After children (or weight loss) the breasts lose volume and the abdominal wall is lax.
The Mommy Makeover remains one of the most frequently requested combinations of cosmetic plastic surgery procedures. Often performed to repair the damage after childbirth, the Mommy Makeover most commonly combines Breast Augmentation with the Tummy Tuck.
Depending on what needs to be fixed, however, other procedures can be substituted. Sometimes a Breast Lift is added to, or used instead of the Breast Augmentation. If the breasts remain too large after childbirth, a Breast Reduction may be more appropriate. The Mini Tummy Tuck can sometimes replace the full Tummy Tuck, and Liposuction is often used as an adjunct.
The combination of Breast Enhancement and Abdominoplasty is usually performed after childbirth, but is also common after significant weight loss. In both instances the problems are similar. The breasts may lose volume and support, and the abdomen is often left with excess skin and muscle laxity. The Mommy Makeover restores lost volume and support to the breasts and tightens the abdominal wall (skin and muscle).
The woman pictured to the left is lucky. Although she has lost volume in her breasts after childbirth, her nipples remain high above the inframammary fold (the bottom of the breast). This means a breast lift is not needed. Instead, the lost breast volume was restored. Breast implants were placed behind the pectoralis muscle with a natural result.
Her abdominal wall had been stretched, resulting in loose skin and weakened abdominal muscles. There is a small amount of fat behind the lower abdominal skin, but this will be removed when the skin is tightened. Overall she is in good shape, and a good candidate for a Mommy Makeover.
Starting at the Top – Breast Augmentation
 Before Mommy Makeover, the breast have lost volume and are smaller than before pregnancy. |
 After Mommy Makeover, breast volume has been restored to a pre-baby state. |
Breast augmentation was performed to restore volume. The goal was to restore the lost volume, and just a little bit more. Smooth round implants where placed behind the muscle via a periareolar (below the nipple) approach. This gives a nice teardrop shape the the breasts. By selecting the appropriate size, a very natural appearance can be obtained.
Around the Middle – The Tummy Tuck (Abdominoplasty)
 Before Mommy Makeover, the abdominal muscles and skin are over stretched. |
 After Mommy Makeover, the abdominal muscles and skin have been tightened. |
The Bottom Line – Restoring Proportions
After children (or weight loss) the breasts lose volume and the abdominal wall is lax. |
 After Mommy Makeover, the abdomen is flat and the breast's proportions are restored. |
The art of plastic surgery has a lot to do with proportions. By giving volume to the breasts and taking volume from the abdomen, an aesthetic balance is achieved. But, there is more benefits than just looking nice. Clothing fits better and the energy wasted on feeling self conscious can be used for more productive endeavours. Having children is something to be proud of, not looking like you’ve had children … priceless.
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