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Category: Mommy Makovers

TOTAL MOMMY MAKEOVER UNDER 35

Patients present to my office weekly requiring total mommy makeovers at a much earlier age. This is associated with pregnancy and history of breastfeeding. The case below is a patient who is only 25 years old, who presents with bilateral breast dysphoria, involutional upper pole atrophy, and loss of upper fullness of her breast. She is an excellent candidate for augmentation mammoplasty procedure using a high profile saline implant under the muscle in the dual plane technique in order to obtain upper pole fullness. Her lower abdominal area shows skin laxity with some lipodystrophy at the muffin-top regions.

The patient underwent bilateral augmentation using high profile saline 425 cc Natrelle Allergan implants through the periareolar approach, dual plane and a full abdominoplasty through a tightening of the rectus sheath and liposuctioning of the hips. The frontal view shows slight asymmetry with the right breast slightly smaller than the left and 10 cc more volume was added. It also shows rectus diastasis in the lower abdominal area with the muscles pulled out and a pouching of the lower abdominal region. The side view shows the skin laxity of the abdomen and nicely shows complete flattening of the upper pole of her breast. Her postoperative oblique view shows excellent upper pole fullness with tapering of the implant along the lateral inframammary fold. Her oblique view of the tummy tuck shows nice softening of the hips, well-healed scars around the lower abdominal area and the umbilicus and makes tightening of the rectus sheath in the midline.

Patients under 35, including this 25-year-old, do well with high profile saline implants to enhance the upper pole loss of fullness due to involutional atrophy associated with breastfeeding at a young age and full tummy tucks are excellent procedures for patients who no longer desire to have children in the future.

MOMMY MAKEOVER

MINI MOMMY MAKEOVER

The below example is a typical case of a patient who presents for a mini mommy makeover. She has had a cesarian section, has involutional upper pole atrophy, loss of upper pole fullness of her breasts, has lipodystrophy adiposity of the iliac crest rolls, and rectus diastasis. Her desire is to improve the fullness of her breasts. She has Grade I ptosis and will do well with straight augmentation mammoplasty procedure without the need for a breast lift, high profile saline implants as well as a mini abdominoplasty with tightening of and plication of the rectus sheath from the umbilicus to the suprapubic region as well as lipo-sculpting from the lower flank down to the iliac crest roll regions.

BHMommyMakeover1

On frontal view, please note the flattening of the lower abdominal area. Notice the natural projection of her breasts using the high profile saline implants in the dual plane. In the oblique you will notice the hips have been smoothed down beautifully with a much more elegant contour, less bulkiness above the jean line and a smoothening of the lower abdominal wall. The mini mommy makeovers can be performed with implant lifts concurrently with mini abdominoplasties and lipo-sculpting of the hips as well as the inner and outer thighs. Patients who have mini abdominoplasties normally have redundant skin of the lower abdominal wall; however, have good tissue and good skin tightening of the abdominal area and hypogastrium, not requiring a full extensive abdominoplasty.

We look forward to taking care of you for your mommy makeovers after you have finished having your children and finished breast feeding.

Body Contouring After 3 Children

body contouring dr. linder

About six months ago, I performed a massive tummy tuck and breast lift on a patient with the intent to have a follow-up surgery to complete her full body contouring makeover. After having three children all by c-sections and undergoing significant weight loss, we agreed to reach her goal by having two surgeries. The second surgery entailed liposuction around the abdominal area and inner thighs as well as removal of excess skin (dog ears) that had bunched up from the tummy tuck procedure.

The first photo to the left was taken right before her first surgery. The middle photo was taken right before her second surgery (liposuction). The far right photo was taken three days post-op after her second surgery. The photo below is now four weeks post op. As you can see, her waist and stomach area look great, and she is extremely happy with her new shape.

4 Weeks Post Op

4 Weeks Post Op

To schedule your consultation with Dr. Linder or learn more about body contouring or breast lift surgery, call our office at 310-275-4513 or fill out our online contact form today.

 

 

 

 

 

Mommy Makeover Breast Enhancement

mommy makeover breast enhancement

I recently examined a 38-year-old female patient who wanted to enhance her breasts. After breastfeeding two children, she had experienced a loss in shape and fullness of her breasts. During her consultation, she also inquired about the size of the nipple region. After examining her and confirming her goals, we scheduled surgery downstairs at the Brighton Surgical Center, which is in the same building as my office.

During her breast surgery, I placed 400 cc silicone SRX breast implants and performed a breast lift and areola reduction. After four weeks postop, you can see that the patient has restored the shape and fullness to her breasts and has decreased the size of her areolas.

To schedule consultation with Dr. Linder or for more information on breast options call us at 310-275-4513 or contact by email.

