Dr. Delgado for Mommy Makeover Surgery
Board-certified plastic surgeon Miguel Delgado, MD is internationally renowned for his Mommy Makeover technique and results. He has performed thousands of these complex procedures and has been featured in worldwide audiences. He has an artistic eye to bring the best out of one’s body after childbirth. This is a truly customized treatment, requiring a sensitive staff and surgical team to obtain the best results while holding safety in the highest regard. Dr. Delgado takes great pride in building trust and developing a great working relationship with his patients and their families—and he would be honored to do the same with you and yours.
What Is a Mommy Makeover?
Mommy Makeover is a marketing term that defines the surgical treatment combination of a tummy tuck, breast surgery, and liposuction. As a rejuvenating procedure for women, it is primarily geared toward women who have completed childbearing years. The goal of a Mommy Makeover is to return one’s body to its pre-pregnancy appearance by addressing sagging breasts, excess abdominal skin, stubborn fat along the waistline, and/or a variety of other breast- and midsection-related aesthetic concerns.
Many mothers who are unhappy with their bodies after pregnancies can readily identify with the term Mommy Makeover. Since most women find that exercise and dieting fall short in restoring their body to their pre-motherhood condition, those who are serious about finding a solution will often turn to this ultimate fix, a Mommy Makeover.
At our practice, all Mommy Makeovers are custom-planned and performed by Dr. Delgado, our board-certified plastic surgeon. Based on your unique needs and goals, he can personalize a surgical approach to achieve the look you desire, often using computer imaging to both fine-tune the plan and show you predicted results prior to moving forward with treatment. Ultimately, Dr. Delgado’s aim for Mommy Makeover patients is not simply to enhance your appearance, but also significantly improve your self-image and esteem.
What Changes Does Pregnancy Have on the Female Body?
The goal of pregnancy is to provide a perfect environment for the fetus—to provide plenty of nutrients, easy expansion of the abdomen area, and adequate breast milk. The breasts enlarge during pregnancy and endure further stretching with engorgement from milk throughout the breastfeeding phase. The skin stretches, but it often does not recover to its former integrity because the elastin and the collagen fibers have been permanently altered. This stretching of the skin changes the shape of the breasts, and the breastfeeding process can reduce the overall size. Women often note that they wear a smaller bra size after their pregnancies than they did beforehand.
In addition, the effect of a fetus carried in the abdomen is generally extensive stretching to the abdominal wall; with multiple pregnancies having an even more profound effect. The skin stretches to a point that stretch marks commonly occur. Even years after delivery, the skin remains loose and may even sag so much that an apron of loose skin exists. If a Caesarian Section has been performed, a ledge may have formed above the C-section incision. Not only has the skin been stretched, but the underlying abdominal wall has been stretched out as well, resulting in a bulge of the abdomen. This is referred to as diastasis recti.
Women who have children a bit later in life tend to suffer a larger impact from their pregnancies on their breasts and abdomen than younger mothers. Their skin tone is already compromised somewhat by the passage of time, and the changes wrought by pregnancy and breastfeeding only add further insult to the wonderful experience.
Most women find it difficult to manage their weight after pregnancy. This has to do with the body changes of pregnancy, hormone fluctuations, and the extreme work required to raise a child. This is why liposuction is a common additional procedure in a Mommy Makeover.
Fortunately, a Mommy Makeover can address all of these issues, restoring volume and youthful contours to the breasts and a firm, flatter profile to the abdomen with a shapelier waist. The procedure flowcharts in the “What Are My Mommy Makeover Options?” section below illustrate the problem areas a woman may have after her pregnancies are completed and how surgery can restore her figure in ways that no amount of dieting and exercise can ever achieve. It is important to note, however, that these are generalized illustrations, and an actual consultation is needed to customize a Mommy Makeover to meet your particular needs.
What Can I Expect in My Initial Mommy Makeover Consultation?
In your initial consultation, you and Dr. Delgado will discuss your cosmetic concerns—as well as your short- and long-term goals—and he will describe what the Mommy Makeover encompasses. He will then perform a physical examination, from which he will advise you as to which procedures are the best for your situation and where the incisions would be located. Dr. Delgado has an extensive library of before and after pictures, and you will have the opportunity to review photographs of his previous patients. He may also use computer imaging of your abdomen and waist to give you an approximate idea of the outcome you could expect, as well as better illustrate where the incisions would be placed. Once this is completed, a quote will be given and explained in thorough detail.
