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Mommy Makeover. Are You Ready?

Pregnancy can leave lasting—and often unwanted—effects on your appearance, such as sagging breasts, stretched abdominal muscles, and loose, excess skin. Many women are discouraged when their breasts and body do not return to their pre-pregnancy shape, even with a healthy diet and exercise. By addressing unwanted changes of pregnancy and restoring the appearance you want, a mommy makeover can help you feel more like yourself, improving your comfort and self-confidence. A “mommy makeover” is the collective term for a personalized set of cosmetic procedures designed to help a woman address common effects of childbearing and aging on the face, breasts, and body and restore or improve upon her pre-pregnancy appearance. Mommy makeovers can include cosmetic surgery, non-surgical treatments, or a combination of both. Determining the right time for a mommy makeover is mostly a personal decision between you and your cosmetic surgeon. Typically, it is best to wait until you are finished having children before undergoing surgical “lifting” procedures, such as tummy tuck, breast lift, or lower body lift surgery; if you plan to become pregnant again in the future, non-surgical body contouring and skin treatments can be cost-effective options for interim procedures.
MOMMY AND DADDY MAKEOVER

What is Mommy Makeover?

A “mommy makeover” is the collective term for a personalized set of cosmetic procedures designed to help a woman address common effects of childbearing and aging on the face, breasts, and body and restore or improve upon her pre-pregnancy appearance. Mommy makeovers can include cosmetic surgery, non-surgical treatments, or a combination of both.

MOMMY MAKEOVER. PROCEDURE AND OPTIONS

Pregnancy can leave lasting—and often unwanted—effects on your appearance, such as sagging breasts, stretched abdominal muscles, and loose, excess skin. Many women are discouraged when their breasts and body do not return to their pre-pregnancy shape, even with a healthy diet and exercise. By addressing unwanted changes of pregnancy and restoring the appearance you want, a mommy makeover can help you feel more like yourself, improving your comfort and self-confidence.

A “mommy makeover” is the collective term for a personalized set of cosmetic procedures designed to help a woman address common effects of childbearing and aging on the face, breasts, and body and restore or improve upon her pre-pregnancy appearance. Mommy makeovers can include cosmetic surgery, non-surgical treatments, or a combination of both. Determining the right time for a mommy makeover is mostly a personal decision between you and your cosmetic surgeon.

Typically, it is best to wait until you are finished having children before undergoing surgical “lifting” procedures, such as tummy tuck, breast lift, or lower body lift surgery; if you plan to become pregnant again in the future, non-surgical body contouring and skin treatments can be cost-effective options for interim procedures.

How Can a Mommy Makeover Benefit Me?

Pregnancy can leave lasting—and often unwanted—effects on your appearance, such as sagging breasts, stretched abdominal muscles, and loose, excess skin. Many women are discouraged when their breasts and body do not return to their pre-pregnancy shape, even with a healthy diet and exercise.

By addressing unwanted changes of pregnancy and restoring the appearance you want, a mommy makeover can help you feel more like yourself, improving your comfort and self-confidence. Each patient has their personal goals with their mommy makeover, which often include one or more of the following:

  • Correct sagging and restore volume to breasts
  • Improve breast symmetry
  • Repair stretched or large nipple/areola
  • Remove excess, sagging skin from the abdomen
  • Repair stretched or separated abdominal muscles (diastasis recti)
  • Reduce pockets of diet- and exercise-resistant fat
  • Improve the way clothing and swimsuits fit

When Should I have a Mommy Makeover?

Determining the right time for a mommy makeover is mostly a personal decision between you and your cosmetic surgeon; however, there are certain factors to consider when timing a mommy makeover and choosing the procedures you will have.

  • It would be best to recover from childbirth before undergoing surgery fully.
  • If you are considering breast surgery, you should wait until several months after you have finished breastfeeding to allow the breasts to return to a regular size and shape.
  • While you are still breastfeeding, I may not recommend specific non-surgical treatments, such as injectables.
  • Typically, it is best to wait until you are finished having children before undergoing surgical “lifting” procedures, such as tummy tuck, breast lift, or lower body lift surgery; if you plan to become pregnant again in the future, non-surgical body contouring and skin treatments can be cost-effective options for interim procedures.
  • If you have a surgical mommy makeover, you will not be allowed to lift anything over 5-10 lbs. For the first few weeks after surgery, you will need help with childcare during this time, especially if you have younger children.

