Dr. Delgado For Mommy Makeover Surgery

Dr. Delgado 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.

Mommy Makeover Videos

Dr. Delgado speaking with female patient about Mommy Makeover surgery in San Francisco

Mommy Makeover Procedure with Dr. Miguel Delgado

Happy female patient after mommy makeover surgery in San Francisco with Dr. Delgado

Sheenah's Mommy Makeover Testimonial

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 in Marin County with Dr. Delgado is to return one’s body to its pre-pregnancy appearance by addressing sagging breasts, excess abdominal skin, stubborn fat along the waistline, as well as a variety of other breasts- and midsection-related aesthetic concerns.

Many mothers who are unhappy with their bodies after pregnancies can readily identify with the term Mommy Makeover. Put together, breast surgery, tummy tuck surgery, and liposuction 
can be an extremely positive, life-altering experience, 
enhancing your self-confidence and self-esteem throughout your lifetime.

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 before 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.

Comfortable chairs

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.

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 impact. The skin stretches to the 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. 

Most women find it challenging 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.

Smiling woman with curly blonde hair

Am I A Good Candidate For A Mommy Makeover?

The best candidates for a Mommy Makeover in San Francisco are women who have completed their childbearing. This is because a tummy tuck involves surgical tightening of the abdominal wall and removal of abdominal skin. After a tummy tuck, these structures no longer have the same stretching capabilities to accommodate a growing fetus. However, you can still have breast surgery and liposuction even if another pregnancy is in your future. A tummy tuck can be done without tightening the abdominal wall, but the skin will stretch again.

A Mommy Makeover is a major surgery and a significant recovery. So, good health is critical for undergoing this procedure. If you have a significant weight issue or medical problems—such as heart disease or diabetes—treatment may need to be broken up into two surgeries. Even though this involves two healing periods, safety is most important. Dr. Delgado and his full-time anesthesiologist, Dr. Riddle, will evaluate your condition and make the appropriate recommendations.

What Are My Mommy Makeover Options?

Breast Surgery

Breast surgery is one of the two essential components of a Mommy Makeover. Breast surgery may be a breast lift (mastopexy), breast augmentation, a combination of breast lift and augmentation, or a breast reduction.

The critical question is whether you are satisfied with your current breast volume. If you feel your volume is sufficient, a breast lift can work wonders while avoiding the long-term maintenance involved with breast implants. If possible, it is always better to work with a woman’s natural breast tissue.

If you feel your breast volume is inadequate, then breast augmentation is needed.

The primary goal is for you to be happy with your breast volume, and the use of saline or silicone breast implants may be necessary to achieve that status.

Another alternative to breast implants is the use of your own fat. This technique is gaining popularity, and fat has become the “Gold Standard” in volume replacement, as seen in facial volume rejuvenation and the Brazilian Butt Lift (BBL).

Breast augmentation with fat injections can generally increase the chest volume by one size. The issue with fat injection into the breast is the calcium deposit that can develop. Calcium is seen in cancerous breast lesions, so the fat injection can potentially cause confusion. 

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Tummy Tuck

Loose abdominal skin and a protruding abdomen are two things many women wrestle with, especially after bearing children. Gone is the flat, taut stomach of their youth. While breasts can be contained and enhanced with a myriad of patented padded or push-up bras, an overly ample abdomen is more difficult to hide. 

A tummy tuck (abdominoplasty) is the treatment of choice for this condition. The tummy tuck procedure tightens the underlying muscular wall, which flattens the abdomen and pulls in the waist. Dr. Delgado specializes in an advanced waist tightening procedure that accentuates the waistline even further. This is often an option if you wish to have as small a waist as possible. After the muscle wall is tightened with Dr. Delgado’s special suture technique, the loose abdominal skin is superficially pulled downward. This extra skin is then excised, and the remaining skin is sutured into position, restoring pre-pregnancy tightness to the abdomen.

Without changing its anatomical position, the belly button can then re-emerged through the tightened abdomen skin. This is where the skill of an experienced surgeon shines—a nice-looking belly button is critical to a successful tummy tuck. The incision must be tucked inward (creating an inward belly button), and the size must be just right. Dr. Delgado will discuss this element of the surgery in greater detail with you pre-operatively.

An extra benefit of an abdominoplasty is that some stretch marks can be removed with the excision of the excess skin. The lower abdominal stretch marks are the ones primarily impacted; stretch marks on the upper abdomen and torso will remain. So, not only does the abdomen regain a firm, youthful profile, but with the removal of many of the stretch marks, the appearance of the skin is improved as well.