Dr. Delgado will also review your medical history and determine how extensive your pre-operative testing will be, or if other medical consultations will be required. This will determine if the surgery can be performed as one operation or staged into two.
How Is the Mommy Makeover Procedure Performed?
A Mommy Makeover procedure is performed under general anesthesia. The liposuction of the waist is performed first as the body is positioned side-to-side to remove the fatty tissue back to the spine region, which greatly slims the entire waist and recontours the top of the buttock region (making it appear more full and plump at the top). Dr. Delgado’s patients have been overly satisfied with this liposuction approach.
The breast surgery is performed next, which could be breast augmentation and/or breast lift—or possibly a breast reduction. Lastly, the abdominoplasty is performed. During this process, the diastasis recti repair (or the loose abdominal muscles) are repaired. A long-acting pain medication, Exparel, is also injected into the tissue, which provides pain relief for up to four days. The operating table is then flexed at 60–70 degrees, and the skin is pulled downward and trimmed. This is why the patient is bent over for five to seven days after surgery. If necessary, the bellybutton is brought outward and meticulously inset.
“To drain or not to drain” is one of the current discussions. Dr. Delgado has done both, and for the aggressive type of tummy tuck, this is performed. He feels that using drains for a short period of time helps to avoid the dreaded seroma (fluid build-up) complication. In fact, Dr. Delgado never sees this potential complication.
The last step of surgery is the body dressing and placement of the compression garment. Once these are situated, the patient wakes up immediately due to the light anesthesia utilized.
What Are the Potential Risks and Complications of Mommy Makeover?
As with all surgical procedures, there is the risk of complications and adverse events for Mommy Makeovers. The combination of procedures—i.e. breast surgery, tummy tuck, and liposuction—can take from six to eight hours or more in some cases to complete. In order to determine if you are a suitable candidate for these combined procedures, Dr. Delgado and the anesthesiologist conduct a detailed review of your medical history, lab values, and if indicated, EKG results. If you have certain risk factors, Dr. Delgado will split the procedures and stage them appropriately. Both Dr. Delgado and the anesthesiologist participate in this process to determine if you are physically and mentally able to proceed.
Generally speaking, the risks of this procedure are infection, bleeding, incision scarring, and contour abnormalities. With the breasts, the risks are capsular contraction, deflation of implants (if they are used), and asymmetry—as well as the risk of blood clots or thromboembolism. Thromboembolism is a serious and potentially life-threatening complication of plastic surgery and is a risk which is particularly associated with tummy tuck procedures. At Marin Cosmetic Surgery Center, we practice extensive precautions to prevent thromboembolisms from occurring. Specifically:
- Anti-embolic custom-fit stockings, which are worn at all times
- Pneumatic leg compressions, which are placed at surgery and also sent home with the patient to be worn at all times (unless walking) during recovery
- Initial compression garment, which is not tight and obstructive to flow
- Instructions to walk around the house every hour when awake
- Prescription of a blood thinner, Loninox, which is an injection that starts the day after surgery for seven days; all patients do not require this, so potential need will be determined at the time of the pre-op visit
- Directions to place a pillow underneath the knees to encourage unobstructed blood flow when sitting or laying in bed
Complications can occur with any surgery, though an experienced surgeon can keep these to a minimum and handle them conscientiously with sound judgment. As you look to choose a plastic surgeon, be mindful that Dr. Delgado will remain just as engaged, concerned, and caring about your results after surgery as he was prior to surgery and during the surgical procedure itself. Not only is he a perfectionist with his surgical technique, but his commitment to his patients’ satisfaction extends well beyond the day of surgery.
Additionally, be aware that the best choice is a physician who is a plastic and reconstructive surgeon who is in good standing and certified by the American Board of Plastic Surgery. Although these credentials do not promise a good outcome, they do assure that you will be working with the gold standard of the plastic surgery industry. For even further assurance that you are choosing the most qualified surgeon, look for members of the Aesthetics Society, ASAPS (American Society for Aesthetic Plastic Surgery). The Aesthetics Society requires extensive continuing education of its membership. This group of surgeons specializes in cosmetic surgery, such as tummy tuck, breast surgery, and liposuction combinations.