What is My Mommy Makeover Procedure Option?

Because pregnancy and childbirth significantly impact the breasts and body, mommy makeovers include breast enhancement and body contouring surgery. However, your mommy makeover may consist of any procedures to help you address your concerns. Most mommy makeover patients have one or more surgical procedures. In most cases, multiple procedures can be performed during a single operation, allowing patients to improve various areas with only one surgery and recovery period. Below are standard methods women choose to have as a mommy makeover.

  • Breast Shaping
  • Body Shaping
  • Face and Neck Lift Surgery
  • Feminine rejuvenation

What are My Mommy Makeover non-surgical Procedures?

Non-surgical treatments give less dramatic results than surgery but can still improve suitable patients. Inch procedures can be a good option for those planning to have more children and those who are not willing or able to take several weeks off to recover from surgery.

Who is the Right Candidate for a Mommy Makeover?

M Increasingly, women are including non-surgical treatments in their mommy makeover plans. Mommy makeover surgery is a highly individualized procedure. It would be best to do it for yourself, not fulfill someone else’s desires or try to fit an ideal image. You may be a candidate for mommy makeover surgery if:

  • You are in good medical health
  • You are at your ideal body weight
  • You have a positive outlook and realistic expectations
  • You are finished with childbearing

What Should I Expect During a Consultation for a Mommy Makeover?

During your mommy makeover consultation, be ready to discuss:

  • Your surgical goals
  • Medical conditions, drug allergies, and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use
  • Previous surgeries

Your plastic surgeon will also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Examine your breasts, abdomen, genitalia, and buttocks and take measurements of their size and shape, skin quality, and skin thickness
  • Take photographs
  • Discuss your options and recommend a course of treatment
  • Discuss outcomes of mommy makeover surgery and any risks or potential complications

Be sure to ask your plastic surgeon questions. It’s essential to understand all aspects of your mommy makeover. It’s natural to feel some anxiety, whether excitement for your anticipated fresh look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

What are the Risks of a Mommy Makeover?

The decision to have mommy makeover surgery is highly personal. You’ll have to decide if the benefits will make your goals and if the risks and potential complications are acceptable. Your plastic surgeon and staff will explain the risks associated with surgery. You will be asked to sign consent forms to make sure that you fully understand the procedures you will undergo and any risks or potential complications.

The possible dangers of mommy makeover surgery include, but are not limited to, bleeding, infection, poor healing of incisions, hematoma, seroma, loss of nipple sensation, inability to breastfeed, implant leak, capsular contracture, anaplastic large cell lymphoma, unfavorable scarring, recurrent looseness of the skin, fat necrosis, deep venous thrombosis, cardiac and pulmonary complications, asymmetry, persistent pain, contour deformity, fat embolization, and anesthesia risks. You can find further information about risks for mommy makeover surgery on the pages related to the proper procedures:

How Should I Prepare for a Mommy Makeover?

In preparing for mommy makeover surgery, you may be asked to:

  • Get lab testing or a medical evaluation
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding.

Mommy makeover surgery is typically performed in hospitals and will use general anesthesia. You may perform some follow-up procedures on an outpatient basis, and local anesthesia with sedation may be used. These decisions will be based on the requirements of your specific method and in consideration of your preferences and your doctor’s best judgment.

What are the Steps of a Mommy Makeover Procedure?

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. Your doctor will recommend the best option for you. The choices include intravenous sedation and general anesthesia.

Step 2 – Surgical procedures

The steps for the various methods that could be a part of your individualized mommy makeover surgery can be found below:

  • Breast augmentation-silicone implants
  • Breast augmentation-fat injections
  • Breast lift-mastopexy
  • Breast reduction-mammoplasty
  • Breast reduction-liposuction
  • Buttock augmentation-fat injections
  • Liposuction
  • Abdomen Lift-tummy tuck
  • Upper body lift
  • Lower body lift
  • Fat Injections
  • Feminine Rejuvenation

What should I Expect During My Mommy Makeover Recovery?

