Mommy Makeover and Weight Loss. What to Expect for Final Results?

Question

I am 5'2 and weight 145 i have changed my diet and exercising for the last eight month and lost 10 pounds and haven't been able to lose anymore weight. If i went ahead and did a mommy makeover would it mess up my results if after i was able to lose 10 or 20 lbs?

S. Larry Schlesinger, MD, FACS · Answer

At 5'2" and 145 pounds, you are overweight but certainly not obese.  A good tummy tuck should remove the excess skin between the top of your belly button and 1" below the top of your pubic hair.  A face to face, hands on evaluation of your abdomen would tell any Board Certified Plastic Surgeon experienced in Mommy Makeovers whether you are a good candidate for a full tummy tuck.  If you are, in fact, a good candidate, then this skin resection and associated muscle repair should give your stomach a very tight, youthful appearance and feel.  A weight loss of 10 pounds after this should have little effect on the final result.

More than likely, your plastic surgeon will also suction out your hips (muffin tops).  This plus the skin resection on your abdomen should give you about a 5 pound weight loss.  Your improved appearance and consequent improved self-esteem should break loose the logjam preventing you from losing that last 10-15 pounds.

Jed H. Horowitz, MD, FACS · Answer

It's difficult to suggest without a in-person one-on-one consultation. 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.

#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.

Richard J. Bruneteau, MD · Answer

There’s no question that being close to your ideal body
weight improves the results of Mommy Makeover surgery.It also decreases the potential for
complications with this type of surgical procedure.For these reasons, we prefer that patients be
within 10% of their ideal body weight at the time of surgery.Unfortunately,
reaching an ideal weight is easier said than done.The vast majority of patients are
unsuccessful at losing this additional weight.It’s also important to realize that even when patients are overweight,
they can potentially benefit from this type of surgery. We therefore, evaluate
every patient on an individual basis.We
encourage patients to lose weight before surgery and prefer that their weight
be stable for at least three months.We
realize that some patients will have difficulty losing weight.We therefore, encourage patients to be in a
supervised weight loss program.Even
with that help, some patients will be unsuccessful in their effort to lose
weight.Even without weight loss, many
of these patients will still potentially benefit from Mommy Makeover surgery.It’s
important to realize that weight loss following Mommy Makeover surgery can
affect the final result. A weight loss
of 20 lbs. could result in the need for revisional surgery.For these reasons, it’s important to
thoroughly discuss the issue with your plastic surgeon.

Jeffrey E. Schreiber, MD, FACS · Answer

I would recommend going ahead with your surgery.  I tell my mommy makeover patients that they should wait to have surgery if they're planning a 50 pound or more weight loss.  Good luck!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question.  A small amount of weight change shouldn't make a big difference. If you plan on losing more than 20 pounds, then I would recommend waiting until your weight is stable for 3- 6 months for best results and predictable results.

	 I hope this helps.

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