What Is a Mommy Makeover?
A “Mommy makeover” is a surgical procedure that aims to improve the breasts and abdomen in women whose bodies have been affected by pregnancy and breastfeeding. Pregnancy can cause looseness in the abdomen and a gap between the muscles so the belly still looks pregnant after childbirth (also known as diastasis recti). Additionally, the abdominal skin may have been stretched out so there is loose or hanging skin. The breasts may droop or lose volume after breastfeeding. If exercise and a healthy diet does not resolve these issues, surgery may be needed to get you back to your pre-pregnancy form.
These procedures can be combined into one surgery.
A mommy makeover is not a substitute for weight loss and exercise. Because fluctuations in weight can affect the results of these procedures, it is best if the surgery is done when you are stable at your ideal weight and have completed childbearing.
Am I a Good Candidate?
Good candidates for this procedure are at their ideal body weight and have been stable at that weight. You should not be breastfeeding at the time of surgery because it will change the size and shape of the breasts. You should also be generally healthy, a non-smoker, and are not planning on any additional pregnancies.
How is the Procedure Performed?
The procedure is done under general anesthesia in an accredited surgical center or a hospital. The abdominoplasty (tummy tuck) is done by making an incision on the lower part of your abdomen and around your belly button. The area between the abdominal muscles is sutured together. The extra skin of the belly is removed and the belly button is brought through a window in the skin.
The breast surgery is performed either by placing an implant through an incision under the breast if only volume is needed (breast augmentation). If a lift or reduction is needed, a vertical or anchor incision is used to reshape the breast tissue and skin.
All of the incisions are closed with absorbable sutures so no sutures will need to be removed. You may or may not have drains after the procedure. You will be placed in a supportive bra and abdominal compression garment. You will be measured for these garments prior to surgery.
Limitation, Risks, and Complications
Risks of the procedure are the same as for breast surgeries and abdominoplasties. They include anesthesia risks, pain, bleeding, infection, fluid accumulation (seroma), poor wound healing, numbness or changes in sensation to the skin or nipple, poor scarring, looseness of skin, contour or shape irregularities, asymmetry. If an implant is used, there are risks of implant rupture or leakage, scarring around the implant, or poor position of the implant. During your consultation, your surgeon will review medical your history and anatomy and discuss your personalized risks and limitations of the procedure.
What to Expect During Your Consultation Visit
During your initial consultation with your surgeon at Hill Country Plastic Surgery, we will discuss your concerns and goals before recommending treatment options that are tailored specifically to your needs. Prior to your consultation, we recommend that you review the procedures on our website so you are familiar with the terms we will be using during our discussion.
Once we identify your concerns and surgical goals, we will discuss all of the treatment options that are available to you. Every patient is unique and we will develop a tailored surgical plan that addresses your specific goals. In addition, we will thoroughly review your medical history, surgical history, medications, allergies, family medical history, and other important details such as your family breast cancer history. It is very important that we obtain accurate information in all of these areas as it may impact the outcome of your surgery. If you have any prior breast imaging, please send it to the office prior to your appointment.
While discussing different treatment options, we will perform a physical exam and take measurements that are necessary for planning for your surgery. Pre-operative (before surgery) photos will be taken either at your initial consultation, or during your pre-operative visit.
After your consultation, you will receive access to your notes on the patient portal in addition to information about your specific surgery. If you have not activated your patient portal, this can be done at your appointment by asking any of our staff to assist you. If you have questions after your appointment, you can contact our office or message us through the patient portal. Some patients will require medical clearance from their primary care physician or a specialist or additional tests before undergoing surgery.
Once you have determined that you would like to have surgery and have completed any clearances and tests that were requested, contact our office at (210) 658-3555 to schedule a pre-operative appointment with one of our surgeons.
Mommy Makeover FAQs
Where will my surgery take place?
The procedure can take place at an accredited ambulatory surgical center, or at a hospital on an outpatient or inpatient status. The choice of location is based on many factors, but is ultimately based on what is safest for you.
Will I stay overnight after my procedure?
After a mommy makeover, most patients are able to go home. If we are doing an excision of a large amount of skin or additional procedures, you may need to stay overnight in the hospital or surgical center.
How do I know which surgery is right for me?
During your consultation, your surgeon will review all the options and give you recommendations. In general, a mommy makeover is a good option if you are at your ideal weight, have completed breastfeeding, do not plan on any additional pregnancies, and have been at a stable weight for at least 6 months. You should be nicotine free since nicotine can cause severe complications such as death of the abdominal skin and the wound coming apart.
If you have any bleeding or clotting problems, it is important that we know about it and we work with your hematologist to determine if this is a safe operation for you to undergo. If you have significant medical problems, we will work with your physicians to determine if you can safely undergo surgery.
Will my mommy makeover be covered by insurance?
A mommy makeover is a cosmetic procedure and is not covered by insurance.
When can I return to normal activities?
You can return to normal activities at 6 weeks. If you had a tight abdominal plication performed, you may want to limit your abdominal core workouts until 3 months after surgery. When resuming activities, it is recommended that you start slow and wear an abdominal binder at first and slowly increase your activity level.
How much does a mommy makeover cost?
The costs are variable between patients and depends on the amount of surgery that is needed. When determining the affordability of the surgery, the total cost of the surgery should be evaluated. The total cost includes anesthesia fees, hospital or surgical center facility fees, medical test, compression garments, prescriptions, and the surgeon’s fee.