I have with diet and exercise whittled myself down from a 24 to18 and total of 60 lb weight loss after a c-section that left me totally out of shape and sagging skin. My goal is to be a fit 10/12. The more I lose and exercise my stomach seams to get worse and my breast they have been a problem since 10 years of age. Lol I have a hard time working out and no clothes fit properly. Do you have any advise or is it Mommy Makeover time? Happy I have come this far but desperate to feel great again!
Should I Consider a Mommy Makeover? (photo)
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Doctor Answers 18
Should I consider a Mommy Makeover?
Thank you for your photos. Congratulations on your weight loss. Most Board Certified Plastic Surgeons would like their patients to be about their goal weight before surgery. One would rather not operate on someone, have them lose 100 lbs., and then have to do that operation again. There is a significant increase in complications in heavier patients. This includes a very high increase in the wounds, (that will be on tension in a Mommy Makeover), falling apart. Each Plastic Surgeon has their own "window" where they feel comfortable enough operating. Talk to your Plastic Surgeon. Together you will make a safe plan.
About the Mommy Makeover Procedure
A 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.
#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.
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.
Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
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#MommyMakeover planning for obese patients
Your body mass index is over 33 - which correlates with increased risk of post operative complications such as seroma, delayed wound healing and other problems. Consider losing some additional weight before embarking on this substantial cosmetic surgical procedure. It certainly is possible to do a tummy tuck and breast reduction in your case, but there are extra risks.
Congratulations on your progress
We all know about hitting a "wall". I agree with most of the surgeons that answered. I might add that a good abdominal muscle tightening often will give you a sense of early satiety forcing you to eat smaller (more physiologic) meals at least for the first few months. This often boosts your weight loss after the surgery!
"Mommy makeover" rejuvenates the abdomen and breasts following having children. The procedures may include, abdominoplasty, breast lift (mastopexy) and/or breast augmentation.
Excellent Candidate For Mommy Makeover
Congrats on the weight loss! I agree with the other doctors. You are an excellent candidate for a Mommy Makeover. Consult with a Board Certified Plastic Surgeon to discuss your concerns and expectations.
Yes, as the other doctors stated previously, you would be a good candidate. However, be proud of how far you've come! A mommy makeover will certainly help you achieve the body you want and help remove the sagging skin but surgery has some downsides it is important to review these first and ensure you are ready for the next step.
Good candidate for mommy makeover.
After pregnancy in weight loss the the remaining aesthetic byproducts of excess skin and ptotic breasts make you good candidate for mommy makeover which should yield a very dramatic result.
Mommy Makeover Candidate?
Thank you for the question and pictures. You should be very proud of what you have accomplished thus far.
The “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable, has an excellent social support system surrounding him/her, does not smoke, is capable of arranging enough recovery time and who has reached a long-term stable weight.
Achieve your long-term stable weight prior to undergoing body contouring surgery. Doing so will help minimize the risks of the procedure and improve the long-term outcome. Also, by achieving your long-term stable weight prior to proceeding, you will help minimize the need for additional surgery down the line.
I have also attached some advice that I provide to my patients who are about to go mommy makeover surgery:
1. Make sure you are doing the procedure for the right reasons (for yourself) and that you have realistic expectations. Be aware that an improvement in the “problem area” may not translate to an overall improvement in your life situation. You are bound to be disappointed with results of the procedure if your motivation for doing the surgery is not internally driven. 2. Time your surgery carefully; generally, it is not a good idea to have surgery done during or immediately after a stressful period in life (for example divorce or death of a loved one). The additional stress of surgery will undoubtedly be more challenging to deal with if a patient's emotional reserves our already exhausted. Remember, that an improvement in your physical appearance will not translate to an improvement in your life situation. 3. If possible speak to patients who have undergone similar procedures and query them about the toughest times of their recovery period. Any practical hints previous patients can provide may be very helpful. 4. Make sure you are aware of potential complications that may arise how to reach your surgeon if necessary. 5. Make sure you have a strong and patient support system (several people if possible) in place who have time/patience to take care of you. Arrange for professional nursing if any doubt exists regarding the availability and/or stamina of your caretakers. 6. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. It may also take many months/year to see the end results of your surgery. 7. Be prepared to distract your mind with things of interest such as books, magazines, and movies. 8. Expect less of yourself; do not go back to work, school or chores too early and let others take care of you (for a change). 9. Pick your surgeon carefully (a well experienced board-certified plastic surgeon) and trust in his/her advice. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience. 10. Resume all medications that you were using preoperatively when cleared by your plastic surgeon and stop the use of narcotics and sedatives as soon as feasible after surgery. 11. Keep in mind the end results as you go through the tougher emotional times after your surgery.
I hope this, and the attached link, helps.
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.