Before and after Mommy Makeover in a 44 year old woman, which included a breast augmentation, tummy tuck and liposuction. After having her children, she found that her breasts had lost their volume and her abdominal muscles bulged apart, causing a lack of stability of her core. She worked hard to lose her post-pregnancy weight, becoming very physically active. No amount of ab work could bring her muscles back together; she had “rectus diastasis”, permanent separation of the rectus abdominis muscles after multiple pregnancies.
She did not want a fake look to her breasts. Smooth round silicone gel breast implants were placed subglandularly, on top of the pectoralis major muscle, using an incision hidden in her breast fold. By careful dissection of the upper pocket, we create a natural slope to the upper pole of the breast and avoid the too-round fake look. Because no chest muscle was cut or stretched over an implant, she experienced minimal postoperative pain. Drains removed wound fluid as she produced it, so at three weeks, she could appreciate her final breast results!
An abdominoplasty was performed next during surgery. Excess skin and fat from her lower abdomen was excised, and her abdominal muscles were repaired to one another in the midline. Her belly button was brought out through a new skin opening. Liposuction removed stubborn fat from her upper and lower abdomen, flanks, upper inner thighs and axillary rolls. Her breast drains and abdominal drains were both removed at one week.
Follow up photos are shown 6 months after surgery. Her scar is fading, her breasts look natural and her abdominal contour is flat. She feels like her has her pre-pregnancy abdomen back and no longer feels instability of her core when doing pushups and planks. She doesn’t mind the abdominal scar being longer than her old C-section scar – she feels it’s worth it!
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
