Pregnancy and lactation, although they are natural processes that probably represent one of the best and most unforgettable experiences in a woman’s life, have some impact on her figure: breasts can lose a large part of their volume, remain ” empty “, and the ligaments of the same are distended so that the chest falls, losing the youthful aspect previous to the pregnancy. Likewise, the skin of the abdomen becomes flaccid, and the fatty deposits at that level are difficult to eliminate, despite following a healthy diet and exercising constantly.
All this means that women may not feel comfortable with the clothes they used to dress before pregnancy, and that they remember with nostalgia the figure that, not so many years ago, they wore in bathing clothes.
The mommy makeover seeks to return in a relatively quick way the figure they wore before their pregnancies, which allows them to see themselves better and wear the clothes they like the most.
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ADVANTAGE
In a single period of surgery (between 2.5 – 5 hours depending on the case), it is possible to act at the same time in those areas that tend to create more aesthetic concern in women, which after surgery will get a flat abdomen and a breast firm and aesthetic (taking into account that the period of post-operation must pass, during which the tissues are inflamed and the aesthetic aspect is not the definitive one).
The costs of undergoing surgery that includes 2-3 treatments are less expensive than the cost separately because when combining several aesthetic procedures in the same surgery, the costs of operating room, anesthesia and surgical equipment decrease, which is less expensive Perform these procedures once by distributing them in several surgeries.
In the same way the risks derived from the anesthesia are assumed only once and not 2 or 3.
DISADVANTAGES
The stress suffered by the body is greater since it is more of an area. In addition, the risk of any complication increases because the surgery is more elaborate, by combining several treatments.
The postoperative period should also be taken into account. The same thing that may seem in the first instance an advantage, since you would not have to enter the operating room several times, can be an inconvenience. Your body must recover to a greater extent since more areas have been addressed.
WHAT WE RECOMMEND?
There are not two patients alike nor are there two equal surgeries, so our medical team in Plastic recommends any woman who is considering undergoing a mommy makeover to be advised by a good plastic surgeon expert in this type of combined surgeries and with a long experience.
It is important that the surgeon carefully study each case and recommend to his patient whether or not to commit to the intervention since there are many factors to take into account (physical, skin type, medical history, personal and psychological situation, motivations, etc.) especially in the case of mothers who have had their children recently.
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MAMAS:
Problems: All breasts, whatever their original size and situation, can present these changes:
• Loss of volume: the breast is smaller in its entirety.
• Ptosis: the breast falls, the nipple is below its usual situation.
• Loss of the upper pole: it is one of the most common and annoying situations. The upper part of the breast is completely flat, this is due to the decrease in volume and ptosis.
SOLUTIONS:
For each particular case there is a surgery that solves these situations:
• Implants: The placement of implants is the procedure that is most commonly performed in the breasts. Not only in those who want to increase the volume but also in those cases of mild descent of the gland (minimal ptosis) since it generates the lifting of the same without having to perform a mastopexy.
• Mastopexy: Used to improve sagging breasts. This technique consists of removing excess skin and rearrangement of the mammary gland with deep points forming a kind of internal bodice. The result is a taller and smaller breast because the existing tissue is compacted in a superior position.
• Mastopexy with implants: Because the Mastopexy technique shows a decrease in volume, it is usually associated with the placement of breast implants so that the final result is a higher breast but of equal or greater volume than the existing one.
• Breast reduction: In those patients who had mastomegaly, in addition to repositioning the tissues, it is necessary to remove excess fat and skin. It is the classic operation where skin is also removed and the breast is armed by means of an inverted T scar. Much of the stretch marks are gone.
ABDOMEN:
Problems: Given the abdominal distension during pregnancy, each of the planes of the abdomen is affected.
• Skin: there is cutaneous excess with or without the appearance of stretch marks. It can be seen at the infraumbilical level only or also at the supraumbilical level.
• Fat: there is an excess of fat, especially at infraumbilical level.
