Pregnancy and being a mother can take a lot out of you and your body. Many women desire improvements to the changes that occur after pregnancy. Of course, things can’t be completely turned back in time. There are limits as to what can be corrected, and how much correction can be achieved. Some of the common complaints I hear from patients who have had children and been through breast feeding are breast deflation, breast sagging, stretching of the tummy, tummy bulging, as well as fat around the abdomen, hips, flanks, and love handles. Various procedures can be done for these different problems. Although some plastic surgeons will do many of these procedures at the same time, I do not. Increasing risks can be associated with the surgery and longer time spent under anesthesia. In my practice, safety comes first. Issues with the breasts, such as deflation, decreased breast size, and sagging of the breasts can be corrected in one operation. The size of the breast is improved with the breast implant which can be either saline or silicone gel. Sagging of the breasts is corrected with a breast lift. The type of breast lift I use with a breast implant is very different than a standard breast lift. I use a periareolar mastopexy which means the only scars will be located around the areola and a smaller one in the fold beneath the breasts. When done at the same time as a breast implant I do not use the large anchor shaped pattern of scars. Although a breast lift is called a breast lift, a breast lift does not actually lift the breast. (More information can be read about this procedure on the Breast Lift page). What a breast lift does is elevate the nipple more centrally on the mound of the breast. Moving down to the tummy, the abdominal area can have one of three issues occurring: excess fat, excess skin, or stretching of the muscle. If there is excess fat liposuction is used, if excess skin is present, a tummy tuck is done. If there is enough fat and all issues are present I typically do liposuction first as a separate surgery. Although many plastic surgeons will use liposuction of the abdomen at the same time as the tummy tuck, I do not. There can be increased risks when done at the same time as the tummy tuck. It cannot be done as aggressively, therefore the results are not optimal. The tummy tuck procedure tightens the muscle that has been stretched and removes excess skin. The scar can be hidden with clothing. When fat is present on various areas of the body, liposuction is done. It can take a few months for the swelling to go down. Overall, what many people call a mommy makeover is really just a combination of different surgeries after pregnancy. There is no specific surgery really called a mommy makeover surgery; it is about dealing with the problems and issues that concern you and to improve those issues.