How Much Does a Mommy Makeover Cost?
The cost of a Mommy Makeover generally falls within a $15,000–$20,000 price range. A key factor that influences pricing is the specific breast surgery performed, as Dr. Delgado’s plastic surgeon fee is set and the cost for tummy tuck and liposuction is fairly fixed. In addition, anesthesiologist and surgery center fees are based on how long it takes to complete the surgery, so the time estimate for surgery can impact the overall expense. For example, a breast reduction or breast lift with implants takes much longer than a breast augmentation alone, so the former options would likely be more expensive than the latter. Other fixed costs typically include compression garments (2), Exparel, Embrace, and the overnight fee in the Marin Cosmetic Surgery Center. (The overnight facility has a specially trained nurse and a second assistant who care for your needs throughout the night following your procedure.)
At the time of your consultation, Dr. Delgado can provide a more personalized price quote for Mommy Makeover based on your unique needs and goals.
Additional Mommy Makeover FAQs
Does a Mommy Makeover have to be performed in stages?
A Mommy Makeover is commonly performed in one operation. However, there are situations in which a staged procedure is best. Each patient is evaluated for the length of the surgery and overall health. A Mommy Makeover may be staged in the following situation(s):
- Overweight – The higher the BMI, the more likelihood of a staged surgery. At a BMI over 25, Dr. Delgado begins to evaluate staging the operation.
- Medical Condition – A medical illness such as diabetes, a heart condition, or many other ailments that would affect the healing process or length of surgery may be a reason for staging surgery.
- Surgery Time – A Mommy Makeover is a combination procedure and can be more extreme from patient to patient. This may be a reason to split up the surgeries due an extended surgery time. The longer the surgery, the higher the risk of complications.
Can I have more children after a Mommy Makeover?
Women are advised to have a Mommy Makeover after they have completed their childbearing years. This is the best situation.
The “cornerstone” of a Mommy Makeover is a tummy tuck and tightening the abdominal wall. This will constrict and tighten the abdominal wall. This does not affect a woman’s fertility, so getting pregnant will be unchanged. In fact, Dr. Delgado has had patients who have gotten pregnant after their Mommy Makeover without any issue. That said, pregnancy after a tummy tuck may require an additional surgical procedure.
Dr. Delgado prefers to only operate on women who have completed their child-bearing years for a complete tummy tuck, which includes muscle tightening; however, he will perform a tummy tuck on women without muscle repair. These are women, typically, who have lost weight and have redundant skin.
Will a previous C-section or hysterectomy affect my Mommy Makeover results?
No, not at all. The c-section or hysterectomy scar will typically be completely removed and replaced with the tummy tuck scar. There is certainly scar tissue below, but this is no issue.
How can I maintain my Mommy Makeover results?
It is as simple as diet and exercise. Maintaining your weight and your routine exercise with core workouts will be very beneficial.
How do I choose the best Mommy Makeover surgeon?
Selecting the right Mommy Makeover surgeon for you is a critical decision. This procedure requires a highly trained surgical team and anesthesiologist. This is a long procedure which requires many details in the operation room. So, it is important to know where the surgery is performed and that the facility has the proper certifications. The surgery demands many post-operative visits for complete care, and selection of an office which has a warm and welcoming staff is critical. You will have many questions along your journey.
Your surgeon needs to be Board-Certified by the American Board of Plastic Surgery. There is no exception to this in the United States. This is the gold standard for training as a plastic surgeon. Do the research first so you do not waste your time. Visit the website of your prospective surgeon and look at before and after photos. Does the doctor have a few or many? Do you like the after photos and are they fairly consistent? Doctors post their best work, so keep this in mind. You can also look at online reviews to read what other patients are saying about their experience. Based on your research, you can make an appointment to visit the doctor. It will be obvious if you get a good feeling about him/her and the office. You can price shop, but by no means should you make such a critical decision based on cost alone.
Contact Dr. Delgado and Marin Cosmetic Surgery Center
Mommy Makeover patients are some of the happiest patients at Dr. Delgado’s practice. The results from these procedures are positive and life changing. If you think that you would benefit from a Mommy Makeover, schedule a consultation with Dr. Delgado to discuss your situation. He will take the time to hear your concerns and, with his extensive expertise and experience, present the best options for you and your budget to achieve your goals.