The Tummy Tuck is half of a Mommy Makeover. The patient shown above wanted her pre-baby belly and breasts back. The combination of Abdominoplasty and Breast Augmentation with a Breast Lift restored what nature had given and taken away.
The Tummy Tuck remains one of the most sought after cosmetic plastic surgery procedures. Also termed, Abdominoplasty, it literally means belly changing, and that is exactly what it does.
Tummy Tuck and Mommy Makeover Video
Today’s episode of Body Beautiful reviews the Tummy Tuck procedure, and beautifully illustrates what Abdominoplasty can do to restore abdominal contours often lost after pregnancy or changes in weight. This video segment is from the Bay Area’s News Station, KRON 4’s, Body Beautiful. The show features the latest in Cosmetic Plastic Surgery, and uses before and after pictures liberally to demonstrate what is possible.
Tummy Tuck After Pregnancy or Weight Loss
After pregnancy or weight loss, the abdomen is often left flaccid. The muscles, even when strong, are stretched out and cannot support the abdominal contents the way they used to. The skin itself is stretched out, often leaving stretch marks and rolls. The result: clothes don’t fit the way they used to.
What is a Mommy Makeover?
The breasts often suffer a similar fate, so restoring breast volume and perkiness is often performed at the same time as the Tummy Tuck via Breast Augmentation, Breast Lift or the combination Breast Augmentation Lift.
More Mommy Makeover before and afters: Again, Abdominoplasty is combined with Breast Enhancement. In this case, a Breast Lift was combined with a Tummy Tuck for a uplifted, aesthetic result.
Because this is commonly a problem after pregnancy, the combination of Breast Enhancement and Tummy Tuck goes by the name Mommy Makeover. In the Mommy Makeover Before and After Pictures above, a Breast Lift (Mastopexy) was combined with a Tummy Tuck for maximum aesthetic results.
Tummy Tuck or Mommy Makeover Consultations
There is no substitute for proper training and experience. When considering a Tummy Tuck, Mommy Makeover or any Cosmetic Plastic Surgery, consult with an experienced and Board Certified Plastic Surgeon. If you are in the San Francisco Bay Area, call (925) 943-6353 to schedule a private and personalized consultation appointment, today.
One of the most common questions Plastic Surgeons get is,”How do I choose the best breast implants?” While more often than not, this is in reference to size, there are multiple aspects to consider. The most important thing to remember is that you are not on your own. Your plastic surgeon should have a wealth of experience in this area, and they can help simplify and reassure you in your selection.
Breast Augmentation remains the most popular Cosmetic Plastic Surgery procedure.
In my San Francisco Plastic Surgery office I depend on my patients to provide me with a clear idea of the size they want, and they depend on me to help them select the details that are most likely to give them a happy result. Let’s review some of the details.
Breast Implant Size
The amount of augmentation is determined by the volume of the breast implants. If you are looking for a particular cup size, the amount of volume needed will depend on many factors including:
The amount of breast volume you have before augmentation
Which bra you wear – Each manufacturer has a different definition of cup size.
The fullness you wish to achieve
The tightness of your chest skin and muscles
The shape of your breasts
The width of your chest
For the best results, do your pre-breast augmentation homework. Buy a bra the size you want to be. Stuff it. Wear it. Try it with different clothes. The clearer your goal, the easier it will be to communicate to your Plastic Surgeon and to achieve your ideal breasts.
Breast Implant Profile
Choosing the right size for you is the most important aspect of Breast Augmentation.
Size matters, but so does shape. If you are trying to make a statement with your breasts, larger, high-profile breast implants will fill the breasts maximally. If you are considering proportionate breast augmentation, moderate profile breast implants may be more to your liking. If you are a marathon runner looking for a B-cup, low profile implants may provide enough augmentation to the breasts’ foundation to give you the shapelier breasts you desire.
Breast Implant Filling
Breast implants are filled with two materials: Saline and Silicone. While the majority of breast augmentation performed today is with smooth round silicone breast implants, sometimes, saline is a better answer. It is important to choose an experienced Board Certified Plastic Surgeon who can evaluate these options and help you determine what is most likely to work best for your goals.
Breast Implant Placement
The best breast augmentation is achieved by selecting breast implants that are proportionate to the chest.
