While having a child is a cherished and unforgettable experience for most women, pregnancy, breastfeeding, and weight fluctuations take a physical toll on the body that leaves many women with characteristics they’d like to improve. The physical transformation that results from Mommy Makeover surgery often produces dramatically positive psychological changes for a woman as well as inspiring and reawakening an awareness and enjoyment of her feminine beauty, confidence, and sensuality. During a private consultation, Dr. Patronella assesses each patient’s concerns and anatomical needs to develop a personalized Mommy Makeover to fulfill their aesthetic desires.
Mommy Makeover Videos
Get Rid of a Tummy Pooch After Pregnancy
Benefits of a Mommy Makeover
Many women are disappointed to discover that pregnancy and breastfeeding have left their breasts smaller and deflated as a result of volume fluctuations, weakened skin elasticity, aging, and the effects of gravity. Through breast enhancement surgery, Dr. Patronella restores volume, firmness, and shapely contours to the breasts.
Benefits of a Mommy Makeover
Slender Abdominal Contours
As part of a plan to restore a youthful, attractive appearance to the body, Dr. Patronella frequently combines abdominoplasty with a breast enhancement procedure. Many women also choose to have liposuction to improve proportions, define contours, and produce a beautiful silhouette.
Benefits of a Mommy Makeover
Pregnancy can impact a woman’s confidence, causing her to feel self-conscious about her body and hesitant to wear the form-fitting and revealing clothing she may have once enjoyed. Self-image issues can affect disposition, personality, socialization, and libido as well.
Mommy Makeover Options
Breast augmentation is often performed when a patient experiences breast volume loss after pregnancy. During breast augmentation, Dr. Patronella replenishes lost volume and restores a shapely appearance to the breasts through the use of saline or silicone gel-filled implants. He utilizes detailed suturing techniques to enhance the shape and definition of the breasts, producing a pleasing and voluptuous aesthetic.Learn More
Breast Augmentation With Lift
Breast volume fluctuations during pregnancy and breastfeeding weaken the skin’s elasticity, causing the breasts to lose firmness and shapeliness. When combining this loss of breast volume with the effects of gravity and aging, many women are left with breasts that have a sagging, deflated appearance. By combining breast augmentation with breast lift techniques, Dr. Patronella reshapes and plumps the breasts to give them a lifted, youthful contour.Learn More
Breast Lift and Breast Reduction
Many women are bothered by breasts that are excessively large for their frames. The cumbersome weight of large breasts frequently causes a multitude of physical discomforts such as back, neck, and shoulder pain as well as skin irritation under the breasts. Dr. Patronella performs breast lift and breast reduction surgery to lighten and raise the breasts so that they are proportionate to the rest of the body. This procedure involves removing excess fat and skin and repositioning the remaining tissue to produce a more youthful, lifted look.Learn More
True Form Tummy Tuck®
Dr. Patronella developed the True Form Tummy Tuck® to deliver superior body contouring results that give the abdomen a sculpted and natural-looking enhancement. Using this technique, he can restore the navel, tighten weakened abdominal muscles, and slim the waistline, producing stunning results. The True Form Tummy Tuck® is designed to accentuate the contour of the midsection and create a defined appearance.Learn More
Many women choose to add liposuction to their Mommy Makeover procedure to further enhance the shape of their bodies. This procedure complements the appearance of their flat, younger-looking tummies and narrower waistlines. The primary purpose of liposuction is to restore a more attractive abdominal contour and improve body proportions by eliminating stubborn fat deposits.Learn More
Why Choose Dr. Patronella for Mommy Makeover?
As a board-certified plastic surgeon in Houston, Dr. Patronella finds Mommy Makeover procedures that restore a woman’s body to its pre-pregnancy state to be particularly rewarding. He is highly experienced in performing Mommy Makeover procedures and can develop a surgical plan that complements your unique figure and helps you achieve your cosmetic objectives.About Dr. P
Preparing for Your Mommy Makeover
Continue or begin conditioning workouts such as aerobic exercise, yoga, Pilates, swimming, or weight training. Strengthening your body through aerobic exercise will enable you to recover from surgery more quickly.
Begin a high protein diet that includes foods such as lean chicken, fish, eggs, beans, and protein shakes. Protein enables your body to more effectively heal wounds.
Dr. Patronella provides his patients with this vitamin system to support their recovery from surgery. They are to be taken for 2 weeks prior to surgery and 2 weeks after. These vitamins are formulated with nutrients known to speed wound healing, support the immune system, minimize inflammation, and reduce bruising. Their nutrients include vitamin A, vitamin C, copper, selenium, bioflavonoids, bromelain, quercetin, and homeopathic Arnica montana.
Patients must not smoke for 1 month before surgery and 1 month after surgery. There should also be NO SMOKING by anyone in any closed environment with the patient during this period. Smoking compromises the body’s ability to heal and increases the likelihood of complications occurring.
