“Mommy makeover” refers to a tummy tuck in conjunction with a breast procedure (breast lift, implant, or both breast lift and implant). Mommy makeovers are ideal for patients seeking to restore their pre-pregnancy bodies. Because pregnancy mostly affects the breasts and abdomen, the mommy makeover targets these regions based on the individual.
Good candidates for this procedure:
Patients with sagging and deflated of breasts
Patients with excess abdominal skin with stretch marks and bulging
Patients with nipples and areolas that point downward, especially if they are positioned below the breast crease
Patients who are finished with childbearing and breast-feeding (If you plan to have children, you may want to postpone cosmetic breast surgery. Pregnancy may stretch the breasts and reduce their volume, compromising surgery benefits)
What to expect: Consultation
All cosmetic consultations are complimentary and serve as a great opportunity to gain further insight by voicing your concerns and having questions answered. During the initial consultation, Dr. Hsu will ask some questions to get to know you and determine if you are a good candidate for a mommy makeover.
During the consultation, Dr. Hsu will first ask about the area in question and determine what kind of goals you have for the surgery, including how you would specifically like to improve the tummy and breasts (volume change, or lift, or both). He will aso ask you about your general health history, including any existing medical problems, prior surgeries, daily medications, allergies, and any smoking habits.
Dr. Hsu will then give you his assessment on whether you would be a good candidate for the procedure, and if so, how the surgical plan should be individualized for your anatomy. Since each patient's anatomy and surgical goals are different, you and Dr. Hsu will work together to reach optimal aesthetic results.
Because the mommy makeover procedure combines a breast procedure and a tummy tuck procedure, please refer to our Breast Lift, Breast Augmentation, and Tummy Tuck pages for more details about these specific procedures.
On the day of surgery, arrive early to fill out paperwork, meet the anesthesiologist, and be prepared for surgery. Dr. Hsu will meet you in the pre-operative area before surgery to make markings on the areas planned for surgery and answer any last minute questions you may have.
The mommy makeover is performed under general anesthesia for a duration of approximately four and a half hours. Essentially, the tummy tuck is performed first, with the incision site placed around the level of the pubic hair line. If you have had a Caesarian section, the incision site will either be below or at the Caesarian section line, so that there is no second scar. Depending how much excess skin there is, a wedge of skin in the shape of an ellipsis will be removed and the remaining skin will be stretched down to tack onto the incision site. Since Dr. Hsu will be removing the skin below the belly button, any stretch marks in that region will be removed. Dr. Hsu will take as much skin as possible while leaving enough skin to close the incision without healing difficulty.
While many people believe only the skin is loose, the muscle layer also has some laxity. For most patients Dr. Hsu will not only remove excess skin, but will also tighten the abdominal muscles. You will keep your original belly button in its original place. Very commonly, patients will also request to get liposuction of the flanks in conjunction with their mommy makeover procedure. In most tummy tucks, Dr. Hsu will place drains to help remove fluid during the early healing weeks.
After the tummy tuck, Dr. Hsu will perform the breast portion of the procedure. He will either perform a breast lift, breast augmentation, or a combination of the two.
Recovery & Post-operative Details:
After the surgery, the surgicenter nurse will teach you how to take care of the drains. You will need to measure the amount of fluid that comes out every day until it drops below a certain level. At that point, which is usually two weeks post-operation, Dr. Hsu will remove the tubes.
You will wear a surgical bra and compression garment for a few weeks to aid the healing process. It is not recommended to lift elbows above your shoulders, but you can still use your arms for most normal daily activities.
It is crucial that the surgical area stays dry until Dr. Hsu gives you the green light to shower. To clean the rest of your body, you can bathe or use wipes until clean. Swelling & bruising will peak about 48 hours after surgery but will gradually decrease in about two weeks. After six weeks, patients can return to most activity including exercise, lifting heavy items, and going back to the gym.
During the recovery period, walking is good to help with healing faster and minimizing blood clots. Most patients can plan to go back to work after two weeks. However, there are a lot of patients that go back to work faster than that. The biggest limitation for post-operative patients is driving. Dr. Hsu does not like to have his patients drive when on pain medication. Patients are usually off their pain medication after five to seven days, so plan your work schedule accordingly.
Dr. Hsu likes to follow patients after surgery for an extended period of time to make sure the patient is healing well. Most follow up appointments are scheduled one week after surgery to up to a year after surgery.
Dr. Hsu's view on a Mommy Makeover.
The “Mommy Makeover” has become more popular in recent years, and really refers to the combination of tummy tuck (abdominoplasty) with a breast rejuvenation procedure (either breast augmentation, or breast lift, or both). This is best used for patients who are finished having children -- similar to tummy tuck, many of the benefits would be lost if the patient has more children afterward.
Usually patients have excess skin and often times stretch marks around the belly button, with most of them concentrated below the belly button. The tummy tuck portion of the procedure removes most of the excess skin below the belly button, and along with this, those stretch marks are removed. Any remaining stretch marks that exist above the belly button are generally moved into a lower position on the abdomen so that they are not as visible.
For the breast rejuvenation portion, I would say that in my practice, about 50% have a breast lift alone, and about 50% also have breast implants placed. In particular with mommy makeover, I usually don’t recommend for patients to have very large implants. Since excess skin is removed from the abdomen with the tummy tuck, the breasts can often appear slightly larger in comparison. Therefore, I find that that smaller breast implants are sufficient to give a rejuvenated yet natural appearance.