Are There Complications that Come with a Mommy Makeover?

The mommy makeover is one of the most popular operations performed by plastic surgeons. The procedure is a combination of cosmetic breast surgery, liposuction, and abdominoplasty. It has been designed to correct changes that occur normally with pregnancy.

Although the procedure is considered to be extremely safe, complications may occasionally occur. These include bleeding, hematoma formation, loss of tissue, wound breakdown, excess scarring, infection, asymmetry and numbness.

Several steps can be taken to minimize complications. These include utilizing an accredited outpatient surgical facility, a board-certified plastic surgeon and a board-certified anesthesiologist. Although, these steps won’t totally eliminate complications, they will hopefully decrease the incidents. 

The Best Way to Prepare for a Mommy Makeover

The mommy makeover is one of the most extensive procedures performed in cosmetic surgery. For this reason, preparing for surgery in every possible way will not only improve your result, but the quality of the experience as well. It’s important to prepare physically, medically, and mentally for this procedure.

It’s important to be in good physical condition before proceeding with this procedure. Ideally, results are best when patients are within ten percent of their ideal body weight. In some cases, patients are unable to reach this goal. This group still benefits from the procedure. In addition it’s also important to maintain good nutrition, exercise regularly and maintain a healthy life style.

It’s also important to be medically ready for the mommy makeover. Patients should be extensively evaluated to rule out other medical conditions. Areas of particular concern include cigarette smoking, blood pressure management and the patient’s baseline hemoglobin.

Mental preparation for the mommy makeover is also extremely important and helps lower the anxiety levels before surgery. It’s important that you have a comfort level with your anesthesiologist, surgeon and the surgical facility. It’s essential that all your questions be answered so there are no surprises.

Arrangements for post-operative care also need to be in order. It’s important to have a care giver not only for yourself, but your children as well. Addressing as many of these issues as possible before surgery will significantly improve results and the quality of the experience. 

How to Get Rid of Flabby Arms

Flabby upper arm tissue can represent a significant aesthetic deformity that can adversely impact self-esteem and self-image. When this situation arises, several treatment options exist which can improve upper arm aesthetics. These include liposuction, mini brachioplasty and full brachioplasty. The procedure chosen is dependent upon the patient’s aesthetic goals and specific anatomic findings.  

In some cases, liposuction may be a viable alternative. When this procedure is utilized, scarring is minimal and results are usually excellent. Unfortunately, this procedure is only effective when fat is present and skin is relatively tight.

When excess skin is confined to the upper arm in the area of the axilla, a mini brachioplasty may be effective. This procedure utilizes an incision in the upper arm which is transversely oriented and well hidden. The procedure is helpful when patients have minimal excess upper arm skin and is associated with excellent results. 

Unfortunately, the vast majority of patients who have had significant weight loss require more extensive procedures. In most cases, this involves a full brachioplasty with an incision that extends from elbow to axilla. This procedure addresses excess skin in the vertical and transverse dimensions. In most cases, results are excellent, but occasionally adverse scarring can be a problem.  

When significant excess skin is present laser tightening and other non- surgical treatments aren’t effective. For this reason, patients who have significant arm skin sag should consult a board certified plastic surgeon who can formulate an appropriate treatment plan.

Weight Loss Before Liposuction

Whenever possible, patients should be near their ideal body weight before they undergo liposuction. For some patients this just isn’t possible and under these circumstances a stable body weight is acceptable. When patients are actively losing weight, it’s appropriate to delay surgery until a stable weight has been obtained.

It’s important to realize that weight fluctuations after surgery can adversely impact the results of liposuction. For this reason, every effort should be made to reach a stable weight that can be easily maintained before and after surgery.

Massage After Liposuction

There are no scientific studies that conclusively demonstrate that massage is helpful following liposuction. Despite this, many plastic surgeons utilize massage as a routine component of postoperative care following this procedure. They believe that massage minimizes internal scarring, decreases edema, and helps remodel soft tissue.

It’s not unusual for patients to complain of swelling, tightness, and stiffness following this procedure. Massage and an early return to physical activity seems to help with these issues. For these reasons, plastic surgeons often recommend gentle massage and stretching exercises after liposuction. These are usually started 7 to 10 days following the procedure. Initially these maneuvers cause mild discomfort which quickly resolves with time.

If you’re planning liposuction, it’s important to discuss this issue with your plastic surgeon. In many cases, massage will be an important part of your postoperative care.

General or Local Anesthesia for Liposuction?

Tumescent liposuction represents a significant advance in the management of localized fat collections.  When this techniques is utilized with local anesthesia alone the response varies from patient to patient. The majority of patients appear to do well and have good results especially when smaller amounts of fat are removed. Unfortunately, we frequently see patients who have had significant pain and discomfort during the injection process when local anesthesia is used alone. 

For this reason, many surgeons supplement local anesthesia with I.V. sedation or general anesthesia to minimize pain and discomfort during the procedure. When utilizing this approach patients can have more fat removed and avoid multiple procedures. The procedure is more comfortable and avoids break through pain which can occasionally occur with local anesthesia alone.

