Layout and Time Frame for Mummy Makeover?

Question

Hi! I am a 43 year old who has lost 60 kilos post weight loss surgery I am a single Mum with a kid with a disability so I am trying to work out how having a neck, arm, breast, thigh lift and tummy tuck would be grouped together in one or more surgeries. I know each plan is individual per patient, but I was wondering how best to plan my year ahead as I have a lot of lose skin and I notice it in my daily life. I know there will be revisions, but I need a rough idea so I can plan care for my kiddo

Derek Fletcher, MD · Answer

Congratulations on your weight loss! That is a major accomplishment. Before having surgery, your weight needs to be stable for 9-12 months. The kind of weight loss surgery you had is critically important. For example, gastric bypass surgery can effect your nutritional status and may influence your recovery from major surgery. I need photos to accurately advise your treatment plan. You will need multiple operations (probably 3 separate surgeries) because the combination of procedures you mentioned is extensive and several of the operations can take 4-6 hours by themselves.
I plan surgery based on patient goals and safety. Brachioplasty (arms) and thighplasty are much more difficult to recover from than you might think. And they tend to have more problems with healing and poor scar quality. A common combination of procedures and the order they are done completed is as follows:Stage 1: Breasts and armsStage 2: Neck and thighsStage 3: Circumferential lift (most people who lose 60 Kg need a circumferential body lift, not a tummy tuck)
I use Stage 3 as an opportunity to perform scar revisions of the arms and legs if needed. 
Hope this helps.

Emmanuel De La Cruz, MD · Answer

A Mommy Makeover typically involves a combination of procedures designed to address changes in the body after pregnancy, childbirth, or significant weight fluctuations. The specific layout and time frame for a Mommy Makeover can vary based on individual goals, the extent of procedures, and your surgeon's recommendations. Here's a general outline:

Consultation: Schedule a consultation with a board-certified plastic surgeon specializing in Mommy Makeovers. During this appointment, you'll discuss your goals, concerns, medical history, and the procedures that would best address your needs.

Pre-Surgery Preparation: Once you've decided on the procedures, your surgeon will provide pre-operative instructions. This might include lifestyle adjustments, discontinuation of certain medications or supplements, and arranging for post-operative care.

Surgery Day: The procedures included in a Mommy Makeover can vary but commonly involve a combination of surgeries like a tummy tuck, breast augmentation or lift, liposuction, or other body contouring procedures. The surgeries might be performed in one session or staged based on your surgeon's recommendation.

Recovery: The recovery period will vary depending on the extent of the procedures. You'll need to follow post-operative care instructions, rest, and limit physical activity during this time. Typically, full recovery from a Mommy Makeover can take several weeks to a few months.

Follow-up Appointments: Your surgeon will schedule follow-up appointments to monitor your healing progress, remove sutures or drains if necessary, and assess your recovery. They'll provide guidance on gradually resuming normal activities, including exercise.

The overall time frame for a Mommy Makeover—from the initial consultation to full recovery—can range from a few months to six months or longer, depending on the specific procedures performed, individual healing rates, and the extent of recovery needed.

It's crucial to communicate openly with your surgeon, follow their recommendations diligently, and allow adequate time for healing to achieve the best possible outcomes from your Mommy Makeover.

Michael J. Stein, MD, FACS · Answer

This is a difficult question to answer without seeing you in person and knowing more about your medical history. 
Massive weight loss patients are common in my practice. These patients usually require multiple stages to allow adequate time to heal and keep the surgeries shorter to decrease the chance of complication and the risk of a DVT/PE.
I would usually recommend starting with the trunk (tummy tuck vs fleur de lis tummy tuck vs belt lipectomy). This may or may not be grouped with liposuction of the abdomen and flanks. 
The next step I usually do the breasts and arms together 
The last step I usually do the thighs. 
This may vary from surgeon to surgeon but from a safety perspective its usually advisable to perform these procedures in a staged fashion.

Aftab Siddiqui, FRCS(Plast) · Answer

Congratulations on your weight loss journey and achieving the target weight. Post weight loss , surgery should be planned based on areas of concerns and prioritised in such a way to minimise multiple surgeries. Generally people begin with tummy and breast and any other smaller procedure can be added. The limiting factor is total anaesthetic time for each procedure so that these are done in safe way. In second stage arms and thighs can be addressed. Please see a plastic surgery consultant who can go through these in details and give you a realistic time frame for these

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Alan Gonzalez, MD, FACS · Answer

Hello @Gorgeous198685, thank you for your question. It is important to remember that every surgeon has his or her own surgical method, so the surgical plan varies depending not only on the specialist criteria but patient needs and characteristics to carry out a successful surgical plan. is best to take the advice and recommendations of the specialist that will be performing the surgery. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Azita Madjidi, MD, MS, FACS · Answer

Hi, Congratulations on your weight loss. 
Body contouring is best to be staged. Where to start depends on your priority area. Most people want to start with a tommy tuck and breasts. Because of your familial situation and the length of surgery if you add more areas,  it's best to have shorter recovery times and not do all at once. Once you come is for a consultation , a plan can be realistically formulated and then you can decide.

Daniel Barrett, MD · Answer

Dear Gorgeous198685,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

I would not suggest doing all at the same time, and you will need 6 to 8 weeks minimum time between surgeries. Start with the areas that bothers you most, like perhaps your abdomen and breasts.  If you need an arm tuck, this is easily done with the breast lift to pick up excess lateral chest tissue. All this can be discussed during your consultation, and in what order.  I do not suggest doing your arms and your thighs at the same time. Congratulations on your weight loss!

Cassie Nghiem, MD · Answer

HI Gorgeous198685, excellent questions. Every person and surgeon is different, so there's no one right answer. I would start by asking what areas bother you most, and start with those areas. I would recommend limiting to 2-3 body parts for a single surgery. If you're breaking it up into 2 surgeries, I would recommend doing the arms and legs separately so you're not as limited when caring for your kid. Hope that helps!

Layout and Time Frame for Mummy Makeover?

Answers (16)

More Mommy Makeover Questions

Forget mommy makeover - I need a granny makeover, how do I prioritize the work to be done?

Can a labiaplasty and mastopexy be combined? Should I have these done at different times?

Surgery with hyperthyroidism - Does this make me a bad candidate for a mommy makeover?

5'8, 240lbs, BMI 36 - what surgeries are recommended for my body type? (Photos)

Should I have a Mommy Makeover or Brazilian Butt Lift done first? (photos)

Mommy Makeover (TT, Breast Lift, and Silicone Implants) AND Partial Hysterectomy (uterus removal)?

WE SEND PRETTY
EMAILS