Mommy Makeover St. Louis - Post-Pregnancy Surgery Missouri
One of the most transformative surgeries Dr. Cabbabe performs is a mommy makeover. As the name implies, mothers often experience profound changes in their bodies after childbirth, regardless of their weight. During pregnancy, women gain weight, the breasts enlarge and the abdomen stretches to accommodate an infant. After the infant is born, the abdominal “six-pack” (rectus) muscles tighten back as much as possible. The breasts lose volume and may deflate. The abdominal and breast skin stretches and may lose elasticity, occasionally resulting in stretch marks. Multiple pregnancies lead to repetitive weight gain and loss and takes its toll on your body. Fortunately, a mommy-makeover can help restore your body to its previous form.
A mommy-makeover surgery involves a procedure done on the abdomen/torso and the breasts. The abdominal portion could involve any combination of liposuction, a mini tummy tuck or a full TUMMY TUCK. The breast portion could involve a combination of breast implants, breast lift or breast reduction.
Dr. Cabbabe will listen to your concerns and advise you on the best option to meet your goals. The goal is always to minimize scarring and provide natural results in the safest manner possible. Dr. Cabbabe incorporates his experience with reconstructive and cosmetic surgery of the body to give his patients the best results possible to meet their desires. He is an expert in cosmetic, reconstructive and minimally invasive body surgery. During your consultation, Dr. Cabbabe will carefully examine you and will make recommendations in order to help you achieve your desired result.
Preparing for Surgery
Dr. Cabbabe will ask that you refrain from taking any aspirin, Plavix, ibuprofen, Coumadin or any other type of blood thinner. He may also recommend that you stop any hormones or oral contraceptives to reduce the risk of blood clots in the legs around the time of surgery.
Prior to surgery, Dr. Cabbabe will place markings on the abdomen and any planned areas of liposuction. The breasts will be marked, including around the areola if a BREAST LIFT is being done. Nerve blocks may be done by the anesthesiologist to minimize pain after surgery. Numbing solution is always used to minimize blood loss and assist with pain control.
The breasts may be augmented with either saline or silicone implants or a patient’s own fat. Silicone implants are the most commonly recommended type of implant, only smooth/round are available currently. Skin is removed and the nipple relocated if a BREAST LIFT or reduction is done. The minimal amount of scarring is always done to obtain the optimal result.
In a tummy tuck, skin and fat are removed from the lower abdomen while keeping the scar as low as possible, concealed within the under-garments. In a mini tummy tuck, no belly button work is done, some lower abdominal muscle tightening may be performed. In a full tummy tuck, the rectus (“six-pack”) muscles are tightened together with sutures in order to flatten, sculpt and restore the abdomen to a more youthful appearance. The belly button is also preserved and relocated to a new position after the remaining skin and fat of the abdomen are pulled down. Liposculpting is done as needed to enhance the final result.
Sutures are used internally to minimize the need for drains. In select patients, no drains are needed. In other patients, particularly in the case of significant liposuction, 2 drains are placed inside the abdomen and removed within 1-2 weeks.
Antibiotics are given prior to surgery to reduce risk of infection and blood thinners may be given to reduce the risk of blood clots in certain types of fully tummy tucks. All procedures are done in the operating room at major hospitals with board – certified anesthesiologists for the safest experience possible. Many patients are recommended to stay overnight for one night.
Most patients are able to go home the same day, but some choose to stay overnight. Pain medication will be prescribed, and antibiotics may be given. There may be some residual numbness on the abdomen and breast which slowly improves with time. Most patients are able to shower within 48 hours. Compressive garments like surgical bras and binders or lower body garments are supplied depending on the procedure performed. If drains are placed, they are generally removed within 1-2 weeks of surgery. Recovery time is 2 to 4 weeks, depending on the extent of the procedure and muscle work done. Dr. Cabbabe will ask you to wear compression garments for 3-6 weeks after surgery to help minimize swelling and maximize your result. Lymphatic massages are often recommended after liposuction for optimal results.
Heavier patients (BMI >30) experience more complications. If your BMI is greater than 35, Dr. Cabbabe may not recommend surgery. Complications include bleeding after surgery, fluid collections which may result in infection, thickened scars, skin necrosis, fat necrosis, wound healing issues, asymmetries and blood clots. These may require additional procedures to correct.
Dr. Cabbabe takes multiple precautions to prevent complications as discussed above. However, despite these efforts, complications may still occur.