Breast Implants can be placed in front of or behind the pectoralis major muscles. There are advantages and disadvantages to both positions. It is important that you know the differences and have guidance to select the placement which works best for you.
FDA Approved Breast Implants
There are currently three FDA approved Breast Implant manufacturers in the US. They provide many variations of sizes, shapes, filler and textures. While there are still some options that are not available, the options we have make it difficult to justify using a non-FDA approved breast implant. You should know exactly which implants your surgeon plans to use, and you should receive a card identifying those breast implants after your procedure. This is very important for warranty enforcement, breast implant replacement and for future breast implant maintenance.
Help Choosing Your Breast Implants
If you are considering Breast Augmentation, call my Walnut Creek Plastic Surgery office at (925) 943-6353, and schedule a private, confidential consultation appointment. I will go over your goals, your options and will use my greater than 20 years of experience to help you choose a plan that is best suited to your needs.
Massive weight loss will shrink our volume, but does not reliably shrink our skin. In the before and after pictures above, breast volume is restored with breast implants. Sagging breast skin is tightened with a breast lift. Excess abdominal skin is removed, and the belly bulge caused by stretched out abdominal muscles, is flattened by tightening the muscle sheath.
Post-Bariatric Plastic Surgery is Plastic Surgery after Massive Weight Loss. Whether this is after a lifestyle change or after Bariatric Surgery, the amount of skin that persists after weight loss is often large and frustrating. This Post-Weight Loss Plastic Surgery Video reviews several of the most common treatments including: Lower Body Lifts, Tummy Tucks, Breast Augmentation, Breast Lifts and Arm Lifts. The results of Post-Bariatric Plastic Surgery are illustrated and narrated in this video with before and after pictures, which describe and demonstrate what Board Certified Plastic Surgeons can do for the skin excess that often occurs after weight loss.
Post-Bariatric Plastic Surgery Video
Extremity Tightening Procedures
The majority of skin tightening procedures performed after weight loss are for the trunk; however, the face, arms and legs can also develop excess skin. Face Lifts (Rhytidectomy), Arm Lifts (Brachioplasty) and Thigh Lifts can help with excess skin on the face/neck, upper arm and thighs. Below is an example of an arm lift.
Brachioplasty literally means arm changing. An arm lift can change the way an arm looks, feels and fits into sleeves.
Brachioplasty changes the arm by removing the excess skin that often hangs off the upper arm after weight loss. The skin is removed from the lower border of the upper arm, leaving a scar along the bottom of the arm. This is the only procedure that can remove large amounts of excess skin.
Post Bariatric Plastic Surgery Consultations
As an active member of the American Society of Bariatric Plastic Surgeons, post bariatric plastic surgery is an area in which I specialize.
The American Society of Bariatric Plastic Surgeons was formed by Board Certified Plastic Surgeons specializing in skin tightening after massive weight loss.
When searching for an experienced post-weight loss plastic surgeon, be certain to look for a Board Certified Plastic Surgeon who is a Member of the American Society of Plastic Surgeons. Additionally, members of the American Society for Aesthetic Plastic Surgery specialize in the cosmetic side of plastic surgery, and members of the American Society of Bariatric Plastic Surgeons demonstrate additional dedication to the cosmetic side of post-bariatric plastic surgery.
If you are in the San Francisco Bay Area and want to learn more about your skin reduction options after weight loss, call (925) 943-6353, to schedule your private consultation appointment.
Breast Augmentation Lift combines the Breast Enlargement of Breast Augmentation with the firming and shaping abilities of a Breast Lift.
The desire for the Best Breast can be divided into two areas: The best size and the best shape. This Breast Augmentation and Breast Lift Video discusses combining a breast lift with a breast implant. The procedure allows your plastic surgeon to maximize your results when both shape and size need modification.
Breast Augmentation Lift Video (Mastopexy Augmentation)
This Body Beautiful video segment from the San Francisco Bay Area’s News Station, KRON 4, reviews Breast Lifts combined with Breast Implants and illustrates the benefits of Augmentation Mastopexy with numerous Breast Aug Lift Before and After Photos.
The ideal breast size varies from patient to patient, and it is important to recognize that the more you do your homework in determining what size makes you happy, the easier it will be for your plastic surgeon to give you the result you desire. Most patients request a cup size in the C plus to D minus range, but you should try it out at home, first.
