The Mommy Makeover is a term used to describe the cosmetic surgery procedures utilized by plastic surgeons to transform the appearance of specific areas of a woman’s body affected by pregnancy. The procedures used to create the Mommy Makeover are commonly performed during the same surgery. This can benefit you in a variety of ways including recovery from a single surgery and seeing a makeover that restores the contours of your breasts and abdomen.
Mommy Makeover procedures most commonly performed are:
- Breast Augmentation
- Breast Lift (Mastopexy)
- Breast Lift with Augmentation
- Tummy Tuck (Abdominoplasty)
- Labiaplasty (reduction of labia minora)
Ideal Candidates for the Mommy Makeover
Ideal candidates for the Mommy Makeover are in good physical health and finished having children. It is mandatory that candidates not smoke for a period of time before and after surgery so proper healing will take place. Most importantly, those women considering having cosmetic surgery should have realistic expectations.
Common Patient Concerns
Listed below are some of the most common concerns patients express to me during their initial consultation for which a Mommy Makeover can address:
Volume Loss in the Breasts
Breast volume typically increases during a woman’s pregnancy in preparation for lactation. Following the birth of the child, changes in the breasts continue to occur regardless of whether or not the mother has chosen to breastfeed. Eventually, the tissues shrink and give the breasts a “deflated” appearance. Usually, breast volume can be restored with breast implants using a procedure called Breast Augmentation.
Sagging Breast Skin
It is obvious that with the increased breast volume during pregnancy, the skin envelope stretches as needed. When the breast skin envelope is unable to shrink back, the breast may “sag.” There are varying degrees and types of sagging which I consider when developing surgical options for the patient to consider. For instance, when the nipples fall below the natural breast crease or point downward, I will more likely recommend a breast lift to restore the proper nipple position. When the patient desires additional breast volume, I may recommend a breast lift and augmentation.
Pregnancy affects all layers of the abdominal wall: the skin and fat layer and the abdominal musculature. Stretch marks or striae, excess tissue, and the lower belly “pooch” are all direct results of the mechanical stretching forces during pregnancy. The “pooch” typically refers to the area below the belly button that hangs or sticks out more than other areas of the abdomen. While the skin and fat are commonly involved in the appearance of the “pooch,” the separation of the muscles often contributes to that contour. And, while there is no miracle cream for stretch marks (yet), an abdominoplasty, or tummy tuck, will remove some of those located in the lower abdomen. However, the primary goal of a tummy tuck procedure is to rejuvenate the woman’s torso by removing excess skin and fat, restoring the position of the abdominal muscles near the midline, and tightening the waist line.
Women often find that fat is distributed differently after pregnancy and is often more difficult to lose. Liposuction is a procedure designed to remove areas of localized fat. The most common areas that fat tends to linger following pregnancy are the abdomen, hips, inner thighs, outer thighs, arms, and back. Your plastic surgeon will assess your skin’s elastic ability before proceeding with liposuction.
Pregnancy may also produce enlargement or distortion of the labia minora (inner skin flaps at the opening of the vagina). This may cause pain during sex and exercise, but many women seek to restore the appearance they had before pregnancy. A labiaplasty procedure removes the excess labial tissue and restores the shape and contour.
Mommy Makeover Recovery and Results
Physical limitations after a Mommy Makeover will depend primarily on which procedures are performed. The big advantage of the Mommy Makeover is primarily the reduced recovery time compared to the time needed for each procedure if performed separately. My patients usually stay one night in the hospital to provide monitoring and pain control. Most patients can expect to return to work after 10 to 14 days depending on their occupation. Light exercise may begin after 14 days and unrestricted activities after six weeks. Most women having the Mommy Makeover begin to appreciate their restored curves after six to eight weeks, but they can expect a better idea of the results after six months.
If you are interested in the Mommy Makeover procedure, please contact Dr. Mark Peters to schedule your consultation. He will be happy to answer any questions you may have and help you decide which procedures will give you the results you desire.
5’2″ 189 lbs BMI 32.5 at consultation
2 children, no breast feeding
609 gms Rt 577 gms Lt
Lipo abd 900 cc
Lost to 140 lbs postoperatively
5′ 5″ 170 lbs
4 children, twins, breast fed all
Abdominoplasty, lipo abdomen, mastopexy with augmentation
1200 cc fatty aspirate
350 cc mod profile saline
5’3″ 141 lbs BMI 24
c section x2
2 children, no breast feeding
Abdominoplasty 750cc lipo plicated fascia
Mastopexy w augmentation 390 cc mod spectrum saline
41 years old
5’8″ 150 lbs
4 children by C-section
Abdominoplasty and mastopexy with augmentation using saline mod profile 325 cc.
Had implant exchange to high profile saline 505cc on right, 525 cc
27 years old
5’4″ 166 lbs
1 child, c-section; breast fed >1 year
C cup preop
Abdominoplasty, lipo 700 cc
507 cc silicone gel using dual plane