I Really Need a Mommy Makeover After Having Twins 7 Years Ago. Don't Know Where to Go or Who to Trust?

Had twins in 2005. I am 5'6" and for years hovered around 220-240lbs. In recent years slowly dropped down to 204 and in the recent past Down to 180. still have 30lbs to lose, would love to have "work" done when I reach goal wt. I don't know who to choose. Everyone recommends the same firm but they want $20,000.00 to do a tummy tuck and breast augmentation/lift. I want quality but not at name brand prices...any advice? (have 4 kids & not having anymore) Can provide pictures if necessary.

Doctor Answers 12

Who should you trust for your mommy makeover?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 Excellent job on losing the twin's weight!  Finding the right doctor for a truly life altering surgery is not easy. Obviously the doctor needs to be a board certified plastic surgeon.  You need to examine his or her's work.  Talk to several patients from the practice.  After all that, you NEED to feel comfortable with the doctor and staff.  People tend to discount their feelings when it comes to picking a surgeon,DON'T.  This type of surgery is a process. The surgeon and you will get to know each well.  Choose carefully and you will be proud to show off your new lighter and tighter body.


Good luck, and thank you for your question.



Anire Okpaku MD

Miami Plastic Surgeon

The Mommy Makeover and Seeking a Board Certified Plastic Surgeon

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.  #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others. The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting.  

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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Choosing your mommy makeover surgeon

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Please make sure you choose a board certified plastic surgeon certified by the American Board of Plastic Surgery and a member of the American Society of Plastic Surgeons.  Review each doc's before/after photos.  Finally, ask yourself with whom did you feel more comfortable?  Whose office staff made you feel more comfortable?   In the end, go with your gut feeling.  Don't just go with price.  Unlike other products you can purchase, you can't return your plastic surgery result.  Trust and comfort with your team and a safe experience and a great result is priceless!  Best of luck!

Dr. Basu
Houston, TX

Staging a mommy makeover body contouring and breast contouring surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A mommy makeover surgery usually involves a body contouring procedure for the abdomen and a breast procedure.  One option is to stage the two surgeries by doing the one you prioritize first and then stage the second.  Surgery90210

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Mommy Makeover Surgery Advice

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In addition to the advice given by the other surgeons, I would recommend asking your Ob/Gyn and/or Family Practice Physician for a recommendation.  Generally they see a lot of results from local Plastic surgeons and can therefore make a recommendation.  You can also do a lot of research online, where you can see before and after photos for the surgeries you desire.  You should also be able to obtain some sort of quote for these desired procedures by doing a remote consult (through photos) out of state if necessary.  You definitely want to take your time, do diligent research and ask a lot of questions prior to proceeding with surgery.  Good luck!

Milind K. Ambe, MD
Orange County Plastic Surgeon
4.7 out of 5 stars 52 reviews

Mommy makeover

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I agree with the previous advice...would add that you are going to have to live with your decision...do not let price alone drive your decision...there is a saying: "price, service, quality...pick two" ...recommendations from friends is helpful, but there are many well qualified plastic surgeons available and you should consult several...remember that fixing problems after a surgery gone wrong may cost more than the original procedure.

Leonard T. Yu, MD
Maui Plastic Surgeon

Mommy makeover cost

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Congratulations on the weight loss!  A board certified plastic surgeon is the best person to trust for this kind of surgery. I would ask if they have hospital privileges to perform this surgery.  If not, then I would seek out a different plastic surgeon.  If they only do it in their surgery center, they may not be offering you the full spectrum of options.  For example, I usually keep my patients in overnight for pain control and control of any nausea they might have.  They are always happy for this. It only adds $500 to the total bill. 

Although I would not go to the lowest bidder, there may be another practice that is just as qualified that would be less. Good luck!

Dr. Loewenstein

Paul W. Loewenstein, MD
Milwaukee Plastic Surgeon
4.8 out of 5 stars 32 reviews

Where to Go or Who to Trust

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Congratulations on the weight loss. Good plan to continue to lose down to your desired weight before surgery. 

If you look on the ASPS (American Society of Plastic Surgeons) website (google the name), you will find listings for all the member surgeons in your city, and I count four different addresses. If you are willing to travel to nearby cities you will find others.

Best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Look for practices that are geared to performing combination "mommy makeover" procedures.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Congratulations on the weight loss.  Yes, photos would be helpful.  You are correct in insisting on quality.  It's no bargain if you need redo surgery.  There is no substitute for experience.  $20,000 for abdominoplasty + breast implants/lift is not out of range.  However, some plastic surgeons who have access to their own surgery centers can be competitive in cost without sacrificing safety or quality (both of which are more important than cost).  At our center we recognize the need to keep costs under control.  Your price would be about $15,000. 


But start with looking at websites and patient photographs.  I promote the "rule of 10."  If you are satisfied with ten results you see by your surgeon, that is a good indicator that you will be pleased.  My website is attached.  Mommy makeovers are extremely common these days, and many plastic surgery practices are geared to performing these combination procedures.


There is a wide variety in breast lift procedures.  The most effective is the vertical lift.  Be sure to check into what type your surgeon performs.


Patient satisfaction tends to be very high.  I'm sure you would benefit, having had four children.  It is a rare woman who does not need a makeover after four kids.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.7 out of 5 stars 62 reviews

Surgeon for Mommy Makeover

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You can start by consulting with a surgeon board certified by the American Board of Plastic Surgery.  Other factors would be the experience of this surgeon and who you are most comfortable with.

Arnold S. Breitbart, MD, FACS
Long Island Plastic Surgeon
4.8 out of 5 stars 160 reviews

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.