Considering a mommy makeover after 3 previous c-sections, which procedures are right for me? 5'1 and 115 lbs (photos)

I would begin with your breasts using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time or later, you can have a tummy tuck. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Thanks for your question. From your pictures, you seem to be a good candidate for a Mommy Makeover. with a tummy tuck and a breast lift since you do not want implants. I recommend you schedule a consult for a proper evaluation. Make sure the surgeon you choose has extensive experience with mommy makeovers and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Hi tinylefty,

Thank you for your question regarding considering a mommy makeover after three previous C-sections, and which procedures are right for you being 5’1” and 115 pounds. Thank you for your history and your pictures.

Let’s analyze your stomach first. Upon examining your stomach, you have excess skin, excess fat, and muscle weakness. The excess skin can be seen by the wrinkles of your abdomen around the belly button. The wrinkles and the stretch marks also tell us about the quality of your skin and its ability to bounce back, especially after liposuction or a tummy tuck. In examining your abdomen, you also have a moderate amount of fat, which is evident in the profile pictures. Also, in the profile pictures, it appears that your muscle has been stretched. The muscle in question is the rectus abdominis muscle, probably stretched due to your small frame and having three large babies. Therefore, the best surgery for your abdomen is a tummy tuck, not just liposuction. A tummy tuck will address the excess skin and fat of your abdomen and correct the muscle weakness of your entire abdominal wall. During a tummy tuck, the excess skin in front of the abdomen will be removed, the pubic region or mons will be lifted, and the rectus muscle will be repaired.

Let’s now examine your breasts. If you are content with your breast size, you may consider a breast lift or a mastopexy. Your breast lift would include an incision around the areola and down the front of the breast, resembling a lollipop. If a more comprehensive lift is needed, this incision can be extended underneath the breast, resulting in what’s called an anchor mastopexy. If you desire more fullness and a larger breast with enhanced cleavage, you might contemplate a breast implant. However, you mentioned you’re not sure about having an "implant in your body." In my opinion, combining a breast implant with a lift would offer optimal results. But, if you're against implants, that's perfectly understandable.

In conclusion, I would recommend a tummy tuck, breast lift, and potentially a breast augmentation, depending on your personal preferences. I hope this helps answer your question regarding which procedure is right for you after three previous C-sections and being 5’1” and 115 pounds.

Good luck.

Sincerely,
Dr. Katzen