Mommy Makeover Q&A
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More Kids After a Mommy Makeover?

asked 2 years ago by New Mommy in canada
Latest answer by Francis (Frank) William Rieger, MD
Question viewed 1,497 times
Tags: age 35-44, abdomen, breasts, female, 130-149 lbs

I was told I need a slight lift for my augmentation and the best option is to use a teardrop implant over the muscle but I’ve heard bad things about the teardrop and over the muscle. I was also told I have Abdominal Separation/Diastasis Recti and was considering getting a mini tummy tuck but didn’t want a large scar.

I have three kids and I’m considering of having one more, should I wait until I finish having kids before this procedure? I’m 35 and 145 pounds. What is your opinion? Regards.

40 answers to More Kids After a Mommy Makeover?

+2

Mommy makeover after you are done having kids

Yes, I think you should wait until you are all done having kids before option for a mommy makeover.  As my colleagues have stated, a future pregnancy could change your body and potentially diminish the results from cosmetic procedures.  Once you are all done with kids - you'll get the maximal benefits from your mommy makeover procedures.
C. Bob Basu, MD

Houston Plastic Surgeon

www.basuplasticsurgery.com

+1

Mommy makeover before the last pregnancy-Why?

There is no good reason to go through this type of surgery and then to become pregnant after that. The cost and the possible compromised results would not be worth it. Wait until you are finished to have elective surgery. I am sure that your Plastic Surgeon would discuss all of the particulars of the use of different implants and placement either under the muscle or on top of the pectoralis at that time. There is a reason to consider one location over another... more
Francis (Frank) William Rieger, MD

Tampa Plastic Surgeon
+1

Mommy makeovers involving the breasts, abdomen and arms and legs is real surgery.

I strongly recommend waiting to consider a mommy makeover until after you are finished with your pregnancies. As you already know, pregnancy and nursing can really change your breasts, abdomen, back , buttock and arm shape and size. It is best to finish with pregnancies and then consider a mommy makeover after you have reached your goal weight and you lead a healthy lifestyle with a consistent healthy diet and daily exercise routine.
Laurie Casas, MD

Chicago Plastic Surgeon

www.casas.md

+1

Mommy Makeover and More Kids

The decision of whether to have a mommy makeover surgery when your planning to have more children is based in part on how soon this is likely to be. If it is within a year or so, then it would be best to wait until after that pregnancy to have your mommy makeover surgery. If your uncertain you may also consider holding off on tummy tuck, breast lift, or breast augmentation.
Fredrick A. Valauri, MD

New York Plastic Surgeon

www.drvalauri.com

+1

More kids after a mommy makeover

I think if you have another child after your mommy makeover you will likely need all of the surgical procedures repeated. As to a mini tummy tuck and muscle repair, the mini tummy tuck will only give you access to the lower muscles and if they are repaired and the uppers are not, then the upper abdomen might actually bulge more. As to teardrop implants, there is no advantage to them as normal round implants look tear drop shaped when standing and the tear drop implants are also textured and... more
Julio Garcia, MD

Las Vegas Plastic Surgeon

lvcosmeticsurgery.com

+1

Another child after tummy tuck

I prefer a smooth round implant below the muscle. It should give some lift. In order to get the best result you should have your entire diastasis repaired which may require going above the umbilicus. If you are going to have another baby then wait till you have finished your family and the consider your mommy makeover at that time. The damage to your surgery may be significant if you have a baby after. All the best, Talmage J. Raine MD FACS
Talmage J. Raine, MD

Chicago Plastic Surgeon
+1

Mommy makeover should be done after you've finished having kids

Hello, A breast lift shaped the breast and lifts the areola and a breast augmentation increases the breast volume. If you need a small breast lift I would encourage you to get a small breast lift. Using one procedure to camoflouge the need for another is not an ideal way to do things in my humble opinion. A mommy makeover by most definitions involves some form of tummy tuck. I would encourage you to wait until you finish having kids before you get any type of tummy... more
Remus Repta, MD

Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

+1

Wait for Surgery

I suggest to My patients that the not have this type of surgical procedure until their biological family is complete. Best wishes!
Christine Sullivan, MD

Columbus Plastic Surgeon
+1

Pregnancy after a Mommy Makeover.