 

 

 

 

Mommy Makeover / Tummy Tuck & Breast Lift

I was presented with a 40-year-old female who was looking to have a mommy makeover. During the consultation she was looking to have her abdomen enhanced as well as a breast augmentation. She explained that after 2 hernia surgeries and post pregnancy her goal was to get her shape back to pre pregnancy.

After setting her expectations, we decided to perform an abdominoplasty or tummy tuck, along with a breast lift and 240cc saline breast implant filled to 270cc to her right breast and 350cc to the left breast.

As you can see, after only six weeks post op, the patient is looking fantastic, and I’m very pleased with her recovery.

 

REQUIRED STEPS OF AN ABDOMINOPLASTY

abdominoplasty01

We perform abdominoplasty and tummy tuck procedures weekly in our Beverly Hills Surgery Center as our patients undergoing complete mommy makeover reconstruction, including augmentation, breast enhancement, mastopexy, body lipo contouring and abdominoplasty. The perfect tummy tuck requires multiple steps during the surgical procedure. The first step includes the incision site being made near the inferior position above the suprapubic hairline. This should be placed low enough that the patient will be able to wear postoperatively the clothing and fashion that the scar will be well hidden. The dissection should be carried out carefully meticulously above the fascia of the external oblique muscle midline rectus sheath up to the subcostal ribs maintaining a cuff of fat with the umbilicus to maintains its blood supply, preventing avascular necrosis; however, death of the umbilicus or belly button. The photographs displayed here show a clean dissection anatomically of the entire abdominal wall. Notice the midline rectus fascia and notice the sutures of the O-Ethibond in the midline rectus sheath. This patient is 42 years old and status post deliveries. Notice the external oblique muscle laterally. It’s tight and does not require further tightening sutures. Midline plication has been performed both supraumbilical and infraumbilically from two fingerbreadths below the subxiphoid point to the umbilicus and once again below to the suprapubic region. Plication of the muscle sheath is absolutely essential for a firm and tight appearance to the lower abdominal wall.

abdominoplasty03

The next photograph shows specifically patient in a V-Y configuration, also referred to as the semi-Fowler position with redundant dermoglandular tissue retracted inferiorly, carefully marked and incised as well as allow for the removal of the redundant skin and fatty tissue. After closure of the wound, tumescent liposculpturing the bilateral iliac crest hip region with tumescent liposculpture technique is performed and the reposition of belly button and umbilicus. This ends the final step, which should be done in an oval-like fashion, which will allow for a more natural appearance to the umbilicus rather than round. We used two 10 mm JP drains in order to remove serous fluid as well as small amount of blood as well as tumescent liposuction fluid from the abdominal wall which is furthermore also allows scarring back down in the abdominal tissue to the muscle fascia. Patients are placed with abdominal binders for up to six weeks. Antibiotics were seven days, pain control with Norco. It is important to understand the specific anatomy and the specific pathological diagnosis and physiological sex of pregnancy and significant weight fluctuation on the abdominal wall. The tightening of the abdominal muscle is essential for retraining optimal results and intraoperative photos are taken prior to abdominal wall closure. It should be discussed with your plastic surgeon prior to the operation.

 abdominoplasty02

TOTAL BODY – TOTAL MOMMY MAKEOVER

Patient in her preoperative photograph shows severe weight loss leading so significant skin laxity of the breasts, abdomen and hips.  She lost approximately 120 pounds and underwent 10 months ago augmentation mammoplasty procedure using high profile saline implants over-filled; a formal mastopexy using the inferior pedicle Wise-pattern technique (breast lift anchor scar) and a full panniculectomy with muffin-top liposculpturing of the hips.  This patient is now 10 months postop.  Notice the positioning of the nipple areolar complex from preop to postop and that the size of the areolas which were approximately 10.5 cm preop now have remained constant at approximately 4.2 cm.  The positioning of the implants has settled nicely over the last 10 months and the symmetry of the breasts is excellent.

The abdominal area shows excellent tightening of the skin or lower abdominal area.  The scar can be notable just above the underwear line.  It is slightly pink and this will continue to improve over the next six months.  This patient has now been instructed to continue abdominal wall exercising, including crunches with the personal trainer.  The sides of the hips show nice softening and a great reduction in the lipodystrophy status post the muffin-top procedure.  This patient has undergone a total mommy makeover, which has included augmentation mammoplasty, formal breast lift as well as a full panniculectomy with liposuctioning and sculpting of the hips.  This holiday season is an excellent time to get your body back to its original pre-pregnancy or after massive weight loss status.

Board Certified Plastic and Reconstructive Surgeons have the capability to perform procedures to regain your body back to its excellent preoperative appearance which include breast implants, breast lifts and full tummy tucks.

