Want to improve look of breasts and remove excess skin - Am I a good candidate for a Mommy Makeover? (photos)

Question

I am finished having children and would like to have a breast lift to improve the look of my breasts along with a bit of body contouring and a tummy tuck to remove excess skin following the birth of my children. I would also like to know if more weight loss is required to achieve a better result?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding how to improve your breast and abdomen with a mommy makeover. A mommy makeover will significantly improve your breast and abdomen. First, I would concentrate on weight loss. Further weight loss will improve the results of your tummy tuck and abdominoplasty. Further weight loss should ideally reduce more visceral fat or inner abdominal fat. 
This will make your tummy stick out less. Once you have lost more weight and your weight has been stable for 3 to 4 months then I would suggest a mommy makeover. Your mommy makeover will consist of an abdominoplasty or tummy tuck, breast lift or mastopexy, and breast augmentation. Let’s focus on what your tummy tuck during a mommy makeover would entail.

This would entail elimination of excess skin and fat of the lower abdomen, re-creation of the belly button, mons or pubic or FUPA region, and rectus abdominis muscle plication. During the breast portion for your mommy makeover, I would suggest breast augmentation. I would suggest augmentation with breast FDA approved breast implants. The size of the breast implants will be determined by what breast size you want to become. This is done through extensive time with you in the office sizing and viewing the different size implants. Based on the size implants you choose, as well as the shape of the breast you desire, these factors will determine the type of breast lift that will be required. I would anticipate you either need a lollipop or an anchor breast lift or mastopexy. During a lollipop and anchor mastopexy, an incision is made around the areola and down the front of the breast. With an anchor mastopexy, the incision is extended underneath the breast to ask achieve a fuller lift. I hope this helps explain your optimal results. So in conclusion, lose weight, maintain your weight, and then seek a mommy makeover with a tummy tuck, breast lift, and breast augmentation. I hope this helps to answer your question regarding a mommy makeover. Good luck.

Sincerely, Dr. Katzen. 
(“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Casey Anderson, MD, FACS · Answer

It is important for patients to be at a safe BMI prior to surgery. As BMI increases, complication rates increase as well. There are calculators online you can use to determine where you are at currently. I generally require patients to be at BMI under 30 prior to most surgeries.

Sacha Obaid, MD · Answer

Based on your photos, you look like an excellent candidate for a breast lift (with or without an implant, tummy tuck and liposuction 360.  I would recommend scheduling a consultation with a board certified plastic surgeon to discuss your options.  I have attached a video and hope that it will help to answer some questions.

Rodolfo Castillo, MD · Answer

Hello Julidsp, 
A Mommy Makeover can combine different procedures, personalized according to each patients needs and desires, in your case I would say that yes, this would be the way to go. It is suggested to have a body mass index below 30, which would help achieve better results as well as a smoother recovery. Best of luck on your journey and happy holidays.

Matthew C. Camp, MD · Answer

A combination of breast lift and augmentation in addition to a tummy tuck would result in a tremendous improvement. Keep in mind that the tummy tuck can only address excess and skin and fat above the abdominal muscles. The fat around your internal organs can only be addressed by weight loss.(Diet, excercise, or weight loss stomach/intestinal surgery.) Do your research, and find a board certified plastic surgeon. The breast and abdominal surgery can be safely accomplished at the same time. If the surgeon uses Exparel during the surgery, post op pain is minimal, with a quick recovery. Best wishes!

Vasileios Vasilakis, MD, FACS · Answer

Thank you for the question. Based on the photos and your description, you are a good candidate for a mommy makeover. The more weight you lose prior to the mommy makeover, the better the surgical result will be. I wish you the best of luck. Vasileios Vasilakis, MD. Fellowship-trained plastic surgeon.

Richard Zienowicz, MD · Answer

Hello and thank you for your question. I do think that you are a good candidate for a mommy makeover - I would suggest a breast lift to rejuvenate your breasts along with an abdominoplasty to help correct the muscle separation that you likely have from pregnancies that is causing your belly bulge. The breast lift would give the breasts a perkier shape and reduce the size of the areola. If you wanted to add volume to the breasts you can either have a breast implant or use fat grafting to increase volume without an implant. If you have a goal weight, be sure to achieve that in a healthy and stable way and maintain that weight for at least six months. I will advise you that if you lose weight your breasts could decrease in size and possibly have more loose skin. Best of luck!

Gary M. Horndeski, MD · Answer

I would begin with your breasts using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. After this has been completed, you can consider a tummy tuck. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Julidsp12,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Aleksandr Shteynberg, MD · Answer

Hello Julidsp12,
It appears that you will be a good candidate for mommy makeover. Your breast position is low. A breast lift and if desired, breast augmentation with lift can be considered. There is overhang of the lower part of the abdomen with general abdominal distension which could be due to diastasis recti also known as muscle spreading. Abdominoplasty and liposuction will allow significant change to improve abdominal appearance. Weight loss is not required based on your photos, but as a general rule if you are planning to lose weight you should do it before surgery, which will allow for better results. 
Best,
A. Shteynberg, M.D., F.A.C.S. Diplomate, American Board of Plastic SurgeryNew York, NY.

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