Following your mommy makeover surgery, gauze or bandages will be applied to your incisions. An elastic bandage or support bra will decrease swelling and support the breasts. A compression garment may also control swelling in the abdomen, waist, and buttocks. You will be given specific instructions that may include:

  • How to care for your surgical site(s) following surgery
  • Medications to apply or take orally to aid healing and reduce the risk of infection
  • Specific concerns to look for at the surgical site or in your general health
  • When to follow up with your plastic surgeon.

Be sure to ask your plastic surgeon specific questions about what you can expect during your recovery period:

  • Where will I be taken after my surgery is complete?
  • What medication will I be given or prescribed after surgery?
  • Will I have dressings/bandages after surgery? When will they be removed?
  • Will there be drains? For how long?
  • When can I bathe or shower?
  • When can I resume regular activity and exercise?
  • When do I return for follow-up care?

Healing will continue for several weeks as swelling decreases and the shape of the breasts, abdomen, waist, genitalia, and buttocks improve. Continue to follow your plastic surgeon’s instructions and attend follow-up visits as scheduled.

Life after a Mommy Makeover

Since mommy makeovers are personalized to patients’ needs and goals, surgery protocols and recovery times vary. A good rule of thumb is to expect a recovery like the most extensive procedure (this is a tummy tuck). Many patients have their procedures while their children are incredibly young. Doing so allows them to get back to their desired appearance earlier but requires careful planning concerning childcare during recovery.

Most surgical procedures restrict lifting for 4 to 6 weeks after surgery; you will need to have someone else do tasks that require a child to be picked up or carried while you heal. How soon your results will be last also depends on your procedures. Typically, patients feel comfortable and confident wearing a swimsuit within three months after surgery.

Face and Neck Skin Rejuvenation

FACE AND NECK REJUVENATION-2
FACE AND NECK REJUVENATION-2

Facial and neck aging results from the complex interplay between the skeleton, retaining ligaments, soft tissue envelope, and skin elasticity due to genetic and extrinsic factors. Gravity is responsible for a lifetime of downward pull upon the face and neck tissues.

Coupled with a loss of ligamentous support and localized fat collection, it results in skin redundancy and loss of smooth skin contours. The First step for successful treatment is to diagnose skin problems; dark spots, red spots, scars, wrinkles, or skin folds. Improving the skin’s condition is done with resurfacing procedures, laser and light therapy, daily skincare, and ultraviolet (UV) protection.

Type two rejuvenation is more profound, targets decreased collagen, disorganized glycosaminoglycans, and elastin, manifested by superficial rhytids and is best treated with non-ablative mid-infrared lasers and intense, intense lasers pulsed light (IPL). Rejuvenation type three is most in-depth and targets deep dermal collagen disorders and skin laxity; the role of fractional lasers, radiofrequency, infra-red light, and ultrasound is the most effective).

Loss and redistribution of sub-¬dermal fat in aging is handled with liposuction and Liquid facelift (Botox, fillers, and fat). Correction of soft tissue ptosis is usually surgically treated with a brow lift, mid-facelift, and lower face rhytidectomy or non-surgically by energy-based technologies such as radiofrequency or ultrasound.

Clinical experience shows that combining multiple aesthetic therapies targeting numerous aspects of the aging process provides optimal results, with greater overall efficacy and higher patient satisfaction. The goal of facial cosmetic surgery is to improve and refresh the appearance of the face and neck without any signs of apparent surgical intervention.

Body In Shape

There is increasing public, medical, and scientific awareness about the many hazards of obesity. Western culture and media often promote a slim body image. Excess body fat poses systemic health problems. Unwanted local fat deposits negatively affect body shape and appearance. Diets, exercise, medications, and/ liposuction, or gastric surgeries may effectively control obesity. Body shaping can dramatically improve the shape and proportion of your body, enhancing your appearance and boosting your self-confidence.

Improvements to your body’s shape and overall body shaping in one surgical session or stage depend on your overall health, the type and extent of procedures, and the outcome of discussions and recommendations of Prof. Moawad during the consultation process. Body shaping, also called body contouring, is the general term used to describe a range of aesthetic surgical procedures designed to reshape and improve the appearance of your body.

