Planning for my Mommy Makeover, How Much Time Should I Prepare to Not Lift my Twins?

I’m planning on having breast augment & tummy tuck in one procedure (like a ‘mommy makeover’). My twins are 10months (my boy is quite a big guy, weighs 25 lbs or more, I weigh 106, plus, I have an older child). I was thinking of hiring help for the first 2 weeks after the surgery (lifting kids etc). Do you think 2 weeks will be sufficient? Will I be able to lift my kids & take care of them after 2 wks again? Not worried about the pain, but will it affect how the scars develop?? Thanks!

Doctor Answers 17

After Mommy Makeover wait at least three weeks before lifting twins

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Mommy Makeover, a Tummy Tuck and Breast Augmentation and or Mastopexy involves significant surgery in two very important regions of your body that are definitely impacted by lifting your twins.

By two weeks your sutures will be out but your wounds are still fresh and gaining strength. Whle you may be comfortable lifting your twins, the concern is that a quick movement or accidental bump could injure your fresh wounds.

I know it is impractical to have twins and not lift them for a month to 6 weeks.

However plan on having help, from a frioend, relative, husband or Nanny at least during the first 3 weeks.

Yes, you will need to have some help for about 3 weeks after surgery

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I would suggest you have help for at least 3 weeks after your tummy tuck (abdominoplasty) and breast augmentation. You have to remember that the purpose of doing this procedure is to get your nice flat tummy back. That requires sewing the muscles back together inside. If you are pulling or lifting too soon before the muscles have had a chance to heal together those sutures can tear through the muscle and there goes you beautiful abdomen. So do it when you can have help you will be glad you did.


Wm. Aiello M.D.


William Aiello, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

Recovering from a Mommy Makeover & Caring for Others

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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.    

Healing after a  #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake. I allow my patients to return to work at one to two weeks with 14 days preferred.  However, no lifting or straining.  At three weeks, increased level of activity and full with no restrictions, at 6 weeks. 
As I advise my patients, if your work keeps you sedentary, you may return whenever you feel up to it. If your work is strenuous, wait until your work activity does not cause any superficial pain. 
Some employers will modify a person’s job duties so they can back sooner, but without physical activity. Our office can provide our patients with a note stating they are not to engage in strenuous activity for a specified period of time. The note will not disclose what procedure they have underwent. Therefore, you may have to request a similar note from your surgeon if you are not independently employed. I recommend avoiding heavy lifting and strenuous #activity for six weeks following your surgery. With that said, it may help you plan your return to work accordingly.

As for heavy lifting and other #strenuous #activities, it should be avoided for until you have clearance from your surgeon. You may, however, do normal activities at any time if they cause no pain or #discomfort. Let your body tell you what you can or cannot do. Aerobic exercise will raise your blood pressure, which could cause late bleeding and harm your result. Once you begin exercising again, start gently and let your body tell you what it can tolerate. Don’t rush!!  If you have concerns about your healing, or pain that you question to be unusual, it is important to call your plastic surgeon to discuss these further asked to be examined.

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

4-6 weeks is on the safe side

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When you can start lifting depends on whether you have a rectus diastasis repair done or not (repair of the separation between your abdominal muscles)  Having had twins I would assume that you will definitely need repair of those muscles.  You will be wearing a binder after surgery that will be giving extra support to the muscle repair.  Make sure that binder is on very tight.  Still you have to be very careful.  I usually tell moms to sit on the floor and have their little ones crawl or walk to them.  You might need to wait about 6 weeks before you can start lifting your children, and even then it's best if you do so very slowly, squatting first rather then bending over. Definitely have help for the first three weeks following surgery .

The problem isn't the scars, although too much physical strain can open up the incisions sometimes, it is the strain that you will be putting on the midline muscle repair.  This would determine how flat your abdomen will ultimately be.

Planning for Mommy Makeover?

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Thank you for the question.

I would suggest that you plan on having help ( as much as possible)  for the first 3 to 4 weeks after mommy makeover surgery. 

Given that you are about to undergo a major operation which often involves a significant physical and emotional recovery a few words of advice may be helpful:

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 helps.

Lifting Should be significantly restricted for 4-6 weeks after Mommy Makeover

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Hi there-

In order to not compromise the safety and outcome of your Mommy Makeover, I would recommend that you have a plan for avoidance of lifting anything more than a few pounds for at least 4-6 weeks.

Discuss the plan with your surgeon- I know in my practice we offer third party professional mommy helper services for our patients. This may be an option for you.

Laying low after surgery.

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Your body takes time to heal after surgery.  It is important to do common sense things such as walking in deep breathing which actually helps minimize risks in the postoperative period.

Unfortunately if you're too active you can sometimes increase the risk of bleeding or fluid accumulations under the skin known as seroma.

Each surgeon will have his or her own specific regimen.  In my own practice I recommend that patients refrain from any heavy lifting pulling or pushing for at least three weeks after surgery. In patients having tummy tuck I recommend that they avoid  abdominal exercises for at least six weeks.

Doing everything correctly may not necessarily effect the scars, but it will certainly reduce the risk of bleeding and fluid collections.  While it may seem like an eternity until you can get back to your normal activities anything that you do to heal quickly and correctly from the beginning will serve you well.

It may be safer to line up some coverage for the third week depending upon how you're doing and how your healing.

Good luck with your surgery and hopefully uneventful recovery. 



Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 115 reviews

Planning for my Mommy Makeover, How Much Time Should I Prepare to Not Lift my Twins?

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We ask our patients to limit their lifting to 20 pounds or less for the first two weeks and then increase slowly from there. The lifting too much can tear sutures but can also cause delayed bleeding that will prolong your recovery. I would say that having help for two weeks would be about right but with combined procedures like you are thinking about, it might take a little longer.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Mommy Makeover Recovery Time and Lifting Twins

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This is a great question.  With each patient, limitations may vary.  Tummy tuck and breast lift and implant patients can start walking in the neighborhood once they get home from from surgery.  They can drive usually 1 week after surgery once they have stopped taking their pain meds.  You can pick up your twins a few weeks  after surgery. (typically 4-5 weeks)  Exercise can be resumed at 4-5 weeks as well.  Picking up your children will not affect the scar. 

No lifting for six weeks after a tummy tuck

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Thank you for your question. Your surgeon should talk with you about lifting after a tummy tuck. The standard answer is no heavy lifting for at least six weeks after a tummy tuck. This is because it takes that much time to build up enough scar tissue so that you are not relying on the sutures to hold your stomach muscles together.  This is a very strict time frame! It doesn't matter how good you feel or how fast that you think that you heal. Six weeks!

James McMahan, MD
Columbus Plastic Surgeon
4.8 out of 5 stars 40 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.