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Mommy Makeover Washington DC

What is a Mommy Makeover?

This is the term that has been applied to a combination of procedures designed to address the changes to a woman’s body after pregnancy. The areas most commonly addressed include: the breasts, tummy (abdomen), and back and flanks (love handles or muffin top). The lower extremities may also be included.

Why does this happen?

During pregnancy the body goes through changes some of which are due to the hormonal changes the body is experiencing and some are the result of the normal increase in weight associated with pregnancy. If the pregnancy ends in a cesarean section, a woman may develop a shelf at the level of the scar with subsequent over hang. This is a change that may not go away when you return to your pre pregnancy weight. A lot of these changes are effected by the elasticity of your skin or lack there of. As the abdomen enlarges with pregnancy, the area of greatest weakness is the space between the two rectus abdominis muscles in the center of the abdomen. This area can stretch and sometimes be associated with the development of a weakness in the vicinity of the navel (umbilicus) which is called an umbilical hernia. After the pregnancy one can exercise to restore the tone to the abdominal muscles but, this does not bring the muscles back together.

What operations are included?

Operations may include for the breasts: augmentation, breast lift (mastopexy), breast reduction, or a combination breast augmentation with lift (augment mastopexy. As far as the tummy: options include: liposuction, mini abdominoplasty and full abdominoplasty. The back, back rolls and flanks are best addressed by liposuction. If there are other areas of excess fat such as the lower extremities, inner and outer thighs, they can also be treated with liposuction.

Timing?

Several factors play into timing. Where is the individual weight wise relative to their pre pregnancy weight? How old is the baby as far as the need for care assistance?

Who is a candidate?

First, the concern over body image must exist. Second, it is not necessary to be at your pre pregnancy weight although the ideal patient is at least heading in that direction through a combination of eating healthy and exercise. Third, the patient will be limited in the initial post operative period as far as lifting and bending. Is the necessary support system available as far as care for the child or children?

In patient or out patient?

This is typically the choice of the patient. Several factors may help in making the decision. If the patient has multiple medical problems or a deficient support system at home, they may choose to spend the night in the hospital. The majority of patients go home the day of surgery as their needs will be minimal and there is a cost savings.

Type of anesthesia

Due to the fact that surgery is taking place at multiple parts of the body at one setting, the anesthetic is typically a general anesthetic.

Recovery

The determining factor in the recovery is the abdomen. The muscle tightening although extremely effective slows you down. The typical patient is driving at 1- 1 ½ weeks as long as you are no longer taking drugs. Exercise initially is just walking and then at two weeks you are allowed to gradually start increasing your level of activity. The question will always be how you feel the next day. If you feel okay then continue to increase your level of activity. If not, slow down, you did too much the day before. Ideally you want to slowly progressively increase your level of activity.

Risks and Complications

Risks include but are not limited to infection, bleeding, scars, sensory changes of the overlying skin and nipples, contour irregularity, waviness, need for revision in the future, complications associated with implants.

Insurance coverage

In the circumstances where there is an umbilical or abdominal wall hernia, this may be covered. Breast reduction based on volume removed and the patient’s symptoms may be covered by insurance. A letter of preauthorization may be required by the insurance carrier to determine coverage prior to surgery.

For more information about Mommy Makeover surgery or to make an appointment for a consultation please contact our office at
301.881.7770

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