Do I make a good candidate for a Mommy makeover? I also want a fat transfer to sculpt my buttocks to be more attractive. (photo)
Doctor Answers 7
Belt lipectomy may be a better choice than abdominoplasty alone in high BMI patients as part of a mommy makeover.
Josh Olson MD
Honesty and weight loss are the only options here.
Not what you wanted to hear but this is what I tell my patients struggling with weight:
1). Always eat breakfast and do it within 1/2 hour of waking up. This jump starts your metabolic furnace and so you "run" at a higher level throughout the day burning more calories. I have an egg, 100% wheat toast and steam flashed spinach or any other high anti oxidant food. Steam flashing in a covered pan with a small amount of water unlocks the antioxidants.
2). Never eat after 7 PM. These calories are not burned and are converted for deep storage (fat).
3). Eat vegetables in place of complex carbohydrates. The amount of energy in carbs is very high so avoid sweets, breads, pastas, and chips, crackers.. Replace with broccoli, spinach, etc.
4). Do not consume diet foods or drinks. The artificial sweeteners (aspartame,sucralose,saccharin) are worse than sugar, they cause insulin resistance causing a profound effect on sugar levels with conversion to fat. This is not widely known but it will be as studies are supported this. Use Stevia (often times with erythritol), a natural sweetener instead.
5). Take a brisk walk or do something active for the 15 minutes after each meal.
6). It's a simple equation: What you are = What you eat minus What you do. In this equation the most important is what you eat. It is much easier not to eat that 500 calorie piece of cake than to try and burn it (about one and a half hour of hard working out for most). Exercise is important for cardiovascular and bone health, but how many people have you seen at the gym who seem to remain overweight despite working out all the time.
7). You will be
hungry when losing weight. Learn to enjoy being hungry knowing that you are
burning your own sugars and fats.
Notice how these are lifestyle changes, not some new fad diet. If you are struggling with what to eat, I would recommend looking into the Mediterranean type foods. If you follow through, you will look and feel so much better!
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Mommy Makeover preparation
It takes tremendous courage to share your feelings and photos with this community, but ultimately it helps to elevate the discussion about aesthetic surgery and help all of us patients and doctors make the best choices.
With regard to your readiness for surgery an in person exam is very important and would help define what is possible and what degree of loose skin is present. Your scar on the abdomen from prior gallbladder surgery presents problems for a tummy-tuck as it will likely affect the blood flow and healing to the skin in that area, alternative incisions may be possible but it is difficult to know for sure without examining you.
In general the patients that are good candidates for mommy makeover surgery are healthy and close to their ideal weight relative to their frame. In my practice most patients need to have a BMI (body mass index) of around 26 or less to realize the results they expect. Try and address where you may be on the BMI scale and see if you can imagine a target goal rate for your weight and BMI and then discuss with a board certified plastic surgeon in your area.
Ideal Weight for a Mommy Makeover
The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. It is best to undergo #MommyMakeover procedures when your weight has been stable for at least one year.
In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures. We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures. MWL (massive weight loss patients of 75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity.
Vistnes Plastic Surgery
San Fancisco Bay Area
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.