Tucson Mommy Makeover Combo Surgery Information, Benefits and Risks

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Click here to watch Dr. Maloney talk about the Mommy Makeover on Tucson's Morning Blend Show

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What is a mommy makeover?

A mommy makeover is a combination of surgical procedures that improve the appearance of the breast and body in one operation. A mommy makeover removes the skin and excess fat from the abdomen, tightens the abdominal muscles and reshapes the breasts, giving them a more youthful appearance. Each patient is unique so every operation is specially designed for your needs.

When is a mommy makeover used?

A mommy makeover is best for people that are young, healthy and within their normal weight range. People that have the most success from a mommy makeover are women who have excess skin and fat on their abdomen and have lost the volume and shape of their breasts from having children or experiencing significant weight loss.

What is involved at a consultation for a mommy makeover?

When you come in for your initial consultation, you will meet with both Dr. Maloney and Lindsay, the clinical coordinator. Dr. Maloney will examine you to determine if you are a good candidate for the procedure. He will also discuss details of the operation, show you before and after photos and take some measurements of your breast. These measurements are important in determining the size and shape of the implant we will use, if an implant is needed. Dr. Maloney will also show you both the saline and silicone implants. The saline implants are silicone shells filled with saline. The silicone implants are silicone shells filled with a silicone gel. The silicone implants offer a very natural look and feel to the augmented breasts and are the more popular of the two. The new generation of silicone implants are much different than the old ones that were taken off the market years ago due to complications with the implants. They are made out of a silicone gel—not silicone oil—like they were in the past. They have a low rupture rate and are very safe. The saline implants work best in patients looking for a lot of cleavage and roundness or with different size breasts. For someone with different sized breasts, we can use the same implant size (width), and overfill one to match the volume of the other.

Lindsay will review surgical fees, financing options and answer additional questions. If you choose to have surgery, you will return for another consultation about two weeks prior to your operation. At this second appointment, Dr. Maloney will review the surgical plan with you, go through consent forms, take pre-operative photographs, and give you your prescriptions. Lindsay will go over all of your surgical instructions and give you a packet of information so when you leave you will have everything you need for surgery.

How do I prepare for a mommy makeover?

After meeting with Dr. Maloney and choosing a surgical date for your mommy makeover, you should plan for your care and recovery after the operation. You will need to arrange a ride to and from the surgery center the day of surgery and arrange for someone to stay with you for the first 24 hours. You should take 1-4 weeks off of work for this operation depending on the type of work you do (speak to Lindsay, Dr. Maloney’s Clinical Coordinator for additional information). If your employer requires paperwork for time off, please obtain it ahead of time and bring it to our office. If you smoke, you must quit a minimum of two weeks before surgery. We suggest 6-8 weeks, but two weeks is the minimum. Smokers heal slower and can have wound healing problems. Smoking may require modifications to the surgical plan. If you take aspirin or other medication that causes bleeding, you should stop taking it three weeks before surgery because it causes increased bleeding and therefore more bruising. If you are taking any diet pills (prescription or over-the-counter) or Metformin (a common diabetes medication), you should stop one week prior to surgery to avoid anesthesia risks. All medications, herbs, vitamins and dietary supplements you take should be carefully reviewed with Dr. Maloney prior to surgery. If you are under the care of a physician for any health issues, we may require surgical clearance from your physician and/or cardiologist.

At your pre-operative consultation with Dr. Maloney you will be given a map to the surgery center and your prescriptions. Get these prescriptions filled before surgery so they are at home when you need them. You should find a few old towels to put on the bed, the couch and in your friends car on the way home from surgery as you may ooze fluid after surgery through your incision, especially if you have liposuction at the same time. Be advised that you are not bleeding. You need to stay hydrated, so have plenty of water or sports drinks around the house. You should mix the sports drink with water 50/50. You should also start taking a stool softener since narcotic pain medication and anesthesia can make you constipated.

The morning of surgery you may not have anything to eat or drink after midnight, this includes water. Take a shower the morning of the surgery using an antimicrobial soap. Do not put any lotions, deodorant or make-up on the day of surgery. Do not wear any jewelry to the surgery center. You should wear comfortable clothes that are easy to get on and off. A shirt that zips or with buttons up the front is preferable, as are loose workout or sweat pants. Bring your photo ID when you check-in to the surgery center. You will be taken back to the pre-operating area where Dr. Maloney will come and discuss the plan again, answer any additional questions you have and mark the surgical site. You will also meet the anesthesiologist and ask him/her any questions you may have.

How is a mommy makeover performed?

The operation takes about three to six hours depending on the patient. The anesthesiologist will put you to sleep for this operation for safety and comfort. Dr. Maloney will them remove the excess skin and reposition the breast tissue using an anchor incision (which he will show you at your consultation). He then will make an incision on the underside of the breast and create a pocket on the inside large enough for the implant. The implant is then inserted using a funnel device so that it does not touch your skin or the surgeon’s hands. This is the very latest technology that is shown to reduce the infection and capsular contracture rate because the implant never touches skin. Dr. Maloney will then close the incision with dissolvable sutures. Next, Dr. Maloney will make an incision from roughly the hipbone across your abdomen, just above your pubic hairline. The excess fatty tissue will be removed, your abdominal muscles tightened and a new hole made for your belly button. The excess skin will be pulled tight and sutures put in place. Drains, compression garment and pain pump are then placed. You will wake up in the recovery room and be ready to go home in about an hour.

What should I expect after a mommy makeover?

You will wear a compression garment over the surgical area to minimize swelling and bruising. It is normal to ooze some fluid from the incisions, especially if liposuction is performed at the same time. You should rest and eat a healthy diet high in protein for to speed up recovery. You should also avoid alcohol and refrain from smoking. All surgeons recommend early and frequent ambulation after surgery to reduce the risk of blood clot formation in the legs and to speed up your recovery. You may be stiff and sore when you first get up and walk around and may walk bent over for a few days. You may be swollen after surgery. It takes about six weeks to see your results, so be patient during the healing process. You will need to record the amount of fluid your drains are collecting. The nurses at the surgery center will show you how to do this. You may remove your dressings and shower 1-3 days after surgery depending on what our office tells you. You will also return to the office for your first post-operative exam 1-3 days after surgery. Your pain pump will be removed at this appointment. The pain pump is a small device that drips a numbing medication along the abdominal muscles to keep you as comfortable as possible for the first few days. A low-grade fever is not uncommon after any surgical procedure. If you have any questions during the recovery phase, please do not hesitate to call our office any time, day or night.

What are the benefits of a mommy makeover?

After the procedure your abdomen will be flat and tight with extra skin and fat removed. Your breasts will be a better size and shape. Your nipple position and breast tissue will be raised to where they were before your breasts started to droop.

What are the risks of a mommy makeover?

A mommy makeover has both aesthetic and health risks, and it is the woman’s personal decision whether the benefits outweigh those risks. Common risks include slow wound healing, scaring, infection, asymmetry, excessive firmness, changes in skin sensation, changes in nipple or breast sensation and capsular contracture. There are also more uncommon, but complicated risks such as bleeding or deep vein thrombosis, which may require a visit to the emergency room, or infection, which may require the removal of the implant. For a full list of risks, go to plasticsurgery.org.