Buy a bra the size you feel you want to be and stuff it. Ziplock bags filled with rice are a simple way to adjust your breast volume. Try it with different clothing to see how you like it. Do your normal activities, and see how it works. Also, think about your overall body size and your activity level. Marathon runners often go smaller, to avoid the added weight and momentum.
Breast size is determined by the volume of breast tissue you have now, plus the volume of the breast implant. When you have a good shape, Breast Augmentation alone is used to enlarge the breasts to the desired size. For most women this is the procedure of choice. When the breasts are saggy, asymmetrical or tubular, a breast lift may be recommended to improve the overall esthetic of the breasts.
Breast Augmentation Lift Before and After Pictures
Deflated, post child birth or post weight loss breasts can be lifted, tightened and enlarged with the breast enhancing Mastopexy Augmentation. Larger lifts require longer scars. In this case, the healing vertical scar is seen on the lower pole of the breast. After this breast augmentation mastopexy, the breasts are fuller, firmer and lifted.
The ideal breast shape also varies from patient to patient. Most patients desire perky, teardrop shaped breasts. A Breast Lift reshapes the breasts by removing excess skin, lifting and firming the breast mound. When the upper pole of the breast is empty, a breast implant is used to add volume. A Breast Implant can balance the upper and lower halves of the breast, or it can enlarge the entire breast.
Breast Lifts come in many sizes. The most common are periareolar (around the areola/nipple), vertical (lollipop) and inverted T (anchor or keyhole). The amount of lifting needed determines the type of lift recommended. It is always desirable to choose the smallest lift expected to work. Smaller lifts come with shorter scars, but they lift less. Be sure to consult a Board Certified Plastic Surgeon near you to learn what is recommended for your particular needs.
Breast Augmentation Lift Consultations
When considering Breast Augmentation, with or without a Breast Lift, be certain to consult an experienced Board Certified Plastic Surgeon. They can explain your options and select the procedure most likely to get you the results you want in the safest and most predictable manner. Call (925) 943-6353 and schedule a personalized consultation appointment, today.
The combination of Breast and Belly Enhancement has been coined the Mommy Makeover. Since the breasts and belly often change after childbirth, the combination is most often performed for mommies. Children, however, are not a prerequisite as any weight gain and loss can cause similar changes.
Mommy Makeovers After Weight Loss
Mommy Makeovers can be performed after weight loss, too.
The combination of breast and belly rejuvenation is frequently requested after bariatric surgery or larger weight loss after diet and exercise. As with pregnancy, both areas stretch with weight gain, and then deflate and often sag after the weight is lost, taking the shine off all the hard work. The Mommy Makeover procedure can enhance the breast and the belly in a single operation. The Mommy Makeover Video below shows additional examples.
Mommy Makeover Video (Breast and Belly Enhancement)
This Mommy Makeover video narrates several Mommy Makeover Before and After Pictures and provides additional information on the Mommy Makeover procedure including options and recovery.
Mommy Makeover Results Last
This mommy has been shown here before. She is maintaining her healthy lifestyle and her beautiful results.
You can expect your Mommy Makeover to last. With proper maintenance, the procedure is very effective at improving body contours long term. If you are planning to have children, it is recommended to have them before the Mommy Makeover.
Mommy Makeover With A Brazilian Butt Lift
The Mommy Makeover can also be combined with the Brazilian Buttocks Lift.
For selected patients, the Mommy Makeover can be combined with fat grafting to the buttocks, aka the Brazilian Buttocks Lift. The upside is added shape to the buttocks by grafting fat from the belly and back that would usually be discarded during the tummy tuck. The downside is trying to avoid sitting/laying on the fat grafts while recovering. Sometimes separating the procedures is recommended.
Mommy Makeover Consultations
To schedule your personal Mommy Makeover Consultation, tailored to your specific needs, call (925) 943-6353. As a Board Certified Plastic Surgeon, I offer a wide range of options for both breast enhancement and tummy tightening. Check out the San Francisco Plastic Surgery Blog and my main websites for more information. If you have a question, just ask via the contact forms available on this and all our webpages.
Breast Implants can enlarge and enhance the shape of a woman’s breasts.
