Mommy Makeover Los Angeles, CA
If you are a mother looking to restore and revitalize your body, you owe it to yourself to visit Dr. Kenneth Hughes, Harvard-educated, Harvard-trained board certified plastic surgeon at Hughes Plastic Surgery in Los Angeles for your best mommy makeover result. Even if you have not had children, certain breast and body surgeries may interest you and that is very common as well. You do not have to be a mommy to get a mommy makeover.
The mommy makeover may encompass any number of procedures including breast augmentation and/or breast lift, tummy tuck, liposuction, and the Brazilian buttlift. Specialist mommy makeover surgeon Dr. Hughes performs these combination surgeries several times a week in his fully accredited surgical center in Los Angeles with dedicated board certified anesthesiologists from Los Angeles and Beverly Hills. Dr. Hughes performs most of these combination procedures under general anesthesia in 4 hours or less.
BASIC MOMMY MAKEOVER COMPONENTS:
The tummy tuck can be helpful after pregnancy or after massive weight loss. The abdomen is stretched during pregnancy, both the abdominal wall (abdominal muscles and fascia) and the skin. The skin and abdominal wall do not usually return to their pre-pregnancy state. As such, a woman may have varying degrees of loose skin and a variable amount of abdominal wall laxity.
A tummy tuck addresses both the loose skin and the lax abdominal wall as to give a nice, flat youthful contour to the abdomen. The tummy tuck also creates a more youthful belly button. Dr. Hughes will also improve the waist to hip ratio with a tummy tuck. This is completely different from some surgeons who will make the patient look more straight up and down. The goal is to not only make the stomach flat but the make the waist look contoured.
Do not forget that tummy tuck and liposuction is very appropriate for some men as well. Some men after weight loss can get significant improvement from not only skin removal but from abdominal wall tightening as well (usually due to the visceral fat component stretching the abdominal wall from inside the abdomen).
Mommy Makeover Before and After Photo Gallery
The mommy makeover may encompass any number of procedures including breast augmentation, breast lift, tummy tuck, liposuction, Brazilian buttlift, and more.
BODYTITE OF THE ABDOMEN MAY BE APPROPRIATE FOR SOME PATIENTS INSTEAD OF TUMMY TUCK IN A MOMMY MAKEOVER
While the tummy tuck is certainly effective in its removal of tissue and correcting issues of skin laxity and size, the scar produced is often objectionable to many patients. Dr. Kenneth Hughes, MD in Los Angeles has extensive experience and amazing successes with the Bodytite technology to avoid the longer scars associated with tummy tucks as well as other excisional procedures such as arm lifts, thigh lifts, butt lifts, etc. Bodytite can be used in conjunction with liposuction to tighten the tissues of the tummy or abdomen, arms or thighs or wherever by about 40%. These types of results will not be achievable by another technology or my another surgeon. Please look at the amazing Bodytite results in this link. Although Bodytite will never reproduce the excisional surgical results, optimal treatment by Dr. Hughes in Los Angeles can come pretty close.
LIPOSUCTION and BRAZILIAN BUTTLIFT (BBL) CAN BE ADDED TO MOMMY MAKEOVER
In a mommy makeover with tummy tuck, liposuction can be used to further reduce the size of the waist and improve contour. In Los Angeles, Dr. Hughes frequently liposuctions fat from the sides, flanks, and back at the time of the tummy tuck to produce changes in waist size of 6 to 8 inches or more. This fat can also be used to augment the hips or the buttocks as in the Brazilian buttlift. This can further improve the hourglass figure and the overall silhouette.
The breasts are frequently addressed at the same time as the abdomen in a mommy makeover. Some women as a result of pregnancy and pregnancy related weight gains as well as engorgement from lactation and/or breast feeding suffer an involutional loss pf breast tissue and a deflated look. Breast augmentation adds fullness to the look of the breasts and improves the deflated appearance. Dr. Hughes, board certified plastic surgeon in Los Angeles, offers breast augmentation with saline, silicone (cohesive gel), and gummy bear (highly cohesive or form stable) implants as well as fat grafting to the breast. This is the breast augmentation portion of the mommy makeover. Dr. Hughes offers the best breast augmentation options for you for your mommy makeover in Los Angeles.
BREAST LIFT MAY BE NECESSARY AS WELL FOR THE BEST MOMMY MAKEOVER RESULT
For many patients, the skin of the breasts is stretched to the point that the droopiness of the breast can only be improved by tightening the skin envelope with what is known as a breast lift. A breast lift can be utilized if the areola and/or breast has fallen below the inframammary fold. Breast surgeon Dr. Hughes employs the breast lift that has the shortest scar necessary to affect the best appearing breasts. Many times smaller lifts referred to as crescent lifts or donut lifts are wholly inappropriate to correct the droopiness of the breast and areola and should not be offered as solutions. A vertical or lollipop or circumvertical lift as well as an inverted T or anchor lift are usually much more appropriate. The shape of the breasts is the number one factor to being happy with the breasts. Boxy breasts or vertically long breasts are to be avoided and there are technical methodologies that Dr. Hughes has developed to improve the shape of the breasts, lift them, and make them look ROUND. The breast lift is necessary in many mommy makeovers for the best overall look for the breasts.
Dr. Hughes can perform any number of procedures at once to address loose skin on the arms or thighs or face or neck. Dr. Hughes performs arm lifts, thigh lifts, neck lifts, facelifts, bra-line back lifts, body lifts, inferior buttock lifts, etc. The point is that everyone needs or wants something slightly or greatly different. Dr. Hughes performs the full gamut or array of cutting edge plastic surgical procedures, minimally invasive procedures including Bodytite and Facetite, and noninvasive procedures including Fractora and Votiva.
