Mommy Makeover is the answer to sagging or loose skin after pregnancy

An abdominoplasty, or tummy tuck, will remove the extra skin, fat and stretch marks from your abdomen while tightening the abdominal muscles at the same time. For breasts that have lost volume and sag after breast feeding, a breast augmentation along with a  breast lift will restore the breast to its correct position and pre-pregnancy volume. Some women retain adequate breast size after breast feeding and only experience sagging of the tissues along with stretching of the breast skin. These patients are excellent candidates for breast lift (mastopexy) alone.

The first step after pregnancy is to determine if you are done with children, and about 6 months done with breast feeding.  You want to avoid possibly having to redo your breast surgery if you become pregnant right away!

Next, what breast size is necessary?   If a larger size is needed, an implant is indicated to bring you up to the size you need to have.

Last, the distances you have from the breastplate to the nipples will give a good indication of whether or not a lift is needed, and if so what type of lift.  Avoid getting a really large implant to overcome droopiness; this may just leave you with large breasts with a low positioned nipple-areolar complex.

This is a straightforward triage system that treats loss of volume with an implant and droopiness with a lift.

Many artistic decisions go into the surgery itself, of course, such as how much tension is put on the incisions, which breast lift techniques are used, how the breast is shaped, etc. 

Also, when both an augmentation and a lift are done at the same time, you might put pressure on the blood supply to the nipple.  When both procedures are performed together, it is extremely important to select a surgeon with a great deal of experience in determining "how much" is safe.  A skilled surgeon minimizes bad scarring and nipple-areolar disasters by not exceeding the ability of the tissues to supply blood to the operated areas.  In some high risk cases, such as a previous above the muscle implant, it may be better to stage the surgeries.

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Many women need to have some form of a breast lift following childbirth and nursing.  A lift can be performed with a variety of techniques denpending on the extent of excess skin and if a breast implant is going to be used.

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