It’s important to realize that all surgical procedures and anesthetic techniques have risks. This is true whether local anesthesia, I.V. sedation or general anesthesia are utilized. Most surgeons who perform tumescent liposuction agree that the anesthetic technique utilized is less important than the use of a certified operating room and the presence of an anesthesiologist. In other words, you don’t want your surgeon to be your anesthesiologist.

Liposuction Alternatives – What are the Options?

The most obvious alternative to liposuction is diet and exercise. Unfortunately, many localized areas of fat are refractory to this method of treatment. For this reason, patients often seek other methods of treatment. 

A large variety of non-surgical alternatives are currently available for treating localized collections of fat. Examples include zerona, coolsculpting, mesotherapy, and endermologie. All of these procedures are associated with varying degrees of success, but none are as effective as liposuction.

Liposuction represents the gold standard that all other body contouring procedures are judged against. This procedure is associated with dramatic results and high patient satisfaction rates. In the vast majority of patients, liposuction is still the best option for treating localized collections of fat.

If you’re concerned about localized fat collections, consultation with a board-certified plastic surgeon who has experience with this problem is appropriate. This surgeon should be able to discuss non-surgical and surgical options. Utilizing this approach, an individualized treatment plan can be developed specifically for you.

Compression Garments for Liposuction

Patients who undergo liposuction can expect swelling and discomfort following this procedure. In an effort to decrease swelling, most surgeons utilize compression garments in the postoperative period. Although each patient should be considered individually, we generally recommend three to four weeks of compression following liposuction.

Compression minimizes swelling, minimizes bruising, and decreases postoperative pain. It helps to remodel the soft tissue by collapsing the tunnels created by the liposuction cannula and controls skin shrinkage following the procedure. Compression contributes significantly to the contour improvement seen with this procedure.

Liposuction & Weight Loss

Liposuction is not a weight loss procedure. The procedure is performed to fix localized fat deposits, which adversely impact body contour.  These fat collections may be located in a variety of locations including the abdomen, hips, thighs, flanks, and arms to name a few.  In many cases these areas don’t respond to diet and exercise.

 

When liposuction is performed, it’s unusual for this procedure to result in weight loss greater than one or two pounds.  Despite this, even when patients are twenty pounds overweight, liposuction can result in improved body contour and high satisfaction rates.
 
When weight loss is the primary goal, a weight loss program would be appropriate.  Consultation with a board-certified plastic surgeon would be a helpful first step. Make sure he or she discusses all of your options and helps determine which one is best for you.

Is Liposuction Permanent?

Liposuction is typically performed to remove fat cells located in problem areas that don’t respond to diet and exercise. When these fat cells are removed with liposuction, they are gone forever. The only exception is when the patients are morbidly obese. Under these circumstances, fat cells can experience re-growth.
 
Unfortunately, poor lifestyle choices such as overeating can result in weight gain. This can lead to enlargement of the remaining fat cells in areas that have been previously treated with liposuction. This can result in re-accumulation of fat in these problem areas and a recurrence of the original problem.

 
 
In most cases of weight gain following liposuction, the previous problem areas are minimally affected. The weight gain is usually more evenly distributed throughout the body and is therefore less problematic. It doesn't significantly impact body contour and the overall aesthetic result.
 
Weight gain can have a significant impact on a patient’s result following liposuction. For this reason, it’s extremely important that patients maintain a healthy lifestyle following this procedure. This will prove to be the best way to protect your investment and make it all worthwhile.

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Can Skin Sag Result From Abdominal Liposuction?

Every patient has the potential to develop loose skin following liposuction surgery. It’s therefore important that this topic be a part of the preoperative discussion and informed consent process.

The potential to develop loose skin varies from patient to patient. This determination is based on physical examination alone. Some patients have excellent skin tone with minimal laxity and aren’t likely to have difficulty with skin sag. These patients are often younger and are close to their ideal body weight. In this group, liposuction is an excellent treatment option with high satisfaction rates.

There are also patients who are clearly at risk for developing skin sag. This group is often older and their skin has more laxity. They have experienced greater fluctuations in their weight and have had multiple pregnancies. In many cases, they are not within 10% of their ideal body weight. They may also have associated weakness of their underlying abdominal muscles.

Breast Implants: Over or Under the Muscle?

Implant placement relative to the pectoralis major muscle continues to be a source of controversy. Although the majority of plastic surgeons prefer submuscular placement, there is still a large group of plastic surgeons that feel strongly about subglanduler placement. Each group can make convincing arguments regarding their position of choice. It’s safe to say that both approaches have advantages and disadvantages.

In the context of these discussions, we feel that every patient needs to be considered individually. Each patient has unique anatomic findings that effect the decision to place the implant under or over the muscle. The aesthetic goals of the patient are equally important and have a significant impact on the decision as well. The vast majority of patients are striving for larger breasts with a natural look. They want balance, harmony, and proportion with the surrounding structures.

The majority of breast implants are placed in a submuscular position. There are several advantages to the approach. These include softer tissue coverage, which results in fewer visible folds, creases, and ripples in the implant. This is especially important in women who have thin skin and minimal breast tissue that want saline implants.

