Should I Wait to Lose More Weight to Get a Consult for a Mommy Makeover? (photo)

I'm 36, 5"8 and 210 lbs. 15 yrs ago, I lost 140 lbs, from a high of 330. I have fluctuated between 180 and 230 (highest was 258 - 9 mo pregnant). I want to have a mommy makeover but I want to get back to 180-185 lbs. first. I would like to schedule the surgery for the end of December, first of January, which is 6 months out, but my husband would like to have an approximate cost now. Would I be wasting time to get a consult with 25 to 30 lbs left to lose?

Doctor Answers 21

When Do I Consult About A Mommy Makeover?

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Congratulations on all the weight loss - that is amazing.  I think right now is the best time to have a consultation with a Board Certified Plastic Surgeon experienced in the Mommy Makeover.  You actually have a mixed situation because you also lost a lot of weight and you have had multiple pregnancies.  The treatment of these two situations is slightly different so choose a plastic surgeon who has experience in both.  Don't set a weight loss goal before you have the consultation.  The gift to yourself after all this weight loss are the surgeries and not the consultation.  The consultation is merely a road map to help you decide what surgeries to have and when.  

Consultation for Mommy Makeover

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It's always recommended for your safety to be at a healthy weight that's stable, so I'm glad you are waiting until then. Your results will also be better. Generally speaking, the price for a tummy tuck usually depends on the technique applied. However, seeing your photos I think a full tummy tuck would achieve your desired results, even after you lose the weight.

However, waiting until you've reached your ideal weight before seeing a surgeon would give you a better idea of what to expect, and allow your surgeon to plan the surgery better. 

No need to wait to book a consultation!

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It’s not unusual for massive weight loss patients to request surgery to address excess saggy skin. Although you still plan on losing an additional 25 to 30 lbs. there’s nothing wrong with consulting a plastic surgeon at this point in time.In fact, the majority of plastic surgeons would prefer early involvement in your care for a variety of reasons.
It’s important to realize that this type of surgery is tailored to meet the patient’s specific needs.After weight loss, multiple anatomic areas may require treatment and, for this reason, procedures frequently require staging.The approach to this problem varies from patient to patient and depends upon their anatomic findings, aesthetic goals and social situation.Sometimes it takes time to determine the best approach to address their concerns.
In addition, it takes time to evaluate co-existing medical conditions, arrange details of life, make financial arrangements and schedule surgery.
Although you’re still six months away from surgery, preparation for this type of surgery takes time.It’s therefore, reasonable to meet with a board certified plastic surgeon who has experience in this area sooner rather than later.By meeting your surgeon early, there should be no surprises and care should proceed more smoothly.

Wait until you've reached your stable weight

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Your consultation would probably be based on your body measurements now, while you're at your current weight. This influences the techniques applied during your surgery and to some extent, the cost as well. You should probably wait until you have reached your ideal stable weight before having your consultation. Then, you'll get a better idea of what exactly you can expect.

However, you can get a rough idea of cost without having a consultation. Generally, in Toronto, Ontario, you can expect to pay about $8500 to $9500 for a full tummy tuck and $8500 to $9500 for a breast lift. You didn't mention what you'd like to have done, so if breast augmentation is also considered that would be about $8000 to $9500.  

Mommy Makeover-Lose Pregnancy Weight First for Best Result

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Thank you for your question and congratulations.

There is no question that you will get the best Mommy Makeover Result if you lose more weight before surgery.

Tightening the Tummy with a Tummy Tuck is difficult with fat under the skin. If you lose ,more weight, the tummy skin will losen and your Tummy Tuck result will be better.

Liposuction can be doine during a Mommy Makeover but it is better if you can lose the weight naturally.

Keep up the good work.

Timing of consult and further weight loss before body contouring surgery

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Hi there-

I don't think that the fact you still have a bit of weight to lose before surgery should keep you from beginning the process. I actually think this is the smart way to go.

Please don't commit to any particular procedure until you have found the right professional to advise you on your desired outcome and the options available to you.

Mommy makeover - tummy tuck

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As long as you are not morbidly obese (and you are not) it is more important that your weight is stable before surgery than your weight be a specific number. There is nothing wrong with seeing prospective surgeons now to get an idea of what the procedure involves, the costs involved and who you want to do it. That way you can plan for surgery. You would not be wasting your time and the price quotes you receive should not change even if you lose some more weight before surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Need to lose weight before consult for Mommy Makeover?

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No you don't need to loose anymore weight before the procedure either, because all the sub-cu fat is removed with the excess skin on your tummy and your breasts probably don't have much fat left in them. Patients become super motivated to lose more weight after the procedure because of the big change they see in the mirror from the procedure. 

Lawrence Foster, MD (retired)
Sacramento Plastic Surgeon

When to get consultation

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Thanks for your great question.  I think it is an excellent time to get a cosultation.  At your visit, you will learn if you like/trust your doctor, know the costs involved, and know to plan your life around surgery and recovery.  Further, your doctor will be able to give you you pre-operative weight loss goals.  Finally, I know I and many of my colleagues are already booked solidly around the holidays with only a few surgery openings left for a long case like yours so it would be prudent to schedule your time.  If you were my patient, I would schedule us to meet again in October to see where you are at particularly with any breast goals. Good luck and congratulations on your weight loss.

You could go ahead and proceed with body contouring procedures if you wish.

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Thank you for your question and the photos.

You could go ahead and proceed with body contouring procedures if you wish. for the most predictable results, it is best for you to be at or near the weight you are going to stay.  If you lose at lot or gain a lot after the surgery, your results will be very unpredictable.

To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 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.