Body shaping (body shaping) can include both surgical (body lift and liposuction) and non-surgical procedures. There is an increasing number of transcutaneous energy delivery devices currently available. They are classified according to the energy they deliver to their target—mechanical (e.g., suction, massage), radiofrequency, ultrasound, cryolipolysis, and laser. Radiofrequency devices are the most popular for non-surgical skin tightening and fat reduction.

Cosmetic Breast Surgery

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COSMETIC BREAST SURGERY. OPERATION

One of the primary goals of any aesthetic procedure is to restore aged or otherwise injured structures to a rejuvenated and youthful appearance. In many respects, quality breast surgery is as much a product of intelligent preoperative preparation and planning as it is an excellent technical skill. Breast implants continue to evolve; we now have shaped, highly cohesive implants with a high fill ratio.

The autologous fat-graft injection to the breast is applied to correct breast asymmetry, breast deformities; breast reconstruction; trauma-damaged tissues, and extraction of deformity to improve soft-tissue coverage of breast implants and the aesthetic enhancement of the bust. Although breast reduction is often performed to address medical issues, patients who do not have the symptoms of macromastia (large breasts) can still pursue breast reduction as an aesthetic procedure.

With liposuction, from thirty to fifty percent of breast volume can be removed with good elevation, along with the removal of the size of the areola without post-surgical wound side effects or the disfiguring inverted T-shaped scar.

One of the primary goals of any aesthetic procedure is to restore aged or otherwise injured structures to a rejuvenated and youthful appearance. The youthful ideal is a template for every aesthetic procedure commonly performed in plastic surgery today. In many respects, quality breast surgery is as much a product of intelligent preoperative preparation and planning as it is an excellent technical skill. This approach has made these results more consistent and helped tremendously.

Feminine Rejuvenation (female genitalia)

Rejuvenation of the vulva or vagina is increasingly sought by women dissatisfied with the appearance or size of their external genitalia (labia minora, clitoral hood, labia majora, mons pubis) or quality of life or functional concerns related to their vaginas (laxity, decreased erotic sensation, urinary stress incontinence).

Patient selection, surgical and nonsurgical procedure indications and potential complications for rejuvenation/alteration of the labia minora, clitoral hood, labia majora, mons pubis, vagina, and perineum are offered. Key considerations regarding anatomical variations, technique selection, procedural risks, complications, and revision are presented.

Most women seek alteration of their external genitalia, 90%, and request procedures on the labia minora. Although minor functional complaints are common—irritation, pulling, discomfort in clothing or during exercise or sexual intercourse—in the author’s experience, the primary motivation is aesthetic: the women do not like the appearance or are embarrassed by their minora.

feminine-rejuvenation-labia-minora-anomaly
feminine-rejuvenation-labia-minora-anomaly

The labia are too large, hang past the labia majora, bulge or pop out of panties and swimsuits, or are perceived as unattractive. Labia minora asymmetry, with one lip being significantly different in size or shape, is also a common motivator.

Alterations of the labia majora and mons pubis are less commonly sought. Labia majora concerns most reported are ptosis, majora, deflation, and skin redundancy. The women frequently report dissatisfaction with the “old” or “saggy” appearance of their genitals. Functional complaints are rare.

Although sometimes seen in women in their twenties, the majora surgery patient cohort tends to be older, as labia majora laxity and ptosis tend to increase with advancing age. A minority of women presenting with labia majora complaints, usually young women, request augmentation of very flat majora.

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feminine-rejuvenation-mons-pubis-liposuction

Mons pubis alteration, virtually always reduction, is usually desired by women embarrassed by bulging or sagging of the mons, especially in form-fitting pants or swimsuits. Again, functional concerns are rare.

Women desiring vaginal Rejuvenation are usually motivated by the quality of life or functional, not aesthetic, issues. Perceived vaginal laxity or looseness during sexual intercourse, decreased lubrication and erotic sensation, or functional problems, such as stress incontinence, are commonly reported. Most women report issues developing after vaginal childbirth or aging. Requests for vaginal Rejuvenation by younger, nulliparous women are uncommon.