Plastic Surgery Financing

For many patients, cosmetic surgery would not be possible without some type of financing. For this reason, the vast majority of plastic surgeons offer some type of financing program.

In our practice, we almost exclusively utilize Care Credit. This is currently the most commonly used source of plastic surgery financing in the United States. Care Credit is run by GE Capital Financing. It’s reputable and you can apply for a loan online. It takes approximately thirty minutes to get a response. In some cases, you may be able to get a twelve-month interest free loan.

Mini Tummy Tuck vs. Full Tummy Tuck

Pregnancy has a significant impact on a woman’s body, and nowhere is this more noticeable then the abdomen. This area develops excess, saggy skin, weakened muscles, and stretch marks. Despite diet and exercise, most women are unable to reverse these changes and this ultimately affects their self-image and self-esteem. Treatment options are limited and in most cases involve either abdominoplasty or mini abdominoplasty.

Abdominoplasty is performed by making a lower abdominal skin incision and then lifting the skin and subcutaneous tissue to the level of the rib cage. This typically requires detaching the belly button, which allows more skin to be removed. The muscles are then tightened, excess skin removed, and the belly button re-attached in proper position.

Recovery Following Facelifts

Facelift recovery varies from patient to patient and depends on a large number of variables. Just as every patient is unique, the chosen procedure for he or she is unique as well. The differences in wound-healing characteristics and the type of procedure performed account for variations in facelift recovery.

Most patients feel pretty good in about four to five days, but their primary concerns are when they will look good enough to go out in public. Recovery following facelift surgery may last for months, but most patients feel they can go out in public in about two weeks. At this point, most of the bruising and swelling have resolved. Many patients adjust their hairstyle to hide their incisions and use make-up as well.

Signs of Breast Implant Leakage

In the majority of patients undergoing breast augmentation, implants last a lifetime. Occasionally, implants deflate and need to be replaced.

Current data suggests that implants deflate at a rate of 1% at one year and 3% at three years. Over time, this number can be expected to grow. Implants may deflate with no apparent cause or may deflate secondary to trauma.

When saline implants deflate, the diagnosis is relatively easy to make. These implants lose volume and flatten quickly. Silicone implants present a much more difficult problem when they deflate. Rupture of silicone implants may not be apparent for years.

Signs of deflation include soreness, redness, loss of volume, change in shape, and sometimes, capsular contracture. These signs may be subtle and a history of trauma may be the only early indicator.

Aesthetic Surgical Images Sees 100,000th Patient

When you’re considering cosmetic surgery, the experience of your surgeon is extremely important. In 1970, Aesthetic Surgical Images saw its first patient. We are proud to say that after 43 years, we have seen over 100,000 patients. This is not only a testimony to our longevity, but the support of the community as well.

One of the driving forces behind the achievement of our practice is the strength of our surgical team. Comprised of four, board-certified plastic surgeons, our team members were selected not only for their credentials, but also for how their skills would complement one another for the benefit of our patients. For these reasons, you can count on our surgeons to provide integrity, trust, and excellence from the consultation and surgery to each postoperative visit.

Drs. Heieck, Edney, Bruneteau, and Montag want to thank the community for your continued support and look forward to serving you well into the future. As always, our cosmetic consultations are complimentary. To schedule a day or evening appointment, please call 402.390.0100.

When is the Best Time to Get a Mommy Makeover?

Pregnancy causes significant changes in a woman’s body.  These changes vary from patient to patient and are permanent in most cases unless surgery is undertaken to reverse them. These changes can affect the breast, abdomen, and lead to fat accumulation in the hips and thighs. Many patients attempt diet and exercise, but this isn’t always helpful.  This problem can ultimately affect self-confidence, self-esteem, self-image, and the quality of day-to-day life. For these reasons, many patients request breast augmentation, tummy tuck, and liposuction.

The timing of surgery following pregnancy is important and several issues should be considered before proceeding with surgery. It takes time for a new post-pregnancy body to reach its new baseline following pregnancy. During this period, stretched skin may contract, a swollen uterus may shrink, and the weight gained during pregnancy may gradually disappear.

The breasts also undergo significant changes with pregnancy and breast-feeding. This results in breast enlargement, which continues with nursing. After nursing is stopped, it takes time for the breasts to return to their new baseline. At this point, the breasts may be smaller and have sag. This process takes three to six months to occur. All of these changes need to occur before a mommy makeover is considered.

What is an Endoscopic Browlift?

Brow descent occurs with normal aging and is typically treated with a browlift. The traditional open transcoronal approach and the endoscopic approach are the two most commonly used techniques. 
 
A transcoronal browlift is performed by making an incision across the top of the head from ear to ear. The forehead skin is lifted off the bone to the level of the orbital rims. The forehead muscles that are responsible for frown lines are then treated under direct vision. The brow is elevated by removing a strip of skin along the incision. 
 
In contrast, endoscopic browlift is performed through several small incisions placed behind the hairline. The operation is performed with a scope, ultimately accomplishing the same basic maneuvers as the open approach.