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
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.
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.
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.
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.
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.
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.
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.
Her 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.
Mommy 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.
Massive Skin Laxity
Patients present to my office in Beverly Hills status post pregnancy, weight loss and status post breastfeeding with massive amounts of skin laxity after significant weight gain and then significant weight loss after pregnancy.
This patient specifically has severe grade 3 ptosis and her nipples are well below the inframammary fold. She has significant amounts of lower abdominal skin laxity with stretch marks extending 3 cm above the belly button. The patient underwent silicone gel augmentation using high profile silicone implants behind the muscle with a complete mastopexy, formal breast lift, removing skin using the anchor pattern or Wise-pattern technique, full abdominoplasty with tightening of the rectus sheath and muscle internally. Her postoperative results are at six weeks and still show some redness of the scars around the nipple areolar complex and vertically; however, the nipple positions are now placed perfectly in the central portion of the breast. She has a natural appearance to her breast with good tightening.
The patient’s abdominoplasty shows tightening of the rectus sheath, still healing scars of the umbilicus and the Pfannenstiel incision. The liposuctioning of the iliac crest rolls smooth out the hips nicely. The patient will be maintained on Bio corneum silicone spray twice a day for six months. She has worn an abdominal binder for six weeks and will continue for another four weeks. Her postoperative course if uneventful and she has an excellent result for a mommy makeover, having had an abdominoplasty, liposuction of the hips, breast augmentation and a formal mastopexy using the inferior pedicle Wise-pattern technique.
The patient below is status post massive weight loss, over 140 pounds, was actually featured on the Dr. Oz Show with Dr. Linder after Dr. Linder’s total transformation of the patient’s breasts and abdomen. The patient had severe grade 3 ptosis, skin laxity and a massive abdominal pannus after losing 140 pounds. She, however, was left with a massive amount of loose skin from the breasts as well as the abdominal area. She has undergone a formal mastopexy using the inferior pedicle Wise-pattern technique (a massive breast lift) and a panniculectomy, removing the pannus. She also had liposuctioning of the iliac crest rolls or the muffin-top. She is two years postop now and presents with a postoperative photo. Notice that she has excellent fullness and scarring is quite reasonable. Her pannus is gone and she no longer has those rolls of skin and fat along the lower beltline. She is content with the results, even two years later, with the use of underwire brassieres, sports bras and a Dr. Linder Bra at night. She now still has good breast fullness without skin recurrent laxity.
The total mommy makeovers can be performed on women who have had massive weight loss either due to gastric bypass surgery or simply due to diet and exercise. Regardless, removing skin from the breasts and stomach with patients who have a significant amount of breast tissue can end up with nice volume breasts without the use of an implant and paniculectomies can be formed allowing for a night tightening effect concurrently.
Dr. Linder was excited to see patients in Las Vegas over the weekend. Patients most often arrive for breast reconstruction and revision surgery. One of the consultations was with a patient specifically with severe scar tissue contracture with the left implant elevated superiorly and hardening with Baker IV capsular contracture and pain. These can easily be fixed by reducing scar tissue, releasing the capsule and softening the pocket. The implants can also be replaced from the low profile to high profile saline or silicone implants to increase projection and reduce lateral width.
Other consultations that day also included mommy makeover, including breast implant lift, tummy tuck and liposculpture of the hips. These patients present to Beverly Hills from Las Vegas for surgery, including breast augmentation, breast revision, breast lift, breast reduction, liposculpture, and abdominoplasty.