Mommy Makeover.....what's that?? Well, the definition changes for different parts of the country, but here in Oklahoma it usually means a breast lift (with or without augmentation) and a tummy tuck (with or without liposuction).
As most women know, after having children, the ole body has a tendency to change a bit. The hormones of pregnancy cause skin to stretch and in many cases, it never returns to the pre pregnancy tightness. The connective tissue under the skin also stretches, leading to the end of that flat tummy. We all see the movie stars that have babies and shortly after...LOOK GREAT!! Unfortunately, most of us have to work for a living and cannot spend our days at the gym or in a spa pampering our skin and re-toning our musculature. Even if we could do that, in many cases, our genetics make it impossible to shake the effects...in many ways, it's the luck of the draw.
To get back on point, after babies and breast feeding, the breast, which enlarged during milk production, shrinks and in many cases sags. The nipple position that used to be perky now points in a more Southern position and can lose volume.
Here is a picture that shows the different degrees of ptosis or droop. A or "normal" is perky, high and tight. After children, all bets are off as to where you will end up. My experience is that if you start off with little or no breast tissue, the post pregnancy changes are less dramatic than if you start off with a large amount of breast tissue.
Other issues can also occur with shape and in some instances breast abnormalities that have been present since birth. As you can see in the pictures below, chest wall shape, breast size, breast development, and nipple shape can all play a roll.
With all of this in mind, we try to help you return to your pre-pregnancy state if possible. This may or may not include implants, but what it does do is re-position the nipple and lift the breast tissue that is hanging. Some of this tissue may get removed if it is well below the fold where the breast hangs over the chest wall. My personal experience is that most women desire implants to increase the fullness in the upper pole of the breast. The incisions can differ depending on how far the nipple needs to move but usually they are in the form of an anchor or "lolly pop".
The nipple is not "removed", it is rotated into its new spot conserving the nervous innervation and blood supply. These incisions have a tendency to heal very well and after 6-12 months they turn into little white lines. Implants, saline or silicone, are placed through the same incisions and usually under the muscle so they stay in place over time.
Now for the tummy..... We see stretch marks, sagging skin, bad c. section scars, bulging, hernias...you name it. The way to remedy all of these things is with the tummy tuck.
A tummy tuck is done through an incision in the lower abdomen a few centimeters above the labia. The incision goes from hip bone to hip bone and also around the stalk of the belly button. The skin is raised off of the underlying connective tissue and muscle up to the ribs. Once this is done, the loose muscle and underlying connective tissue is tightened back up to make the abdomen flat. The skin is then pulled down and the extra is removed. A new opening for the belly button is created. The smooth, non stretch marked skin from above the belly button is pulled down and stretch marked tissue, scars, etc. are removed. The incisions are closed and within 6-12 months they become thin white lines. 
Some can get away with a mini tummy tuck which removes a small amount of sagging skin (below the belly button) only.
Liposuction can be added to either procedure to remove problem areas in the hips, under the arms, thighs and saddle bags.
The great thing is this.....at Total Body Surgical, we can do both procedures at the same time, saving time and money.....one anesthetic, one recovery time. How can we do this?? Because we have two fellowship trained Cosmetic Surgeons that work very well together. We can do both procedures in under three hours and usually as an out patient.
Get your pre baby body back....come see us today!!
Call 918-786-7780 for a complimentary consultation!
We have special spring pricing to help you get back in shape for summer!
This young lady is a good example to discuss. For women who have never had children have tighter skin than those who have not...in most cases. This makes sense in that their breasts have not enlarged gradually over nine months, then shrunk down after. When the skin is tight and implants are placed, it takes a little bit of time for the skin to stretch to accomidate them, in some cases, up to three months or so. The other thing to consider is the distance between the nipple and the fold under the breast. If you look at this picture, in the 45 degree view, you can see the natural fold under the breast that delineates the breast from the chest wall. This is the nipple to fold distance. In women with small breasts, who have not had children, this distance is usually very short. If you can imagine placing an implant in this breast, the implant will ride high until this skin stretches to accomidate the new and extra thickness of the implant. After the skin stretches, the implant drops into place giving the more natural look that most women want.
As you can see in this picture, the nipple to fold distance in the first photo is essentially non-existant, in the after photo, 3 months later, the implant has settled, the skin has stretched, giving a nice result. Again, 3 months later!!
After 