I would advise you to consider waiting until after you are finished having your children to undergo an abdominal procedure. That being said, it is certainly possible to have the procedure now as it will not affect a future pregnancy. I have had several women who have had Tummy Tucks done with the idea that they were finished having children only a few years later they decided to change their minds. The pregnancies were not affected and in general they looked pretty good... more
Paul Vitenas, Jr., MD

Houston Plastic Surgeon

www.drvitenas.com

+1

Mommy Makeover and Future Pregnancy

If your breast sag is very minimal an implant may be able to provide the needed lift. I am not aware of any advantages to use a tear drop versus a round implant for lifting purposes. I stopped using tear drops many years ago because if the implant turns after implantation your breast may look very awkward. To minimize the rotation possibility, I prefer to use textured implants, they heal better to the breast tissue. However, texturing increases the thickness of the shell, and may cause... more
Ivan Thomas, MD

Los Angeles Plastic Surgeon
+1

Mommy makeover results may be compromised by another pregnancy

Pregnancy invariably causes changes in a woman's breasts and belly.  Most  physicians and patients understand that a "mommy makeover" is surgery designed to improve these changes.  Combinations may include breast lifts and/or implants, liposuction of the flanks and/or abdominoplasty (tummy tuck).  Full term pregnancy is possible after tummy tuck, however the surgical tightening of the abdominal wall muscles will invariably be lost and the skin laxity may... more
Lavinia Chong, MD

Orange County Plastic Surgeon

www.chongmd.com

+1

Body changes during pregnancy

Because your body changes so much during pregnancy, I would suggest waiting until you are finished having children before going through with surgery. A mini tummy tuck will leave a smaller scar but the results are smaller also. Mini tummy tucks will only tighten the skin at the front of the abdomen while a standard tummy tuck will contour the whole abdomen. It is possible to have a breast augmentation before having children but your breasts will fill and deflate with pregnancy. more
Amy K. Alderman, M.D., M.P.H.

Alpharetta Plastic Surgeon
+1

Depends upon if there is a Tummy Tuck planned....

Hello, The answer here depends upon exactly what you actually have done. Mommy makeover surgery is composed of different procedures in different mommies. A Tummy Tuck should mot be planned unless you are done with childbearing in my opinion. Best Regards, John Di Saia MD  
John P. Di Saia, MD

Orange Plastic Surgeon
+1

Future pregnancy and mommy makeover

You should hold off on your mommy makeover surgery (breast and abdominal procedures) until you are done having children.  If you become pregnant after the surgery, your breast and abdominal skin may become stretched out to a degree that you may need more revisional surgery to correct the compromised contour/shape. Please consult with a board certified plastic surgeon prior to making this decision. Best wishes, Dr. Bruno
William Bruno, MD

Beverly Hills Plastic Surgeon
+1

Pregnancy and mommy makeover

If you are planning to have  more children than I would wait to undergo a mommy makeover with breast lifting and tummy tuck.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Pregnancy after Mommy Makeover

A mommy makeover which involves abdominoplasty does not preclude future pregnancies, although the result of your surgery will most likely be affected by them. You may be better served to wait until you have finished child bearing before undergoing the surgery, if you are definitely planning on having more children.
Olivia Hutchinson, MD

New York Plastic Surgeon
+1

Having kids after mommy makeover

It is definitely possible to have children after a mommy makeover. When considering this be sure to consult with an experienced board-certified plastic surgeon who can best review your options with you. Your plastic surgeon may recommend that you only need liposuction or to achieve your aesthetic goals. As for the breast surgery, your plastic surgeon may be able to tell you whether you need a breast lift or simple augmentation or a breast lift with implants. If you're considering having... more
B. Pat Pazmino, MD

Miami Plastic Surgeon
+1

Plastic surgery post-pregnancy

Definately, the best option for you, is to wait until you are finished having children. Unfortunately, after a procedure, it does not guarantee permanent results. Your body may change due to pregnancy. Once you decide to proceed with surgery, I would recommend finding a board certified plastic surgeon to perform your surgery. For a more natural look, I would recommend having your implants placed under the muscle. Implants placed submuscularly, lower the chances of encapsulation. For more... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

Wait on the mommy makeover until done with pregnancies

If you have a diastasis and have it repaired and then get pregnant again, there is a good chance you will undo the repair.  The same holds true for the breast procedure. As far as using a teardrop-shaped implant, I agree with the other surgeons who prefer NOT to use them, for reasons already cited. It sounds as if you just need a small lift, and I have found a very nice operation for this is a scar that winds up just around the areola, which tends to be very inconspicuous. more
Paul W. Loewenstein, MD

