Is having a Mommy Makeover advisable now at a stable weight, or should I wait until I get to my goal weight?

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.

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. 

I advise patients to lose as much weight as possible prior to surgery and maintain this weight for a period of time.  That said, I do believe that many people benefit from the results of the mommy makeover and are further motivated to lose more weight.  You should consult a board certified plastic surgeon with whom you feel comfortable and explore your options.Best of luck,

There isn't a perfect answer for this. Generally, I like my patients to get within about 10 lbs of their goal weight. But there are always exceptions to the rules. And it could be that your excess skin is making up quite a bit of your excess weight. It sounds like you have been stable for long enough. I might suggest that you go ahead and move forward with your procedure. You can still afford to lose a little more weight after surgery without affecting the results much. 

Without photos it is difficult to advise on this, but based on the fact you have a goal of 15lbs you should do that first as it will cause more skin to loosen.Meet with a plastic surgeon in your area that specializes in mommy  makeovers  for a private consultation

I would recommend anyone who desires body contouring surgery to be as close to their goal weight as possible before surgery and continuing long after surgery.  This will produce the most stable result.Dr. ES

   A goal weight is always nice to achieve.  If you can do this, wait to lose the weight and have the surgery at that later date.Kenneth Hughes, MDLos Angeles, CA

The key is that you have been stable for 3 years and although you desire to lose more this hasn't happened so now would be the time to do your surgery. I have found that the improvement from the surgery is so profound that the patients will often be so motivated with their new found body image that they will actually lose more weight afterwards. This naturally will enhance their results.  Go for it! William Aiello, M.D.  Newport Beach CA

hello. thanks for the question, very interesting. would be interesting to post photos because each person has a different body shape. the best would  be you to  reached your ideal weight but often this is not possible, I recommend you to visit a plastic surgeon for an evaluation and he  will tell you what is the best in your specific case. 

Congratulations on taking off so much of the weight you gained during pregnancy!  If you have been close to your current weight now for three years I would encourage you to go ahead with your surgery.  Taking off almost another 20 lbs. may not be a realistic goal and just prove to be frustrating. It is also possible that correcting your drooping breasts may make exercise more comfortable and help with any additional weight loss.  Pictures would definitely be helpful in giving an opinion on your question.