While I prefer the term “postpartum restoration” Mommy Makeover has won out with the public. It generally refers to combining the most common surgical procedures we perform to restore a woman’s body after childbearing.
It usually includes a breast surgery and a tummy surgery.
Mommy Makeover helps to restore a breast that has sagged, drooped, deflated or enlarged after breastfeeding and the hormonal changes of childbearing.
Mommy Makeover usually improves the abdomen through a mini or full tummy tuck or sometimes liposuction depending upon how loose the abdominal skin has become after pregnancy.
This post partum woman of two children lost the volume of her breasts after breast feeding. The abdominal wall relaxed and the skin of the abdomen became loose. She underwent breast augmentation to restore volume, full tummy tuck with tightening of the abdominal muscles. The hips were contoured through power assisted liposuction. In this particular case the breast implants were placed through the tummy tuck incision which is under the underwear line.
This post partum woman had a breast lift and tummy tuck as part of her mommy makeover.
Breast: Tummy: Other:
Augmentation or/Reduction Full Tummy Tuck Liposuction
Lift (mastopexy) Mini tummy tuck Labiaplasty
Augmentation and Lift Liposuction Vaginal rejuvenation
Generally these procedures are performed on healthy women who have completed child bearing. Occasionally the same surgeries may be performed on patients who have had significant weight loss regardless of pregnancy status.
Mommy Makeover can not make a full figured person rail thin, but it can certainly make that patient more streamlined.
It is always best to be at a healthy, but also realistic weight before surgery. Starving yourself before surgery is a bad idea. Without good nutrition you won’t heal properly. Most of my patients have surgery when they are about 10 pounds from their goal weight. Best to be close to where you want to be before surgery. If you have been breastfeeding it is best to allow milk to dry up before considering breast surgery. It is best to wait at least 3-6 months after delivering your last child. This gives the opportunity for the pregnancy uterus to shrink up as well as the opportunity to lose pregnancy weight
Each patient recovers differently and it depends upon which mommy makeover surgeries you have. In general, it is the tummy tuck that requires the most recovery time and on average most patients will recuperate for at least 2 weeks.
The combination of breast and abdominal surgery is quite common, but there is such a thing as “too much surgery” additional procedures may be considered only if I feel they can be accomplished safely.
Fortunately, the body is smarter than the doctor, and the hormones of pregnancy will allow the tissues to relax once again. If a patient becomes pregnant after tummy tuck I ask them to notify their OB/GYN about the surgery. It is important that the obstetrician know a tummy tuck was performed in case a c-section is needed.
Yes, depending upon the skin laxity.
It depends upon which combination you have. Link to the surgeries you are considering in the table above and basic risks are discussed. These are gone over in great detail in my consults.