Stop birth control pills or hormone replacement therapy, including topical or vaginal estrogen creams, for 1 month before and 1 month after surgery.
Avoid aspirin and other over-the-counter anti-inflammatory medications such as Advil® or Aleve® (for a full list, contact my office) for 2 weeks before and 2 weeks after surgery.
Avoid over-the-counter herbal supplements for 2 weeks before and 2 weeks after surgery.
Do not shave the pubic area for 1 week before surgery to lessen infection potential.
Supplies and Arrangements
Have Items on Hand
- Loose, soft clothing such as yoga pants or sweatpants—you’ll temporarily be more swollen than usual, so loose clothing will be most comfortable. Avoid anything with a snug waistband that could potentially irritate your incision.
- Antibacterial soap for your hands and antibacterial body wash—this will be important to help prevent infection of your incision.
- Books, magazines, DVDs, recorded television shows, a laptop—these are nice to have on hand while you are recovering and taking it easy.
- Laxatives such MiraLAX® and Dulcolax®—constipation is common the first week following surgery.
- A big water bottle—you will need to ensure you drink plenty of water and/or fruit juices to help you stay hydrated—at least 8 cups a day, or 16 cups if you also have liposuction.
- Consider preparing or purchasing meals ahead of time that can be frozen and reheated.
Make Arrangements for Help
- If you have young children, you will want to arrange for help to care for them.
- Some patients plan to have a cleaning service come to their home prior to their surgery and/or while they are recuperating.
The Day Before and of Surgery
The Day Before
- To reduce constipation after surgery, eat a liquid diet, and have a bowel movement, even if a laxative or Fleet® Enema is required.
- To reduce the risk of infection, thoroughly cleanse with antiseptic soap at least the night before and the morning of surgery. Areas of most concern include the armpits, genitalia, and anal areas.
- Take a Xanax or sleeping medication to help you sleep, if needed.
- Have nothing to eat or drink after midnight. Do not chew gum.
Mommy Makeover Recovery Guide
Evening After Surgery
- Most patients will stay overnight in our fully accredited facility with attentive and prompt care provided.
- Sequential Compression Devices (SCDs) will be kept on the legs overnight to reduce the risk of blood clots and to eliminate the need to get out of bed for a walk that evening.
- Many patients (if deemed clinically appropriate) will be given an injectable or oral blood thinner after surgery to reduce risk of blood clots.
- Dressing and garment change will occur between 5 a.m. to 6 a.m. the morning after surgery, and discharge from the surgical center will occur at about 7 a.m.
Days 1 to 3 After
- During surgery, a long-acting non-narcotic local anesthetic injection (EXPAREL®) is given, or a pain catheter may be placed into the area where it is most needed for pain control. This will reduce discomfort, though it will not eliminate it completely. Pain medication will be required, and it is better to take it and get up and around than to lay all day avoiding movement for fear of pain.
- Getting out of bed and walking with assistance for 10 to 15 minutes every 2 hours during normal waking hours is critically important to speed recovery and reduce the risk of clots.
- Beginning on the second day after surgery, you may shower with assistance using an antiseptic soap such as Dial®. The shower should be equipped with a stable plastic sitting stool. A hand-held shower head can be helpful, as well. You should NOT be left alone in the shower, as it is common to experience lightheadedness and unsteadiness. Bathtub showers are difficult to use and should be avoided during your recovery because of the challenge that is presented getting in and out of them.
- To avoid straining the incision line, walking in a slightly flexed (stooped) position at the hips is required for 4 to 7 days, gradually becoming more upright each day.
- Flexion and extension of the feet at the ankles activates the calf muscles and pumps blood out of the legs, reducing risk of blood clots. This should be done consistently throughout the day while awake.
- Eating a light diet of foods that are easily digestible (to avoid constipation), high in protein (to improve wound healing), and low in salt (to reduce swelling) is ideal.
- An ACPS-certified home healthcare provider will come to your place of stay on the second and third days after surgery to assist and teach wound care and dressing change.
- Constipation is common, especially when using pain medication. We advise regular use of laxatives for the first week or so and drinking plenty of water (at least 8 to 12 cups a day).
- Alternating or adjusting resting positions is helpful to avoid muscle stiffness and tightness.
Days 3 to 5 After
- Gradually increasing light activity is recommended. Walking without assistance for 15 minutes every 2 hours and improving posture should be pursued.
- A family member should have been trained to assist with dressing changes once daily by now, usually done after a shower. You may still need assistance when showering.
- It is advisable to shower after bowel movements.
- Avoiding contact with animals reduces risk of infection.
- Avoiding contact with ill family members is mandatory.
- Eat a high-protein diet with limited salt intake.
Days 5 to 7 After
- You will become progressively more mobile, with about 30% of your time spent up and about in the home engaging in light activities such as walking, sitting, flexing at the knees and hips, and limited household duties.
- No driving or exercising.
- It is normal to have a slight stoop while walking, progressing to a fully upright standing position by 7 to 8 days.