Breast Augmentation remains one of the most requested Cosmetic Plastic Surgery procedures year after year. My San Francisco Bay Area Breast Augmentation patients are no exception. Whether breast shape or volume has become a problem postpartum, after weight loss or if you have always had small breast, Breast Implants may be the answer you are looking for.
Breast Augmentation Before and After Pictures
Breast Implants can put the stuffing back into deflated breasts.
This week I discussed Breast Augmentation on the SF Bay Area’s New Station, KRON 4, with host Janelle Marie. The video segment below includes information about Breast Implants and how they are used. In it, I narrate multiple Breast Implant Before and After Pictures of my actual patients.
Breast Augmentation Video (Breast Implants)
Breast Augmentation Explained
Breast Augmentation with Breast Implants has been around for over 50 years. The procedure involves creating a pocket for the Breast Implant behind your breast tissue to augment the breasts. This enhances both the size and shape of the breasts. More information is available here on the San Francisco Plastic Surgery Blog, by selecting “Breast Augmentation” under the “Search By Category” heading in the sidebar. There is also information about Breast Augmentation Lifts, Breast Implant Selection, Breast Implant Revision, Breast Implant Removal and a wide variety of other cosmetic breast, face and body procedures.
The best breast augmentation is achieved by selecting breast implants that are proportionate to the chest.
Breast Augmentation Consultations
If you are considering Breast Enhancement Surgery, call (925) 943-6353, today, and schedule a personal consultation appointment, tailored to your goals. We are conveniently located in the East San Francisco Bay Area city of Walnut Creek, CA.
The Tummy Tuck is one of the most requested cosmetic plastic surgery procedures I perform. Whether after childbirth, or weight loss, the procedure removes excess fat and loose skin and tightens the abdominal muscles. On the most recent Body Beautiful on the San Francisco Bay Area’ News Station, KRON 4, I had the opportunity to discuss the latest in Cosmetic Plastic Surgery including Abdominoplasty.
Tummy Tuck Video (Abdominoplasty)
Abdominoplasty Video Presentation
The above Abdominoplasty Video discusses the procedure, its recovery, and I narrate the results for multiple Tummy Tuck Before and After Pictures. Examples of combining Abdominoplasty with Mommy Makeovers and Brazilian Butt Lifts are included, too. More on these next.
Tummy Tuck With Brazilian Butt Lift
Abdominoplasty can be combined with other procedures. The most common add-on is Liposuction. It is used to contour the lateral hip and lower back and reduce the undesirable the muffin top. In some cases, the fat removed with Liposuction is repurposed to augment the buttocks. Also known as the Brazilian Buttocks Lift, the procedure can create, or restore, the fullness to the buttocks and hips. An example is depicted below.
The Above Tummy Tuck before and after pictures show an example of what the combination of Tummy Tuck, Liposuction and Brazilian Buttock Lift can do. In the post operative picture on the right, the abdomen is flatter, the muffin top is missing and the buttocks are fuller and rounder.
Abdominoplasty With Breast Augmentation Lift
Tummy Tucks can be combined with Breast Enhancement also. This class of combination cosmetic plastic surgery is termed the Mommy Makeover. The most common combination is Abdominoplasty with Breast Augmentation using Breast Implants. The Mommy Makeover Before and After Pictures shown below illustrate the combination of Breast Augmentation Lift (Periareolar) with a Tummy Tuck.
Mommy Makeovers are a class of cosmetic plastic surgery procedures that enhance both the breasts and the belly. The Mommy Makeover before and after pictures above are an example of what can be accomplished with the combination of Breast Augmentation Lift and Tummy Tuck. As with all plastic surgery, careful patient selection is very important.
Tummy Tuck Consultations
If you are considering a Tummy Tuck, Brazilian Buttocks Lift or Breast Augmentation, be certain to consult a Board Certified Plastic Surgeon in your area. If you are in the San Francisco Bay Area, call (925) 943-6353 to schedule a convenient, personalized consultation appointment. My office specializes in Cosmetic Plastic Surgery and discretion. Come in and learn more.
The Tummy Tuck remains one of the most popular Cosmetic Plastic Surgery procedures. Also called Abdominoplasty, the procedure tightens the abdominal wall and is especially useful after pregnancy or weight loss.
