Mommy Makeover

What is a Mommy Makeover?
A Mommy Makeover indicates breast and body rejuvenation after pregnancies. The combination of procedures involved is determined by the patient’s concerns and desires and is decided at consultation. A Mommy Makeover can consist of breast enhancement, body contouring and/or vaginal rejuvenation.

Breast Procedures: 

Breast augmentation with or without breast lift: Depending on the changes desired in the breasts, implants to fill the breast and a breast lift to re-position the nipple and shape the breast are considered.

Body Procedures:

Abdominoplasty with or without liposuction: An abdominoplasty (tummy tuck) addresses changes in the abdominal wall that occur with pregnancy. Liposuction is often combined to address fuller areas of the body that may not have returned to a patient’s desired appearance after pregnancy and associated weight gain. 

Vaginal Rejuvenation: 

ThermiVa: Nonsurgical vaginal rejuvenation utilizing ThermiRF® technology. The tissues are gently heated to the desired temperature to stimulate changes in collagen and elastin and tightening in the area. Patients report improved lubrication, stimulation and less stress urinary continence (leakage of urine with activity, sneezing, coughing or laughing.)

Labiaplasty: The trimming of the labia minora, which can be stretched after child birth, altered with weight loss or sometimes just a normal variant for a young patient with none of these events. It can make intercourse difficult or painful and is sometimes visible in certain clothing. Patients that are very active complain of discomfort with certain exercise-cycling, for example-if they are a potential candidate for labiaplasty.

How long will surgery be?

This depends on the combination of procedures. A breast lift with implants and an abdominoplasty generally takes about 4 hours. The addition of liposuction of the back or flanks, requiring repositioning of the patient, adds procedure time. Procedures are performed as outpatient surgery.

What kind of Anesthesia will I have?

General anesthesia is used for Mommy Makeovers because it is safe and very well controlled. West Magnolia Surgery Center, on site at West Magnolia Plastic Surgery, is fully accredited by the AAAHC. Local anesthesia in injected into the incisions once the patient is under anesthesia for enhanced postoperative comfort.

What is recovery like?

This depends on the combination of procedures. An abdominoplasty requires the longest duration of recovery and the breast recovery is seamlessly accomplished during this period. Drains are usually in for about 10 days to 2 weeks.

What are the risks?

The risks of breast augmentation include bleeding, infection, asymmetry, loss of nipple blood supply and loss of nipple sensation. The most notorious potential sequelae of breast augmentation is capsular contracture: excessive scar tissue around the implant. The exact cause of this finding remains elusive to Plastic Surgeons but many steps have been shown to reduce the risk, all of which are executed at West Magnolia Plastic Surgery.

The risks of breast lift include bleeding, infection, asymmetry, loss of nipple blood supply and loss of nipple sensation.

The risks of abdominoplasty include bleeding, infection, failure to heal and loss of blood supply to the skin flap. The most significant risk of an abdominoplasty is a pulmonary embolism which is a blood clot from the deep veins of the legs that can release to the lungs. There are several precautions before, during and after surgery to prevent just this. Some patients who may be at a higher risk of blood clot formation are given a series of injections after surgery as an added precaution.

How do I prepare for surgery?

A preoperative appointment is scheduled approximately 2 weeks prior to surgery. At this time, all consents and recommendations, instructions for before and after surgery are reviewed. A long list of medications to avoid is reviewed and prescriptions are given for postoperative management.  The day before surgery, all patients are called to review final questions, confirm nothing has occurred since the patient was seen at preop that might require rescheduling of the procedure and to finalize arrival time at the facility. All patients are given ample information at the preoperative appointment regarding a time line of what to expect in the recovery process and when.