I Want a Complete Mommy Makeover but I've Got Another 30 Lbs to Loose. Is It Too Soon to Get a Consultation?

I'm 5'9. At my heaviest after my second child I was 220. I'm 185' I was 165 before I had kids but even that was a little heavier than I normally was. I just want something to look forward to -I try not to look at the extra skin around my stomach... i want to have a bigger goal than THIS current version of myself. But if the doctor can't tell exactly what I would need when the extra weight is gone, it would be a waste of time. I think I'll need a breast lift, and full tummy tuck.

Doctor Answers 20

Waiting for weight loss

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 The reality is that people always want to lose more weight than they actually do.  So I ask my patients if that goal is realistic.  If pts have over 50 lbs to lose then I think we should wait to do the surgery. If it is closer to 20-30 lbs then I think it is reasonable to do the surgery.  But of course a steady, stable weight is best.  It is a good idea to meet with your plastic surgeon and make a reasonable goal and plan in advance. 

Weight Loss and Timing of Tummy Tuck Surgery

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A consultation with the plastic surgeon can be motivating to create a weight loss plan and timeline for weight loss since you will have a definative goal in mind, so go ahead and get a consultation.

Many of my patients want a weight reduction program they can do at home in a healthy fashion that has a good chance of maintaining their weight long term.  I suggest you consider The Zone Diet.  The book you need to read is Entering the Zone, from Dr. Barry Sears.  This Diet is one where you eat 5 times a day; protein, complex carbohydrate, and some fat for good health, in every meal.  You do some calculations at the back of the book after taking some body measurements and figure out your portion size for  each of the food groups. You will need a food scale. The diet gives 3 lists of food to choose from: the most favorable, the medium, and the unfavorable.  Pick mostly from the first, a little from the second, and minimally from the third. (The protein requirements are on page 90 for your calculations).  Be sure to read the book or you won't be successful with the diet.  You can lose about 1.5 to 2 pounds a week and keep it off. 

Get the body you will love!  Go girl!

Deborah Ekstrom, MD
Worcester Plastic Surgeon
4.7 out of 5 stars 39 reviews

Weight loss and a mommy makeover

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As you already know, the best results after body contouring surgery are achieved when you are at your goal weight.  However, a goal weight is not always a realistic weight.  Most importantly, you should be at a stable weight for a few months before surgery.  It is definitely not too early to meet with a plastic surgeon, and I would encourage you to consult with a board-certified plastic surgeon -- he or she could discuss your goals and what is realistic in terms of surgical outcomes for the procedures you desire.  Good luck!

Anureet K. Bajaj, MD
Oklahoma City Plastic Surgeon
5.0 out of 5 stars 21 reviews

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Timing of Consults and Surgery During Weight Loss

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In general, it is best to wait to undergo body contouring surgery until you are near a stable and sustainable weight. That being said, I believe that it is very valuable to meet with your surgeon as you get closer to being planning. This will also allow you to meet with several Board Certified Plastic Surgeons unrushed. Congrats on your weight loss and best of luck in your upcoming surgery.

Lawrence Iteld, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Thirty pounds to lose before Mommy Makeover

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Most Board Certified Plastic Surgeons would like their patients to be about their goal weight before surgery. One would rather not operate on someone, have them lose 100 lbs., and then have to do that operation again.  There is a significant increase in complications in heavier patients.  This includes a very high increase in the wounds, (that will be on tension in a Mommy Makeover), falling apart.  Each Plastic Surgeon has their own "window" where they feel comfortable enough operating.  Talk to your Plastic Surgeon.  Together you will make a safe plan.


Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Planning Your Mommy Makeover Based on Your Weight Loss Goals

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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. It is best to undergo #MommyMakeover procedures when your weight has been stable for at least one year. 

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. 

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

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.  

Mommy Makeover and weight loss

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It is never to early to start meeting with plastic surgeons to talk about a mommy makeover, however you should not undergo this procedure unless:

  1. You are finished with child bearing (really finished!)
  2. Your weight is stable for at least 6 months
  3. You have a 2 week block of time to recover
  4. You have a reliable adult to assist you for the first 48 hours after surgery
  5. You are willing to trade the new look for long scars (albeit hidden scars)

Good Luck!

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 83 reviews

Weight loss and consult timing

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Congratulations on your weight loss.   If you think you've got 30 more pounds to lose, my suggestion would be to schedule your consult once you are within 5-10 pounds of your goal weight.   Best wishes!
Dr. Basu

Houston, TX

Now is the Right Time!

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 if you are planning to lose 30 pounds and then have a mommy makeover then consultation with a plastic surgeon may be just the right thing to kick start your lifestyle change. Using computer animated renditions of your photographs a before and after of what you should look like after the surgery can be very motivating.. I often find that when I do the abdominal musculature (diastasis repair) in the tummy tuck especially high up on the abdomen, it and cause and early satiety ( you fill up faster) and you often lose 5 to 10 more pounds in the first two months after surgery. I think is important to undergo a lifestyle change not just a diet since you will need to keep this up to maintain your new shape long term. Good luck in your life-changing endeavors!

Manuel M. Pena, MD
Naples Plastic Surgeon

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.