Tummy Tucks After Other Abdominal Surgery
The question of how preexisting abdominal surgery effects Tummy Tuck planning, execution and recovery often arrises. While most the time an Abdominoplasty can be safely performed, there are some incisions that make the procedure dangerous. Today, we will talk about how scar location may change your Tummy Tightening Procedure.
Where Is The Tummy Tuck Scar?
The above Tummy Tuck before and after pictures show where the skin is removed.
To understand how previous surgery effects Abdominoplasty, it is important to know the location of the removed skin and the circulation that supplies the remaining skin. As the Tummy Tuck Before and After Pictures above show, the lower abdominal skin is excised to remove the excess from the lower belly, to lift the skin above the pubic region (the FUPA) and to leave a scar which is low enough that it hides below the belt-line. The circulation that keeps the remaining skin alive travels in the superficial circulation of the skin that is located above and lateral (toward the sides). It’s the circulatory pattern of the remaining skin that really determines which, if any, of the surgeries performed prior to the Tummy Tuck are likely to cause problems.
Common Surgeries That Do Not Effect Abdominoplasty
In general, any surgery which leaves a scar within the excised skin is safe. This includes c-section, hernia and low appendectomy scars. Surgeries which leave small scars, such as laparoscopic surgery are safe.
Longer scars in the midline are also safe. Since the blood supply comes from each side independently, an incision that runs up and down the middle is unlikely to cause wound healing problems. Below is an extreme example.
The Fleur-de-Lis Tummy Tuck
The Fleur-de-Lis Tummy Tuck is an unusual Tummy Tuck that includes not only the usual low abdominal skin resection, but also removes skin from the middle of the abdominal wall to tighten side to side.
The Fleur-de-Lis Tummy Tuck is used in cases of extreme weight loss, when the upper abdominal skin is loose from side-to-side. In the example above, my patient had a pre-existing midline scar running from the rib cage to the pubic region. Since the scar is in the middle, it is not cutting across the blood supply and is removed with the excess skin.
The previous scar was excised with the loose upper abdominal skin as evidenced by the removal of the excess skin in her underwear, as well as the excess skin located above the underwear. Her clothes fit much better after her surgery, and her mobility is improved thanks to the loss of the excess abdominal skin. The muscle, too, was tightened to further improve the cosmetic results and to provide better muscular support for her abdominal wall.
No More FUPAs
The FUPA (fat upper pubic area) is the excess fullness located above the pubic region and below the excess belly skin. If not addressed at the time of a Tummy Tuck, this excess skin can be a continued source of annoyance and embarrassment.
The FUPA (fat upper pubic area) can be seen in the Abdominoplasty Before and After Photos above. It is the separate skin fold / bulge seen below the redundant abdominal wall skin and above the pubic region. If a standard Tummy Tuck is performed, the FUPA remains a source of annoyance and embarrassment. These pictures were originally shown on my TV show, Body Beautiful. The before picture did not require censorship, because the FUPA covered the private area.The after picture, on the other hand, had to be covered. The scar from the Tummy Tuck can be seen extending laterally from the sides of the blacked out pubic region.
Common Surgeries That Complicate Abdominoplasty
The most common surgeries that can negatively impact the healing after a Tummy Tuck include the traditional “open” cholecystectomy (gall bladder) and pancreatic or any other upper abdominal surgery performed through a “chevron” incision.
The traditional cholecystectomy scar runs diagonally across the right upper quadrant of the abdomen, parallel to the lower edge of the rib cage. This incision cuts the blood vessels supplying the skin below the scar and can lead to problems with circulation to the sin between the scar and the Abdominoplasty scar. Problems can range from slight redness, to complete skin loss. Options are available to “delay” the skin flap, a smaller operation a few weeks before the Tummy Tuck to improve the circulation to the skin, but sometimes performing the Tummy Tuck may be too risky.
The extreme is the “chevron: incision. This scar extends across the entire upper abdomen from side-to-side, just below the ribs. A traditional Tummy Tuck is usually not advisable after this surgical approach. Instead, a reverse Abdominoplasty may be recommended. The Reverse Abdominoplasty is an abdominal wall tightening procedure which is performed across the top of the abdomen, rather than the across the bottom. In most cases, the skin cannot be tightened as well as with the traditional approach, but in select cases, the improvement is still very good.