Combining breast procedures with body procedures as in that for a mommy makeover can produce amazing transformations in body contour and self esteem. Patients are metamorphosed, and they really tend to have a much better outlook on life with their rejuvenated appearance. Dr. Hughes, as a plastic surgeon in Los Angeles, very much enjoys this aspect of his profession, and he hopes to share in your happiness.
Risks, Limitations, Good and Bad Candidates for Mommy Makeover
Risks Associated with Mommy Makeover
- seroma (fluid collection, which typically must be drained with a needle and syringe)
- dehiscence (breakdown of the wound)
- skin necrosis (death of part of the skin)
- umbilical loss (death of the belly button)
- nerve injury
- hypertrophic scar or keloid (typically more common in darker skin individuals or in people predisposed to this, usually runs in families, although the etiology is mutifactorial)
- slow healing (particularly in poor nutrition, diabetics, or in steroids)
Limitations in Mommy Makeover
Patients must clearly understand that because of bone structure, intra-abdominal fat, or existing scars, there are limitations to the results that can be achieved. Dr. Hughes will demonstrate which striae will be excised and which will remain (those above the belly button frequently remain).
Good Candidates for Mommy Makeover
- Close to his or her ideal body weight (within 20%)
- Wishes to address lax abdominal tissue that is diet and exercise resistant
- Stable weight for at least 6 months
- Good skin tone and elasticity
- Realistic expectations
Poor Candidates for Mommy Makeover
- Significant comorbid disease
- Morbid obesity
- Unwillingness to stop smoking
- Unrealistic expectations
- Plans for future pregnancy (relative contraindication)
- Upper abdominal transverse scars (relative contraindication)
Mommy Makeover : Preparation for Surgery
If you are in good general health and all medical conditions have been managed, adequate protein intake as well as a multivitamin can be useful. You should not be taking supplements or additional vitamins or minerals unless you need them. Some doctors recommend arnica and bromelain, though the evidence is not as strong as for other medications.
Mommy Makeover: Your Surgery Day with Dr. Hughes
On the day of surgery, you will arrive to the surgery center approximately one hour prior to the beginning of the surgery. The paperwork and consents will be finalized as well as additional questions answered. Vital signs will be obtained as well as additional history and physical information obtained by the nurse and anesthesiologist. The anesthesiologist will meet with you to explain the anesthesia process and answer any concerns about anesthesia. The patient will meet with Dr. Hughes again to reiterate the surgical plan and to answer any additional questions or concerns.
The patient will be taken into the operating room and administered relaxing medication and be ushered off to sleep. The mommy makeover surgery itself will take from 2 to 5 hours to perform (depending upon the specific procedures to be performed), and the patient will be transferred to the recovery room upon completion. The patient will remain in recovery for 1 to 2 hours before departing from the surgery center with a responsible adult.
RECOVERY FROM THE MOMMY MAKEOVER
Many patients want to know about the recovery after their mommy makeover procedures. In most cases, patients can return to work in 2 weeks or less. Patients should not perform exercise or lift anything greater than 5 to 10 lbs for about 6 weeks. Patients should wear the compression garment for the first 6 weeks and avoid getting water or sweat into any of the incisions until the incisions are completely healed.
The main limitations and sleeping positions are dependent upon the particular procedures that the patient undergoes in the mommy makeover. Patients can have procedures done on the abdomen and back side and still recover, so do not be fooled by others who say the recovery is impossible. Dr. Hughes can assure you that the recovery is very possible and he has performed these combinations hundreds of times in his surgery center in Los Angeles (serving Beverly Hills, Santa Monica, Playa Vista, Culver City and Marina del Rey as well).
Dr. Hughes will go over all of the recovery issues in a very specific fashion based upon the procedures performed. It is imperative that you follow the expert recommendations in a very precise way to assure the best possible recovery and result.
FINAL RESULTS OF THE MOMMY MAKEOVER
The final results of the mommy makeover depend upon how quickly the swelling resolves and the scars heal. The swelling may take 6 months or more to resolve depending upon the types of procedures performed and individual healing characteristics. The scar maturation process may take up to 12 to 18 months before scars reach the best appearance. In fact, scars tend to get better with even more time than 18 months.
Managing Scars from Mommy Makeover
In general, scarring is a product of genetics. Some people are good scar-formers and others are poorer scar-formers. Dr. Hughes always minimizes the scars to minimize the likelihood of poor scars. There is no one best therapy for scars. Silicone sheets, Mederma, and Biocorneum are reasonable and popular options. Dr. Hughes recommends that the scar therapy begin after the scars have healed and there are no open areas, which usually takes 4 to 6 weeks.
What Can Be Done to Improve Scars?
Steroid injections, re-excision and steroid injections, and radiation after re-excision have been tried along with dozens of other measures. Radiation reduces recurrence most effectively but is not practical in most situations. Dr. Hughes has a lot of experience providing care to patients with darker skin colors and is a published author on the subject in Scars and Scar Revision in Reoperative Plastic Surgery.
Fractora is a new technology that allows for improvement in scarring even for patients with darker skin that was unavailable up until a short while ago. This can be done as a short outpatient procedure and has several advantages over lasers and other proposed scar reducing technologies.
Article 2: Abdominal Wall Anatomy and Physical Exam in the Tummy Tuck Patient
Article 3: Physical Exam in the Tummy Tuck Patient
Article 4: Risks, Limitations, Good and Bad Candidates for Tummy Tuck
Article 5: Subgroups of Tummy Tuck Patients
Article 6: Operative Details and Safety in the Tummy Tuck
Article 7: Mini Tummy Tuck, Short Scar, and Standard Tummy Tucks
Article 8: Postoperative Management and Complications in Tummy Tuck