Milwaukee Plastic Surgeon
+1

Mommy makeover then another pregnancy

If you are serious about having another child, I would recommend having your family before having your surgery.  If you have surgery first, you will likely need another procedure after childbirth.  You should get more than one opinion on implant type and placement.  Teardrop implants have a tendancy to make each breast look different from the other side if it shifts in the pocket, especially if they are in front of the muscle.  Behind the muscle adds more soft tissue... more
Amy T. Bandy, DO

Newport Beach Plastic Surgeon
+1

Pregnancy after surgery

As far as the breast surgery, site unseen I am more commonly a proponent of smooth round implants under the muscle and if necessary performing a lift. As far as the tummy tuck, if you tighten the muscles and then get pregnant, you may need to come back and redo that procedure. As far as the breasts, it is unpredictable how much your breasts change with pregnancy, you may need to revise the skin envelope after pregnancy. You have to decide, how far away it is that you plan to get pregnant... more
Roger J. Friedman, MD

Bethesda Plastic Surgeon
+1

Mommy MakeOver Questions

Mommy MakeOver procedures are intended to restore the body to its PRE-Pregnancy look or better by repairing the stretching, thinning and sagging damages caused by pregnancy and especially pregnancies. It makes NO sense at all for anyone to undergo such procedures while planning on having more children. Any subsequent pregnancies may largely reverse and destroy the youthful appearance you just achieved AND make further cosmetic operations more complicated. If you know you will be having more... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Wait until your family is complete before surgery

Hi there- There can be no question that it is always better to have one operation rather than two. Therefore, I would recommend that you finish your family before having surgery, in order to avoid having to have a revision procedure. With regard to teardrop (anatomic) implants- my opinion is that they have absolutely no benefit to the breast augmentation patient (they sometimes are useful in breast reconstruction after cancer) and often do cause problems with the outcome.
Armando Soto, MD

Orlando Plastic Surgeon

www.DrArmandoSoto.com

+1

Best to have mommy makeover when no more children are planned

It depends when you are planning to have your next child. If you are planning in the next 1-2 years, then there is no point in spending tens of thousands of dollars and have the result affected by another pregnancy. If your next child is planned for 5-10 years from now, then one can argue you will enjoy the benefits of mommy makeover for this time period until the next pregnancy. see video
Michael A. Jazayeri, MD

Santa Ana Plastic Surgeon
+1

Wait until after kids

I wil give you my blunt opinion. First, if you need a lift, get the lift. My professional opinion is that I don't care for the teardrop implant or the subglanduar placement, though many others do, and they are acceptable choices. Regarding the diastasis recti, and tummy tuck option. If you have ANY laxity of skin, or muscles above your navel, you need a full tt. The term mini refers to a tummy tuck in which the "muscle" tightening is below the navel. The scar is not mini at... more
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

Mommy makeover, future pregnancies, and implant options

There are a lot of questions within your question, and let me start by agreeing with the others that it is best to wait until after you are done having kids before doing the mommy makeover. Secondly, the decision on a mini vs a full abdominoplasty will depend on how much loose skin there is; it isn't a matter of perference for the shorter scar, it is a question of what is being treated. finally, I would weigh in with what you have heard about teardrop implants especially over the muscle.... more
Richard Baxter, MD

Seattle Plastic Surgeon

baxterplasticsurgery.com

+1

Wait until after finishing having children for Mommy Makeover.

SEE VIDEO BELOW: If you are planning on having more children in the near future, I would defer a mommy makeover until you are completed with haning children. This could potentially "undo" the results of the muscle repair. see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

More kids after a mommy makeover

Wait till you are finished having children.your body will change with pregnancy and breast feeding. It is a major surgery and you want to have the results last.
Samir Shureih, MD

Baltimore Plastic Surgeon
+1

Teardrop implants and mommy makeover

I would suggest waiting until you are done having children prior to having surgery. While you could certainly have children after your surgery, your results will be more predictable if you wait until you are done with childbearing. Teardrop implants look better when placed under the muscle. In experienced hands, they should not move. Good luck, /nsn.
Nina S. Naidu, MD

New York Plastic Surgeon
+1

Finish having kids before tummy tuck and breast lift.

