you are planning on having additional children you may want to wait to have your Mommy Makeover until you are done with all of your pregnancies before undergoing surgery. No plastic surgeon can guarantee that the results of surgery will be retained with additional pregnancies. Tummy tucks should not be done for any woman who is still having or wanting children.

 

Post-treatment Care

 

Since recovery involves post-treatment care for multiple procedures, it might affect caring for children during recovery. It is important to discuss post-surgical care with your surgeon to fully understand what is involved after surgery, how long recovery time will be and when you can expect to see results.