- Incisional care is simplified to cleansing with mild soap and water followed by the application of steri-strips (supportive paper tape), which we will provide for you. These are to be changed about every 3 to 4 days for 5 to 6 weeks. If an allergic reaction occurs, indicated by redness, irritation, whelps, or blistering, remove the strips and notify my clinical care team.
- Most sutures (stitches) are dissolvable; only a few suture tags require removal.
- Usually, the pain pump catheter and the drains (if present) are removed in this time frame. Being freed from the suction drains and the pain catheter provides some relief and added comfort.
Days 7 to 10 After
- Fully upright walking is expected, though it may be slightly tight and uncomfortable initially.
- Leaving the home to attend indoor activities is encouraged. Riding in a car is acceptable but should be limited to no more than 30 minutes at a time. Lengthy drives in a car or a plane can predispose a postoperative patient to blood clots and should be avoided.
- Walking for half a mile at a slow pace twice a day in cool temperatures is encouraged.
Days 10 to 14 After
- Increasing walks to 1 mile twice a day in cool temperatures improves mobility and prepares you for your return to work.
- Usually, a minimum of 10 full days of recovery is required before you can return to work with light duty restrictions: no lifting, stooping, prolonged standing (2 hours or more), physical exertion, or strenuous activity.
- Continued incisional care with twice weekly application of new steri-strips as long as there is no skin irritation.
- Driving is allowed at the 12 to 14 day point if you are fully mobile, with good torso turning ability, and do not require pain medication.
Weeks 2 to 4 After
- Exercise is limited to brisk walking or a stationary bicycle for 45 to 60 minutes. Be careful to avoid straining or lifting.
- Travel should be limited to short trips of no more than 1 hour in a plane or car. Advise your doctor regarding travel plans for additional recommendations.
Weeks 4 to 6 After
- Patients are beginning to feel pretty good by now, so the tendency is to push harder with physical activity. The key to avoiding a setback is to progress slowly and cautiously. Keeping the exercise routine to about 75% of what you feel you are capable of is prudent at this juncture.
- While increasing aerobic exercise with walking, stationary bicycle, or elliptical trainer, proceed with caution, avoiding abdominal straining at all times. Light upper body weights for toning is acceptable as long as there is minimal abdominal work required.
- Swimming may begin.
- Travel in a plane or car should be limited to 2 hours, with a short walk at the midway point to ensure good venous circulation in the legs.
- Continued use of steri-strips through the 5 to 6 week mark is beneficial for optimal protection and support of the incision.
Weeks 6 to 12 After
- Progressively increasing exercise tolerance to full capacity is acceptable as long as it is reached gradually. You may begin incorporating more strenuous exercises such as aerobic exercise, jogging, Pilates, and yoga. Isolated abdominal exercise (sit-ups, crunches, etc.) are not allowed until a full 12 weeks from the date of surgery. Weight lifting can proceed with caution, avoiding intense abdominal straining until the full 12-week mark.
- Traveling more than 2 hours in a plane or car is acceptable, as long as a short walk is taken every hour during the trip. An aisle seat for plane travel is advised.
- Dr. Patronella’s Scar Therapy Program begins at 5 to 6 weeks.
Several products are used to optimize the appearance of the scar. Treatment is required for 6 to 12 months depending on scar responsiveness. Consistent use and patience is essential.
Frequently Asked Questions
Am I a candidate for a Mommy Makeover procedure?
Ideal candidates for a Mommy Makeover are healthy and concerned about any of the following:
- Sagging or deflated breasts
- Stretch marks over the abdomen, hips, and breasts
- Excess abdominal skin
- A bulging tummy
- Stubborn fat deposits
Why should I undergo multiple body contouring procedures at the same time?
Because you pay a general anesthesia and surgical facility fee each time you have surgery, combining procedures into a single session allows you to save on these costs. A discounted surgeon’s fee is typically provided to patients when techniques are combined. In addition, you have just one recovery period, eliminating the additional recovery time that is required when procedures are performed in separate operations.
How long will my Mommy Makeover results last?
Mommy Makeover surgery is designed to produce lasting results as long as you lead a healthy, active lifestyle following your procedure. Becoming pregnant or experiencing significant weight changes after your surgery can alter or even reverse the effects.
Will I have scarring after my Mommy Makeover?
The incisions for Mommy Makeover procedures do leave scars. However, most incisions are carefully placed in areas that can be concealed with undergarments and bathing suits. Scars also tend to fade, especially if you follow Dr. Patronella’s Scar Therapy Program for up to one year after surgery. Avoiding direct sun exposure also helps scars blend into the surrounding tissue.
How soon after childbirth can I schedule my Mommy Makeover?
It is recommended that patients wait at least 3 months after childbirth to undergo a Mommy Makeover. During this time, she can recover from giving birth and achieve a healthier postpartum weight. Dr. Patronella also advises patients to schedule their Mommy Makeover when they plan to have no subsequent pregnancies.