Patient Evaluation

Although most women consulting for Rejuvenation of their external genitalia will present with labia minora concerns, many will be unclear as to what anatomically is bothering them. They state that they “don’t like” or are embarrassed by the appearance of their external genitals, which are often described as being “too big” or having too much stuff going on.

Therefore, a careful and complete history, with the patient given adequate time to fully express her concerns, desires, and expectations, is essential. Regardless of the stated focus or perceived area of concern, the entire external genital area should be examined in the lithotomy position and, if appropriate (labia majora), in the standing position.

Mons pubis patients can usually be examined standing only. An internal exam is not necessary. Photographs must be taken and evaluated with the patient in the post-examination discussion.

Asymmetries should be pointed out, clitoral hood redundancy/folds, significant laxity, and redundant labial tissue posterior to introitus, if present. Although some have reported higher rates of body dysmorphia in patients undergoing labiaplasty, in my experience, most women seeking surgery have reasonable complaints, motivations, and expectations and are very satisfied with their outcomes.

Concern should be raised—and caution exercised—when severe functional complaints or unrealistic expectations (e.g., resolution of sexual dysfunction) are offered.

Women desiring to rejuvenate the vagina or perineum require a complete gynecologic/pelvic examination and assessment for vaginal laxity and bladder, rectum, and uterine prolapse.

Additional bladder function testing may be indicated. A comprehensive history, thorough evaluation of anatomical issues and procedure planning, and competent technical execution are essential in achieving optimal outcomes.

Nonsurgical Rejuvenation of the External Genitals and Vagina

Nonsurgical, minimally invasive procedures, including laser and radiofrequency technologies, platelet-rich plasma therapy, and injection of soft tissue fillers, have rapidly increased in use and popularity for numerous aesthetic and medical conditions over the past decade. The same is true for external genital tissues (labia majora laxity), vaginal issues (laxity, stress urinary incontinence), and female sexual dysfunction (decreased vaginal lubrication, decreased erotic vaginal sensation, decreased sexual arousal/orgasm).

Moderate to severe labia majora redundancy and vaginal laxity will have better results when treated with surgical procedures. However, women presenting with mild majora skin excess, mild vaginal laxity, dryness, or mild urinary stress incontinence may experience measurable improvement after treatment with either radiofrequency or laser technologies designed for genital use.

feminine-rejuvenation-labia-majora-fat-injection
feminine-rejuvenation-labia-majora-fat-injection

At MSI Prof Moawad Prefer autologous fat transfer as a permanent filling filler in female genitalia rejuvenation mixed with PRP. The results are satisfactory as the most patients need one session

Injection of fillers or platelet-rich plasma into or around the clitoris or into the anterior wall of the vagina (“G-shot,” “O-shot”) appears to offer some improvement in erotic sensation and ability to achieve orgasm for some women. Complication rates appear low, and results are temporary. Long-term outcomes or consequences are unknown. Literature is scanty, and long-term consequences, if any, are unknown.

Surgical Rejuvenation of the Vagina

Although nonsurgical laser and radiofrequency treatments appear to offer at least temporary improvement for many women with mild vaginal laxity and urinary stress incontinence, surgical tightening remains the gold standard for lasting treatment of moderate to severe vaginal laxity urinary stress incontinence.

  • feminine-rejuvenation
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A complete gynecological history and examination are required for candidates for vaginoplasty. Several operative techniques exist, and hands-on training with an experienced vaginoplasty surgeon is recommended before embarking on surgical vaginal rejuvenation practice.

Concluding Thoughts

Women unhappy with the appearance, shape, and size of their vulva or vagina increasingly seek genital Rejuvenation or alteration. Surgical reduction of the labia minora is the most frequently requested external genital procedure today.

Vaginal laxity, or “looseness” during sexual intercourse, and functional complaints such as stress incontinence, and frequent consequences of childbirth, are the common motivators for women pursuing minimally invasive or surgical Rejuvenation of the vagina.

The women seeking external or internal genital Rejuvenation are distinct, occasionally overlapping cohorts, requiring different evaluations and treatments. Accurate assessment of patient concerns, anatomical issues, expectations, and competent performance of the most appropriate procedure(s) is essential for successful female genital Rejuvenation.

Mommy Makeover Album Results (before and after)

 


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