Mommy Makeover

This patient is a 39-year-old Asian female presenting for a mommy makeover after having her second child through cesarian section.  Her breasts show involutional upper pole atrophy, loss of fullness of her breasts with significant skin laxity and sagginess.  Her left breast is significantly “saggier” than the right.  The patient gave me permission to perform a breast lift on one or both breasts as necessary after placing implants if they did not settle in the appropriate position.  She also will undergo a full abdominoplasty, tummy tuck, with plication of the muscle, tightening of the rectus sheath and lipo-sculpting of the muffin-top in order to give her a nice waist.  The frontal view, before, shows loss of upper pole fullness, grade 2 ptosis on the right and between grade 2 and 3 on the left.

Her postop photo shows nice positioning of her 375 cc style 20 Natrelle Allergan silicone implants.  Notice only a periareolar incision made.  No lift was performed and the small amount of residual nipple ptosis on the left breast is acceptable to the patient.  Her abdominoplasty scar is well hidden below her underwear and the contouring of her hips is nice, showing a reduced muffin-top and more contouring of hourglass figure.  This is an excellent example of a mommy makeover on an Asian patient with an internal tightening/lift performed without external scars.

STATUS POST GASTRIC BYPASS, MOMMY MAKEOVER, TOTAL BODY RECONSTRUCTION

The patient below presents with a 125-pound weight loss after a laparoscopic banding procedure leaving her with severe asymmetry, grade 3 ptosis (right breast significantly larger than the left with asymmetry), a significant abdominal pannus, skin laxity, rectus diastasis and lipodystrophy of the hips.  The patient is now two months postoperative with 500 cc high profile Natrelle saline implants placed in the dual plane technique, formal mastopexy or Wise-pattern skin excision was performed, creating a tightening procedure of bilateral breast, as well as a full abdominoplasty with plication tightening of the rectus sheath and liposculpturing of the muffin-top area was accomplished.  Preoperative photos show severe asymmetry requiring slightly different volume implant placement (right smaller than left in terms of volume of implant size) and bilateral complete mastopexies reducing the large areola to 4.2 cm.  Notice the right areola preoperatively was approximately 9 cm wide.  She also has skin laxity in the lower abdomen which requires a full abdominoplasty with plication of the midline muscles of the rectus sheath. Her oblique views show excellent contouring with nice fullness to the upper pole of her breast associated with the high profile saline implant.  She has good nipple positioning without skin laxity along the inframammary fold.  The lower abdomen shows nice concavity with tightening of the rectus muscles, excellent definition of the midline and smoothing out of the hip region.  Patients who undergo gastric bypass surgery from Rouen-Y procedures, gastroplasties or laparoscopic banding, once they have lost a significant amount of weight, reaching the baseline, will do well with reconstructive surgery of both the breast and abdominal areas, as this patient is an excellent example.

Mommy Makeover Beverly Hills Style

The patient below presents for Mommy Makeover Procedures.  The patient has multiple complaints of the body, including breast dysphoria and grade 2 ptosis with sagginess of the breast as well as abdominal wall laxity and vertical midline scar status post gastric bypass surgery procedure as well as a significantly large pannus requiring a panniculectomy, liposculpture of the hips, repositioning of the umbilicus and repair of an upper epigastric hernia with a general surgeon.

tummy-tuck-1b1Her front views preoperatively show grade 2 ptosis; however, patient declines a breast lift at this time and therefore conservative high profile saline implants will be placed subpectorally in order to reposition her nipples without performing a skin lift.  She also has a large abdominal pannus of lower abdomen with midline upper epigastric hernia found on abdominal CT scan.  The patient was referred to Dr. Robert Uyeda, our general surgeon, for concurrent reconstruction of abdominal wall with abdominoplasty and augmentation mammoplasty procedure.

The patient’s after photos show a very nice contouring of the lower abdominal area.  The midline vertical scar is now found below the umbilicus and the umbilicus has healed nicely.  The abdominal hernia was repaired with epigastric mesh, Marlex mesh graft reconstruction as well as liposculpturing of the iliac crest rolls and implant placement in the dual plane technique.  The patient is very happy with the results, showing a full C size breast with dual plane saline augmentation mammoplasty procedure using high profile saline implants, full tummy tuck with complete skin removal, tightening of the rectus sheath, hernia repair and sculpting of the iliac crest roll and muffin top procedure.

tummy-tuck-1a1Mommy Makeovers in Beverly Hills are performed in my operating room weekly.  These patients should be preoperatively evaluated by their internists, cleared for surgery for general anesthesia and if hernias are found, abdominal wall reconstruction should be performed concurrently with a general surgeon.

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