• Muscles: at the level of the midline, both anterior rectus muscles separate. It is the so-called “diastasis de recto”. The degree of separation is very variable, from something minimal that is only perceived before an effort (when contracting the abdomen, a space is palpated between both muscles) up to more severe degrees that cause the intra-abdominal content to protrude in the middle line reaching to give the aspect of pregnant without being.
SOLUTIONS:
• Abdominoplasty: A transverse incision is made in the lower abdomen (above the pubis) of variable length, it is placed as low as possible so that the patient can wear a two-piece swimsuit and the scar is hidden. In those patients who had their children by caesarean section, the same approach can be used. A flap formed by skin and fat is separated from the muscular plane below. The navel of the patient is preserved since it is cut out and holds the muscle together by means of its stem. The dermal flap is raised to the costal margin, leaving both rectus abdominis muscles exposed throughout. The “plication of the midline” is performed, a procedure thanks to which these muscles are joined together without any intervening space. The surplus skin and fat are removed, generally all the tissue below the navel is removed. The flap is tensed and taken to the pubis. The navel is repositioned by a new hole and the incisions are sutured. We leave drains to prevent the accumulation of inflammatory fluids and thus avoid seromas and hematomas in the postoperative period.
POSTOPERATIVE
After the tummy tuck the drains are left for approximately five days. The points are removed from the tenth day. It is recommended to wear a girdle for three weeks. The activities are taken between 7 and 10 days after the operation. Usually there is pain, especially the first days, which is handled with analgesics.
Babies should not be lifted in the postoperative period, but they can be held in them arms.
• Mini-tummy tuck: When the problem is limited to the region below the navel, a smaller incision is made and dissected to the navel without affecting it. The plication of the midline is performed, joining both anterior rectus abdominis muscles together, the flap is tightened and the surplus of skin and fat is resected. Sometimes it may be necessary to place drains.
The incision is closed leaving the scar hidden by the underwear.
OTHER PROBLEMS:
ABDOMINOFEMORAL LIPODYSTROPHY:
Bad dietary habits during pregnancy can generate increased localized fat, especially in the abdomen, hips and crotch. In the puerperium it is often difficult to face a weight-loss regimen and exercises, so that these fatty deposits are not eliminated. Also, in the thinnest and most disciplined, there is an increase in adipose tissue in the area of the flanks (the so-called “floaters”) that persists despite the fact that the recent mother has returned to her previous weight.
SOLUTION:
The accumulations of fat are eliminated by Liposuction, this procedure is done alone or combined with any of the other techniques.
• Liposuction: First, areas where there is excess fat are identified: abdomen, flanks, back, hips, pubis, thighs, back, neck, knees, etc. The marking of the areas to liposuction is performed. Once in the operating room, with the patient sedated, surgery is started.
Through small incisions (3 to 4 millimeters) a special liquid solution containing adrenaline is infiltrated to prevent blood loss. Then the liposuction cannulas are placed and the liposuction of excess fat is started, since there are many models and sizes of cannulas, we have an ideal option for each area and with the most delicate the final modeling is performed once the effect has been achieved desired decrease in volume of previously marked areas. If necessary, gluteal or cellulite pockets are filled and finally a point is placed in each entrance hole of the cannulas.
CELLULITE TREATMENT
Mesotherapy: Can be done as long as you are not breastfeeding. It is a very effective treatment not only for cellulite but also for flaccidity.
• Improves the appearance of orange peel.
• Stimulates circulation.
• Stimulates lymphatic drainage.
• Decreases the volume of the treated region.
More information about Mesotherapy
SUBCISION:
The “subcision” is used in cases of advanced orange peel and works punctually on each well. The method consists of placing a specially designed needle from one side of the well and disintegrating the fibrous partitions that are at the base of this depression since these are responsible for the tissue being traced to the depth generating the pitting. Once the partitions are released, a small bandage is made with Micropore around the treated well, which is left for 48 hours. In the area, a hematoma appears that remits in a few days. It is not painful since local anesthesia is placed to avoid discomfort.
Well filling: When the wells are more evident and deeper, the “subcision” alone is usually not enough and it is necessary to also make a filling of the depressed area. The most commonly used material for filling is the patient’s own fat, usually taken from the abdomen, although it can be extracted from any region.
