Mommy Makeover Surgeries Explained
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Breast Lift Surgery:
As skin loses its elasticity or volume, the breasts will often lose shape and firmness and begin to sag.

• Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts.
• Can also reduce the size of the areola and reposition the nipple
Factors such as pregnancy, nursing, weight loss and gravity can affect female breast shape.
The m ost common technique, according to Edina Plastic Surgery, involves an anchor-shaped incision following the natural contour of the breast.
   – The incision outlines the area from which breast skin will be removed and defines the new location for the nipple.
   – When excess skin has been removed, the nipple and areola are moved to the higher position.
   – The skin surrounding the areola is then brought down and together to reshape the breast.
   – 
Stitches are usually located around the areola, in a vertical line extending downward from the nipple area, and along the lower crease of the  breast.

Tummy Tuck:
Extra skin and stretch marks of the lower abdomen are removed, and the muscles are tightened, in exchange for lower abdominal and belly button scars.
• The most common techniques include:
   – 
Full tummy tuck: incision extending from hip to hip, and an incision around the belly button will be made
   –
Mini and modified tummy tucks: incision is much shorter and none is made around the belly button
   – 
Skin and fat is lifted off the abdominal wall, muscles usually tightened, then excess skin is removed
   –
A new opening for the belly button is made, drains are placed, and the incisions are then closed

Butt Augmentation:
• 
Butt augmentation can be performed in conjunction with other surgical procedures.
   – 
Combined procedures of abdominoplasty, liposuction, breast lift and butt augmentation are often called "Mommy Makeovers"
   – Allows patient to have a single recovery vs. three separate ones
• Another common procedure is gluteal implants:
   – 
Make an incision in the fold between the buttock cheeks and insert a solid silicone implant into the pocket below the gluteus muscle and above the pelvic bone
• 
According to ASAPS, autologous fat transfer is the most common butt augmentation procedure:
   – Entails grafting fat from one body part to add volume to another
   – Donor sites may include abdomen, hips, back or thighs
   – Fat cells are removed via lipoplasty and injected in "layers" into buttocks
   – Surgeon may also use liposuction to further contour the buttocks
   – 
For Amanda: Made a pocket under the butt skin and tucked in extra tissue, which takes the muffin top away and adds it to the butt

Tips for Someone Considering Surgery:
• Ask yourself if you really have a problem that needs to be fixed with a surgical solution
• Are you trying to fix a psychological problem with a physical solution?
• 
If a psychological problem exists, you need to treat that first. Then if you want to have cosmetic surgery, do it for the right reasons.
• The d
ecision to have cosmetic surgery should be about how you feel about yourself, not how everybody else feels about you.

Sources: Dr. Nathan Leigh, American Society for Aesthetic Plastic Surgery, Medscape, Journal of Plastic and Reconstructive Surgery, APA.org

Related:
What to ask before undergoing cosmetic surgery
Plastic surgery dos and don'ts
Breast augmentation

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