Hi. Also, I have to say your minimalist approach probably will not work. Most women need a full tummy tuck. And if you need a breast lift, you need a real lift. The surgery is safe, and women accept the scars very well if they love their new shape. But mini surgery will generally get you mini benefits. I know this is not what you want to hear!
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

It is always better to finish having children before having a mommy makeover

Your question really has two parts: 1. Is a teardrop shaped implant over the muscle the best choice for breast augmentation in "mommy" breasts. The over the muscle implant placement is often used when the patient does not want a lift, but has a lower nipple position than is ideal. There are also diffenent opinions among surgeons about using shaped implants. I generally don't unless there are specific reasons to use them. Without seeing you in person, I can't really comment on the... more
Elizabeth Lee, MD

Bay Area Plastic Surgeon

artfulsurgery.com

+1

There are sometimes exceptions

Generally, I agree with the other plastic surgeons who have answered this question. Ideally one should wait until they have finished having children with reasonable certainty. Sometimes however it may be many years in the future that one may be planning to have more children,and it may still be worthwhile to have surgery to look good right now. So there are exceptions, and there is no absolute rule.
Rodney A. Green, MD

Cleveland Plastic Surgeon
+1

Pregnancy after tummy tuck

To my knowledge, there have been no reports of unsuccessful pregnancy after tummy tuck. However, that being said, why chance it and why chance ruining a tummy tuck with a pregnancy? You should wait until after the final pregnancy to do your makeover. Your breasts may also change with a future pregnancy, which could change your needs regarding implants and/or breast lift. If you absolutely cannot live with yourself in your present state, you could temporize with a mini, skin only tummy... more
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+1

Family first, then tummy tuck

If you are indeed considering one more pregnancy there is no reason to hurry to tummy tuck, mini or otherwise, to correct your diastasis now. Wait. Concerning the teardrop implants, this is an area of choice and controversy. I prefer a round implant, silicone or gel, in breast augmentation. Augmentation should be viewed as an enhancement of the natural breast and the round implant is 'neutral' in that is does not produce any artifact within the breast, no matter what position you are in. I... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

When to have a Mommy Makeover

If you are having kids in the near future, then I would suggest waiting on the tummy tuck and the beast augmentation until after you are done having children. As for a mini-tummy tuck, the incision is basically the same as a fully abdominoplasty, with less remarkable results - so, I would really suggest considering a full abdominoplasty. In most cases round implants placed under the muscle is the best option. Good luck with your surgery.
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Mommy makeover timing and specifics

Hi, To answer your last question first, you should wait to have a mommy makeover until you're confident that you're through having children. Future pregnancy could take away from the final results of surgery and, in a worst case scenario, require you to have additional surgery in the future. I'm not a big fan of tear drop implants to create a slight lift. My preference is to use smooth, round implants, usually behind the muscle, and to make an incision around the areola. It's possible to... more
Sam Jejurikar, MD

Dallas Plastic Surgeon
+1

Considerations for children after "Mommy Make-over"

I understand that you are considering a breast lift (AKA, Mastopexy) and a tummy tuck, with repair of diastasis recti (muscle laxity/ separation). As far as the consideration of future pregnancies...The best choice is to wait until you are done with any further pregnancies. If this is a case of you are not certain that you have more children, I think then that the take away points are that these procedures can impact a future pregnancy. In particular, a mastopexy involves mobilizing the... more
S.Pasquale Maggi, MD

Austin Plastic Surgeon
+1

Hold off on the tummy tuck until after kids

We as surgeons frequently use different techniques and sometimes have different opinions as to which techniques are best for individual patients. Without seeing you, it is difficult to give you an opinion as to what is best in your case. Although I agree with you that teardrop implants are sometimes a problem with shifting/rotating, as well as the fact that they are usually textured which can make them more palpable, they are still a reasonable implant to use in some situations. If you have... more
Daniel P. Markmann, MD

Baltimore Plastic Surgeon
+1

Considerations for mommy makeover

I personally do not like the teardrop because if they shift or flip within the pocket the breast can look strange. A symmetrical or round implant can flip all day without looking different from the outside. Patient factors and implant factors (saline vs. silicone gel) need to be considered In deciding between in placing the implant over or under the muscle. Because saline implants do not blend in well with surrounding tissues at their edges the usual recommendation is to place the implants... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Wait for mommy makeover until you're done having children

Finish your family then have the surgery. I do not like tear drop implants and after a 4th child don't argue over the length of the scar, have a full tummy tuck. You will look great. Also loose all the weight before surgery.
William B. Rosenblatt, MD

New York Plastic Surgeon

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