Fredrick A. Valauri, MD

Mommy Makeover tummy tucks will remove most of the hanging skin and stretch marks in a patient such as you show in your pictures.  A consultation is necessary for a proper recommendation,  but generally in cases like yours, a tummy tuck would result in marked improvement of the concerns you raised.

See my website for photos and additional information on mommy makeover tummy tuck abdominoplasty.

Your  photos show mild drooping of your breasts and a relatively narrow base as you stated in your question.  A consultation is needed so that you can be examined and a proper medical opinion given, but generally patients with this concern have a number of options.  

Breast augmentation with release of the base of the breasts may improve both the drooping and the narrowness the breasts.  Alternatively, a  breast lift with or without release of the base of the breast ay be considered.  See my website for photos of breast lift and breast augmentation procedures.

Mommy makeovers are best done after you have lost your "babyfat" and your weight has stabilized.  Otherwise you will have a lesser result, because later if you loose weight your skin will be looser, and if you gain weight then your body contour will be wider.

Because many patients find weight loss frustrating and difficult to achieve, I sometimes to a procedure such as liposuction of the flanks and excising the excess abdominal skin with the understanding that later additional surgery will be needed.  The purpose of this approach is to give the patients boost in the efforts to loose weight.  if you go to my website and view the liposuction pre and  post op photos of the lady in red and black, you will see an example of this approach.  She had a surprisingly good result with liposuction alone and then later lost weight and had a tummy tuck.

Mini tummy tuck advantages will depend greatly on what procedures your mini tummy tuck includes.  Skin excision only, skin tightening with Cellulaze only ( see CellulazeCenterOf NY.com) for more information, or either or both of these combined with abdominal muscle was repair.  

Abdominal muscle repair and tightening will require the longest recovery time 8-10 weeks before returning to strenuous, full and unrestricted activities like power sit-up or rock climb.  Other less strenuous activities  such as spinning, treadmill walking will need 3-4 weeks of restriction.

If the muscle repair is not done then the restrictions are shorted  to a week for some activities like treadmill.

The decision should be primarily based on your anatomy, and what will give you the best result, rather than recovery time.  A longer-lasting better result is usually worth the wait.  

I suggest your have a consultation with a board certified plastic surgeon who will examine you and discuss the option that best meet your needs.

Choosing breast implant size is a very individualized process.  It begins with a thorough discussion with your board certified plastic surgeon.  

I find it helpful for patients to bring in photos from magazines of what they think they want as a result.  This avoids the problems of discussion of bra sizes which can vary considerable due to differences from manufacturer to manufacturer, and because many women are wearing the wrong-sized bra.

The physical examine is done wear breast dimensions are measured, and the patient can try on sizers to give them a direct way to decide on the breast implant size that matches their decision.