Tummy Tuck Consultations
In most cases, previous abdominal surgery is not a contraindication for Abdominoplasty; however, you should discuss your specific situation with a Board Certified Plastic Surgeon, prior to scheduling any elective surgery. If you are in the San Francisco Bay Area call (925) 943-6353 today, to schedule a private consultation tailored to your specific needs.
Breast Augmentation adds volume, while Breast Lifts reshape. What happens when you put them together? You get Cosmetic Plastic Surgery that can enhance both breast volume and shape.
Total Breast Enhancement – Breast Aug and Breast Lift
Sometimes a Breast Implant or a Breast Lift alone is not enough to get the results we want. The combination of Breast Augmentation with a Breast Lift, or Augmentation Mastopexy, is used when breast sagging is combined with a loss of breast volume. Board Certified, San Francisco Bay Area Plastic Surgeon, Dr. Joseph Mele, discusses the nuances of Breast Augmentation Combined With Breast Lift on this episode of Body Beautiful, a live television show dedicated to the latest in Cosmetic Plastic Surgery news for the greater San Francisco Bay Area.
Everyone knows that Breast Implants make breasts bigger. It’s a simple concept. Adding volume behind the breast tissue, often behind the pectoralis muscle, enlarges the breasts you have. While the size of the breast changes, the shape does not. It simply inflates the skin you have.
Breast Lifts Make Breasts Perkier
Breast Lifts (Mastopexies), on the other had, are all about breast shape. Lifts do not make breasts bigger or smaller. Breast Lifts reshape the skin envelope. Mastopexies reposition the nipples/areolae into a more attractive position and reduce the amount of breast tissue that sags below the IMF (inframammary fold).
Breast Augmentation Lift Consultations
The subtleties of the procedures, whether considered separate or together, are beyond the scope of one San Francisco Plastic Surgery Blog post, though you will find other posts on the topic here and on my other web sites. But rather than learning everything there is to know about both, why not learn about the aspects of the procedure that apply to your body?
Breast Augmentation Lift Consultations are the best way, and really the only way, to get the information specific to your needs. They focus on your breasts and your goals. You won’t waste time learning about options that won’t do what you want, and you will learn what to expect from the procedures that are most likely to help you.
If you would like to schedule a personalized and private Breast Enhancement Consultation, call my office today at (925) 943-6353. Get specific information that is tailored to address your needs, not generic information meant for the masses.
The Mommy Makeover combines the most common body shaping procedures, breast augmentation and tummy tuck, into one, maximum result, breast and belly shaper.
The Mommy Makeover is one of my favorite combos. The ability to reshape the damage done to a woman’s body after childbirth or weight loss, in a single operation, makes it one of the most satisfying Cosmetic Plastic Surgery procedures.
What Is A Mommy Makeover?
The Mommy Makeover is not a specific procedure, but rather the combination of breast and belly enhancement performed in a single operation. Breast Enhancement may include Breast Augmentation, Breast Lift, Breast Augmentation with a Lift or Breast Reduction. It all depends on what needs fixing. Belly Enhancement is usually a Tummy Tuck; however, for the patient who needs less, Mini Tummy Tucks or Liposuction may be the procedure of choice.
Mommy Makeover Video Presentation
Recently, I had the opportunity to discuss Mommy Makeovers with the San Francisco Bay Area television audience. Body Beautiful airs on KRON 4, the San Francisco Bay Area’s News Station. The Mommy Makeover features the best and the latest in Cosmetic Plastic Surgery. This week, the spotlight is on Mommy Makeovers.
Mommy Makeover Video
More About Mommy Makeovers
The Mommy Makeover Video segment featured above reviews many of the available options and outcomes of the procedure for several of my patients. Additional Mommy Makeover Videos are available here, on the San Francisco Plastic Surgery Blog, and on my main site’s Mommy Makeover Video Page.
Mommy Makeover Consultations
When you are considering a Mommy Makeover, be certain to consult with a Board Certified Plastic Surgeon. Call (925) 943-6353 today, to schedule a private, personalized Mommy Makeover consultation in our San Francisco Bay Area Plastic Surgery Clinic.