A mommy makeover is a combination of surgical procedures that improve the appearance of the breast and body in one operation. A mommy makeover is commonly performed when a women has finished having children. This procedure removes the skin and excess fat from the abdomen, tightens the abdominal muscles and reshapes the breasts giving them a more youthful appearance. Often times, liposuction is performed at the same time for better contouring of the body. Every patient is unique therefore a mommy makeover is not the same for each patient.
A mommy makeover is best for patients that are young, healthy and within their normal weight range. Patients that have the most success from a mommy makeover are women who have excess skin and fat on their abdomen and have lost the volume and shape of the breasts from having children or significant weight loss.
When you come in for your initial consultation, you will meet with both Dr. Maloney and one of our clinical coordinators. Maloney Plastic Surgery is one of the only practices in Tucson, AZ to offer Vectra 3D (three dimensional) technology to our patients. One of the first things we will do at your consultation is use VECTRA imaging technology to take a 3D image of your body from the bellybutton to the neck. This exciting technology will perform breast measurements to determine which implants will work best for you and your breast. It will determine if one breast is smaller or larger than the other and by how much. With Vectra 3D imaging technology is we can “implant” the exact manufacturer, size and shape implant you are considering and show you how that implant will look on your body. A mastopexy can also be simulated so you can view the virtual result. After Vectra imaging, Dr. Maloney will examine you to determine if you are a good candidate for the procedure. He will discuss the details of the operation and show you before and after photos. Dr. Maloney will explain the differences as well as the pros and cons of both the saline and silicone implants. Saline implants are a silicone shell filled with saline (salt water). Silicone implants are a silicone shell filled with a silicone cohesive gel. The silicone implants give a very natural look and feel to the augmented breasts and are the most popular implant in our practice today. The new generation of silicone implants are much different than the old ones that were taken off the market years ago. The new generation of silicone implants are made out of a silicone cohesive gel, not a silicone oil as they were in the past. The silicone implants have a low rupture rate and are very safe. The saline implants are good in a patient who is looking for a lot of cleavage and roundness of the breasts or a patient or someone wanting a very small incision.
Once you have met with Dr. Maloney, one of our experienced coordinators will review surgical fees, financing options and answer any other additional questions you may have. If you choose to have surgery with Dr. Maloney, you will return for another consultation about three weeks prior to your operation. At this pre-operative appointment Dr. Maloney will review the surgical plan with you as well as go through consent forms and give you your prescriptions. We will review your Vectra images to make a final decision about the implant style and shape. You will be provided with Dr. Maloney’s personal cell phone number and our after-hours phone number. A member of our team will go over all of your surgical instructions and give you a packet of information so when you leave this appointment you are ready for surgery.
Once you have met with Dr. Maloney and have chosen a surgical date for your mommy makeover, you should plan for your care and recovery after the operation. You will need to arrange a ride to and from the surgery center as well as arrange for someone to stay with you for the first twenty-four hours. You should take seven days to three weeks off of work for this operation depending on the type of work you perform. Please speak to one of our team members for specific questions related to taking time off of work. If paperwork is required by your employer for your time off, please obtain it ahead of time and bring it to our office. If you smoke, you must quit a minimum of three weeks before surgery. We suggest six to eight weeks, but three weeks is the minimum. Smokers heal more slowly and can have wound healing problems. Smoking may require modifications to the surgical plan. If you take aspirin or another medication that causes bleeding, you should stop taking it three weeks before surgery. If you are taking any diet pills (prescription or over-the-counter) or if you are taking Metformin (a common diabetes medication), you should stop one week prior to surgery because of anesthesia risks. All medications, herbs, vitamins and dietary supplements you are taking should be carefully reviewed with Dr. Maloney prior to surgery. If you are under the care of a physician for any health issues, we may require surgical clearance from your physician and/or cardiologist.
At your pre-operative consultation with Dr. Maloney you will be given a map to the surgery center and your prescriptions. Get these prescriptions filled before surgery. Bags of frozen peas or corn work well as icepacks after your procedure. You need to stay hydrated. Have plenty of water or sports drinks around the house. We suggest you begin a stool softener as narcotic pain medication and anesthesia can make you constipated.
If you are having surgery before 10:00am, you cannot have anything to eat or drink after midnight, this includes water. If your procedure is scheduled for after 10:00am, we suggest drinking 16-24 ounces of Gatorade or other “sports drink” (the full sugar version, not diet) four hours before your operation. Studies have shown this will decrease dehydration and nausea post-surgery. You should not have anything to eat or drink other than the Gatorade. Do not put any lotions, deodorant or make-up on the day of surgery. Please do not wear any jewelry to the surgery center. You should wear comfortable clothes that are easy to get on and off. A shirt that zips or buttons up the front is preferable, as are loose workout type pants or sweat pants. Bring your picture ID when you check into the surgery center. You will check in and then be taken back to the pre-operating area where Dr. Maloney will come and discuss the surgical plan, answer any additional questions you have and mark the surgical site. At this time you will meet the anesthesiologist and ask him/her any questions you may have.
A mommy makeover takes about four to eight hours depending on what procedures are being performed. The anesthesiologist will put you to sleep for this operation for your safety and comfort. Dr. Maloney will make an incision from roughly hip bone to hip bone across your abdomen just above your pubic hairline. The excess fatty tissue will be removed, you abdominal muscles tightened and a new hole made for your belly button. The excess skin will be pulled tight and sutured into place. He will then begin on the breast portion of the procedure. Dr. Maloney will remove the excess skin and reposition the breast tissue using an anchor incision or an inverted T incision (which he will show you at your consultation). If you are having a breast augmentation performed, he then will use the incision on the underside of the breast and create a pocket on the inside large enough for the implant. Drains and a compression garment will be placed and you will wake up in the recovery room and be ready to go home in about an hour.
You will wear a compression garment to minimize swelling and bruising. You may have some drainage of fluid from the incisions especially if liposuction is performed at the same time. You should rest and eat a healthy diet high in protein to assist your body with healing. We recommend early and frequent ambulation after surgery to reduce the risk of blood clot formation in the legs and to speed up your recovery. You may be stiff and sore when you first get up and walk around. You may be swollen after surgery and you may walk hunched over for a few days. It takes about six to ten weeks to see your results, so be patient during the healing process. You will need to record the amount of fluid your drains are collecting. The nurses at the surgery center will show you how to do this before you are discharged home. You will return to the office for your first post-operative exam one to three days after surgery. After this appointment, you may shower and wash your incisions with soap and water. A low grade fever is not uncommon after any operation. If you have any questions during the recovery phase, please do not hesitate to call the office any time, day or night.
After a mommy makeover your abdomen will be flat and tight with the extra skin and fat removed. Your breast will be a better size, shape and you will have more youthful cleavage.
A mommy makeover has both aesthetic and health risks, and it is the woman’s personal decision whether the benefits outweigh those risks. More commonly seen risks include slow wound healing, scaring, infection, asymmetry, excessive firmness, changes in skin sensation, changes in nipple or breast sensation and capsular contracture. There are also more uncommon, but more complicated risks such as bleeding or deep vein thrombosis which may require a visit to the emergency room or infection, which may require the removal of the implant. For a full list of risks, go towww.plasticsurgery.org.
Dr. Maloney is a Harvard trained, board certified plastic surgeon who returned to his home town of Tucson, AZ to open Maloney Plastic Surgery in 2002.