Flowers

Liposuction

The final component of a Mommy Makeover is liposuction. Techniques vary, so it could be tumescent liposuction, ultrasonic liposuction, VASER® Liposuction, or any combination of these. Liposuction is beneficial for contouring the flanks and back areas, as well as narrowing the waistline. You can see the difference this makes in a waistline before and after photos on our website.

Mommy Makeover: A Surgical Experience

Before & After

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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.

Lamp

How do I Prepare for My Mommy Makeover?

The primary preparation for your Mommy Makeover in Novato is reading Dr. Delgado’s 20-page handout on how to prepare for surgery. Some of the most important aspects are preparing your family and your house for your recovery. In addition, arranging two to three weeks away from work will be required for recovery. There will also be lab tests to do and prescriptions to fill ahead of time as well. In some cases, Dr. Delgado may encourage colon cleansing before surgery. Smoking has to be stopped two to four weeks before your Mommy Makeover surgery, as smoking has a detrimental effect on healing. 

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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 dramatically slims the entire waist and recontours the top of the buttock region. 

The breast surgery is performed next, which could be breast augmentation or breast lift—or possibly a breast reduction. Lastly, 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. 

“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 helps 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 IS RECOVERY FROM A MOMMY MAKEOVER LIKE?

A Mommy Makeover will require a 23-hour stay at the Marin Cosmetic Surgery Center Recovery Center. You may go home the following morning after Dr. Delgado examines you and you are discharged to the care of a responsible adult.

Full recovery after a Mommy Makeover is generally about six weeks. While you will likely be up and walking the day after surgery, you will not be able to do so at your usual pace just yet. By the end of the first week, your ability to get up and move around more frequently should be improved.

All of the sutures and drains will usually be out by the two-week mark. You should be able to return to work after two to three weeks and resume your usual exercise routine at about six weeks. Due to the tummy tuck and the fact that you had multiple procedures done at one time, the recovery period is significant and can be fairly intense the first few days. That said, the use of Exparel (a long-acting pain relief) injections and pain killers should effectively control your discomfort so that you can move about and sleep as needed.

Comfortable chairs

WHAT LONG-TERM MOMMY MAKEOVER RESULTS CAN I EXPECT?

Following a Mommy Makeover in Marin County, your figure will always look amazingly different than your post-pregnancy body. While you will continue to age and your skin and body composition will gradually mature, your body will always be tighter, trimmer, and have a more proportional shape than if you never received treatment in the first place.

The factors in life which can create significant unwanted changes are often under one’s control. For example, if you have a moderate to large weight gain—whether due to lack of exercise, dietary changes, or illness that restricts a healthy lifestyle—this will affect your entire body.

Your breasts may increase in size with the possibility of some laxity. The abdomen and flanks can accumulate adipose tissue, as well. After liposuction, fat can change how it distributes within the body, so excess fat tissue may accumulate a little more in the inner and/or outer thighs or other parts of the body.

WILL I HAVE MOMMY MAKEOVER SCARS?

Since Mommy Makeover surgery involves incisions, some degree of scarring is inevitable. Dr. Delgado always works to place scars as inconspicuously as possible. Dr. Delgado also uses new technology in the suture technique. The use of “barbed” sutures is great for the closure of large incisions in a Mommy Makeover surgery. The advantage of these sutures is that no knots are required, resulting in more even tension, more secure closure, no spitting sutures, and better-quality scars.

Dr. Delgado office

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 can take from six to eight hours or more in some cases to complete. 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, and the risk of blood clots or thromboembolism. Thromboembolism is a severe and potentially life-threatening complication of plastic surgery and is a risk 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 that 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 lying 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 before 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.

    Dr. Miguel Office background
    Dr. Miguel Delgado

    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 you would benefit from a Mommy Makeover in Novato, 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.

    FAQ

    How much does a Mommy Makeover cost?

    Does a Mommy Makeover have to be performed in stages?

    Will a previous C-section or hysterectomy affect my Mommy Makeover results?

    How can I maintain my Mommy Makeover results?

    How do I choose the best Mommy Makeover surgeon?

    How much does a Mommy Makeover cost?

    The cost of a Mommy Makeover generally falls within a $15,000–$20,000 price range. A critical factor influencing pricing is the specific breast surgery performed. Dr. Delgado’s plastic surgeon fee is set, and the cost for a 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.

    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 any 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 to an extended surgery time. The longer the surgery, the higher the risk of complications.

    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 removed entirely 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 is a critical decision. This procedure requires a highly trained surgical team and an anesthesiologist, as this is a long procedure that requires many details in the operation room. 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 the selection of an office that 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.

    Novato

    165 Rowland Way, Suite #300 Novato, CA 94945

    415.898.4161

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    450 Sutter St #2433 San Francisco, CA 94108

    415.989.2221
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