Would I qualify for a tummy tuck and breast enlargement?

If you are otherwise healthy and you can get medical clearance, the surgery will likely be successful.

Far more important than deciding if MM is for you is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let him explain why one technique may be better than another and if you need a tummy tuck. Many board certified plastic surgeons provide a free first time consult and you should take advantage of that! See the below link on some suggestions on finding the most qualified Plastic Surgeon for you!

It's difficult to suggest without an in-person consultation or previewing your medical records. 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. The intentional result of a Breast Lift (#Mastopexy) is to improve the shape and position of the breast without reducing their size. It is used especially for breasts which sag or droop (#ptosis) as a result of aging, weight loss, pregnancy, or breastfeeding. However, many women report more satisfaction if an implant is used at the time of #mastopexy. The implants further shape their breasts, restoring superior fullness or volume which may be decreased over time.In regards to implants alone, this is usually said to be mistake by patients reflecting back at the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result.

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.  These 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.

I think it would be wise to obtain medical clearance from your rheumatologist before proceeding with surgery. Breast implants are not known to decrease your chances of detecting cancer. If you get medical clearance then you should consult with some plastic surgeons to determine a good surgical plan for you.

Thank you for a very insightful question.  Many patients with well-controlled medical issues may still be good candidates for plastic surgery.  Our paramount concern is always for your overall health and safety.  Close collaboration between your rheumatologist and plastic surgeon is very important in your circumstance to make sure you would be a good candidate, minimize your chance of infection while on your immune-modulators, and choose proper breast implants (saline may be a better choice for you).  Patients that have underlying pain sometimes also may need special attention to their post-operative pain medications to make sure the regimen is effective after surgery.  I would encourage you to find a board-certified plastic surgeon with expertise in these procedures, as well as a willingness to be collaborative with your primary care doctor and rheumatologist.