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Editorial draftThis English text is a draft pending editorial approval by MakeOver Colombia.
Body surgery

Mommy makeover

A mommy makeover brings several procedures together in one surgical plan to address the changes that pregnancy, breastfeeding, or major weight loss leave in the abdomen, the breasts, and the body contour. It is not a single surgery: it is designed for each patient.

Dos sillones grises junto a una mesa auxiliar de madera, en una sala de consulta con luz natural
The procedure

What it involves

It can include 360 liposculpture, breast surgery to restore the shape of the breast, with or without implants, and a lipectomy or tummy tuck. Each procedure is done with its own technique: the tummy tuck removes excess skin and repairs the muscle wall, liposculpture removes localized fat, and breast surgery corrects sagging or loss of volume.

They are often performed in the same surgery, which means one anesthesia and one recovery. In exchange, the operation is longer and the recovery more demanding than with each procedure on its own.

Which procedures are combined, and whether they are best done in one or more surgical stages, depends on the surgeon's evaluation.

Candidates

Who it is for

It is usually considered for women in good health and at a stable weight who, after their pregnancies or major weight loss, notice abdominal laxity, breast changes, and localized fat that do not improve with diet and exercise. It is recommended once no more pregnancies are planned. Your evaluation confirms whether you are a candidate.

  • Abdominal laxity, breast changes, or localized fat after pregnancy or major weight loss.
  • Good general health and a stable weight, close to the one you can maintain long term.
  • No plans for further pregnancies: a later pregnancy can alter the result.
  • A body that has settled after childbirth, with breastfeeding finished.
  • People who do not smoke or who can stop nicotine before and after surgery.
The surgery

What to know beforehand

Length of surgery

It depends on the procedures that are combined, so there is no single duration. In general terms it takes several hours: a tummy tuck alone usually takes 2 to 6. Your evaluation gives an estimate for your surgery and whether it should be divided.

Type of anesthesia

It depends on what is combined. When a tummy tuck is included, general anesthesia is the usual choice; in less extensive combinations, sedation may be used. The type of anesthesia is defined at the evaluation, according to the planned procedures and your health.

Hospital stay and recovery

The stay depends on the procedures, the length of the surgery, and your health: it can be outpatient, going home the same day after an observation period, or require one or more nights in the hospital. Either way, you will need someone with you and help at home during the first days.

The tummy tuck is usually the part that shapes the recovery the most. In general terms, returning to work happens at 2 to 4 weeks, depending on the type of work. Heavy lifting, including picking up children, is avoided for 4 to 6 weeks, and strenuous exercise is resumed at 4 to 12 weeks, depending on each case.

After surgery

Aftercare

Your medical team gives you the exact instructions for your case. These are the usual ones:

  • Arrange help at home: someone else should take charge of small children for at least two weeks.
  • Wear the abdominal binder and the support bra for as long as your surgeon indicates.
  • Take short walks from the first days to help circulation and lower the risk of blood clots.
  • Sleep with your upper body slightly raised and your legs bent to avoid tension on the incisions.
  • Do not lift heavy objects, including your children, or strain until your surgeon clears you.
  • Do not smoke: tobacco slows healing and raises the risk of complications.
  • Seek care right away for fever, bleeding, increasing pain, trouble breathing, or chest pain.
What to expect

Expected results

The changes show early, but swelling can last weeks or months and the result takes several months to settle. It depends on your anatomy, the quality of your skin, and keeping a stable weight. A later pregnancy or weight changes can alter it.

The scars are permanent. They are placed where underwear or a bra usually covers them and take 6 months to 2 years to flatten and fade, depending on each case. If implants are used, they do not last a lifetime: they need follow-up and may have to be replaced over time.

Common questions

Frequently asked questions

What are the risks of a mommy makeover?

It brings together the risks of each procedure: bleeding, infection, fluid or blood collections, slow or unfavorable scarring, asymmetry, and changes in sensation, including nipple sensation. If implants are used, their own risks are added, such as capsular contracture or rupture. Because the surgery is longer, the risk of blood clots calls for closer attention. Serious complications are uncommon, but they do occur, and they are reviewed with you at your evaluation.

Is it better to do everything in one surgery or separately?

It depends on each case. Combining procedures means one anesthesia and one recovery, but also a longer surgery, more areas healing at once, and a more demanding recovery. That is why the surgeon weighs your health, the expected length of the operation, and the extent of each procedure, and may suggest doing it in one operation or in more than one.

How long after giving birth can I have it?

There is no single timeline. It is best to wait until your body has settled: your weight has stopped changing, your abdomen and breasts have recovered from pregnancy, and you have finished breastfeeding. The right moment is defined at your evaluation, according to your case.

Can I have more children afterward?

It is possible, but it is not recommended. A new pregnancy stretches the skin and muscles of the abdomen again and can change the shape of the breasts, so part of the result may be lost. That is why the advice is to have surgery once no more pregnancies are planned. Breast surgery can also affect breastfeeding.

Which procedures would it include in my case?

There is no fixed combination. It can include 360 liposculpture, breast surgery to restore the shape of the breast, with or without implants, and a lipectomy or tummy tuck. What is combined depends on the surgeon's evaluation: the changes you want to address, your anatomy, and your health.

This information is general and does not replace a medical assessment. The timing, technique and recovery for your case are defined in consultation with the surgeon.

Let us talk about your case

Every body needs a personal assessment. Tell us what you are considering and we will review the options that suit you best.

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