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Mommy Makeover in NJ

After childbearing, many women experience changes in their bodies that require surgical intervention in areas such as the breasts, abdomen, waist, and buttocks, which cannot be achieved by self-help alone. A mommy makeover is a specialized surgery that combines body contouring procedures to improve physical changes that have remained after pregnancy. I have been performing mommy makeovers safely and reproducibly with quality outcomes for 25 years. My surgical approach combines breast and abdomen contouring procedures to restore the shape and appearance of my patients’ bodies with truly transformational results.

Mommy Makeover Before and After

The final results of your mommy makeover are life-changing, restoring confidence in your appearance once again. View our mommy makeover before and after photos to see how our patients got back their pre-pregnancy shape!


Mommy Makeover Candidates

The breasts and abdomen primarily go through the most physical changes during and after pregnancy. Candidates who may need a mommy makeover include women who are experiencing sagging and deflation of the breasts, undesirable excess fat, abdominal skin quality changes, and abdominal wall muscle separation. Ideal candidates for a mommy makeover also are in good health, have realistic expectations of the outcomes of the surgery, and are finished with childbearing.

What to Expect During a Mommy Makeover Consultation

Mommy makeover surgery is a highly individualized procedure since every patient presents both unique and varied physical changes and concerns after pregnancy. Therefore, extensive evaluation, discussion, and planning are important during your initial consultation. My team and I will evaluate your general health status, discuss your surgical options based on your goals, and the likely outcomes after surgery. You should also be prepared to discuss your previous surgeries, medical treatments, medical conditions, and drug allergies during this time.
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How to Prepare for a Mommy Makeover

In preparation for your mommy makeover, you may need to get lab testing, adjust your current medications, stop smoking, and avoid taking aspirin or any other over-the-counter drugs that can increase bleeding. You should also arrange for someone to drive you to and from the surgery.

Mommy Makeover Process in NJ at Spiro Plastic Surgery

My surgical treatment plan involves a combination of some form of breast surgery and a tummy tuck procedure. Based on my years of surgical training and experience in the physiology of human healing, I set limitations on which procedures can be performed in one surgical setting. Therefore, some patients may require a well-orchestrated series of procedures or staged procedures to accomplish their surgical goals. My team and I will recommend the best option for you, which could include a combination of the following procedures:

Breast management after pregnancy might include a breast implant augmentation alone (or with a lift) in women whose breasts sag with deflation. During a breast augmentation, incisions are made based on the type of breast implant, degree of enlargement desired, and the patient’s anatomy. Once the incisions are complete, the implants are inserted either under the pectoral muscle or directly behind the breast tissue. The incisions are closed with layered sutures in the breast tissue and skin adhesive or tape to close the skin.

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If you have sagging breasts after pregnancy and desire to maintain your breast size, you can undergo a breast lift alone through the preservation and redistribution of tissue. During a breast lift, the three common incision patterns are around the areola, vertically down from the areola to the breast crease, and horizontally along the breast crease. After the incisions, the breasts are reshaped by lifting the breast tissue, repositioning the nipple and areola, and tightening and reducing the excess skin.

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Patients may experience volume loss in their buttocks after pregnancy. Volume restoration may include fat grafting whereby fat is taken (via liposuction) from other locations, processed, and immediately reinjected directly back into the patient. I am an adamant believer in only subcutaneous, non-muscle buttock fat grafting techniques for maximizing patient safety. Generally speaking, the mommy makeover candidate requires a lifting (excisional) procedure along with buttock augmentation. Both procedures minimize the amount of fat needed to achieve a youthful result.

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Liposuction removes unwanted excess fat typically in the hips, thighs, and arm areas. During liposuction surgery, a thin tube (cannula) is inserted through small incisions to dislodge any excess fat by using a back and forth motion. A surgical vacuum or syringe attached to the cannula then extracts the fat from the body.

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Tummy tuck surgery involves the combination of abdominal wall repair and the removal of excess skin. There are versions of tummy tucks tailored to address more limited effects of pregnancies. Simultaneous to the development of my RETAF technique, I identified other areas of the female torso that were not adequately addressed in mainstream tummy tuck surgery.

Included among these are the skin laxity of the flanks and hips, mons pubis sag, fat excess (or both), anterior hip fat excess along with skin laxity (secondary stretch mark areas), and buttock sag with or without volume loss. Over the years, as I incorporated these observations together with my artistic vision, I have employed ancillary procedures that have aided in youthful torso restoration, which as a whole have yielded exceptional aesthetic results in addition to dramatic improvements in functional capabilities.  

  • Flankplasty

The muffin top is the billowing out of the lateral torso around the hip, which recruits lateral skin laxity and creates unwanted bulges. My technique of waist shaping addresses these issues by employing the necessary surgical components. I often use a combination of liposuction of the hips with either a tummy tuck excision laterally to include secondary lateral skin laxity/stretch mark areas or the anterior approach with a flank, hip, and buttock lift procedure. I also take a 3D approach to planning and executing the surgery to allow for further feminization of the overall torso shape without significantly increasing morbidities.

  • Puboplasty 

Pubic laxity and or fat excess of the mons pubis are often missed in planning common tummy tucks. However, in my practice, puboplasty techniques are employed to address these issues at the time of abdominoplasty. Even localized lymphatic stasis in the skin from scarring due to C-sections or hysterectomies are taken into account, along with resultant skin laxities from post-pregnancy stretch or detachment phenomenon. Each point I address is not an over-complication, but rather a simplification that increases the likelihood of patient satisfaction.

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Mommy Makeover Recovery

Following your surgery, I apply gauze and bandages to your incisions to provide support and reduce swelling. I always require at least a one-day overnight hospitalization for combination procedures or abdominoplasty procedures involving abdominal wall management. Recovery from mommy makeover surgery varies. Most breast or liposuction procedures require less than a week off work, while most tummy tuck procedures require at least a week, if not longer. Combination procedures also have a variable recovery period, but patients can go back to work in two weeks and resume fitness activities in three to six weeks.

My team and I will also provide instructions on how to care for your surgical site(s), medications to reduce the risk of infection, specific issues to look out for, and when to make a follow-up appointment. While some results of a mommy makeover are immediate, the full results may not appear until swelling has subsided, which may take six months to a year.

Mommy Makeover Results

Mommy Makeover results are revealed in stages as incisions heal, and the breasts and abdomen settle into their new place. While some Mommy Makeover results are immediate, the final results may not appear until swelling has subsided, which may take six months to a year. Mommy Makeover results can be long-lasting and permanent, but it is important to adopt a healthy lifestyle in order to maintain your results and new youthful image.
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Dr. Spiro today!
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