Rao Plastic & Hand Surgery

Mommy Makeover Case #49

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Procedures Performed
  • Breast Augmentation
  • Tummy Tuck
  • Mommy Makeover

This is a 48 year old mother of two that had come to Rao Plastic Surgery in Tucson, Arizona because she was interested in a Mommy Makeover. She exercised frequently, but despite her hard work she was bothered by excess abdominal skin and stubborn persistent abdominal fat that had developed after her pregnancy. Her breast size was a B cup and she was hoping to be a full C or a small D cup.  During her initial office consultation she did not have any past medical history of breast problems. She had yearly mammograms performed and they had all been normal.  On examination I did not appreciate any breast masses and she did not have any sagging of her breasts. Her abdominal exam revealed excess abdominal skin with a rectus diastasis. As the uterus grows during pregnancy the body has to accommodate and allow for the growth of the fetus, and it does this by increasing the distance between the two muscles that make up the rectus, or, “six pack”. I reviewed her photos with her and explained that based on her exam and measurements she was a good candidate for a Mommy Makeover, which typically includes a breast augmentation and/or lift, combined with a tummy tuck procedure. I explained that since she did not have any ptosis or sagging of her breasts that she would not need a lift in conjunction with a breast augmentation. She tried on a variety of sizers and she liked the appearance of the 350 cc implants. We talked about implant types and we decided together that a smooth round silicone implant would give her the best result and achieve her goals. When we reviewed her abdominal photos I explained that she had very little fat and that her issue was mainly excess skin. I explained that while most people who undergo a tummy tuck would benefit from liposuction she would not derive any benefit from it.  She underwent her mommy makeover in an outpatient surgery center in Tucson, Arizona. Her breast augmentation was performed through an IMF incision and smooth round 350 cc moderate profile plus Mentor Memory Gel implants were placed behind the muscle using a Keller Funnel. After the breast augmentation was completed attention was turned to her tummy tuck. I performed a tummy tuck with a muscle plication (i.e. tightening) and removal of her excess abdominal skin. Exparel, a long acting local anesthetic was injected into her abdominal muscles to help with postoperative pain and decrease the need for pain medication after surgery. She did great after her surgery and was discharged to home after a short time in the recovery room.  She is now five months out from her Mommy Makeover surgery, and loves that she has the body back again that she had before pregnancy!


Surgeon: Dr. Arun Rao

Age: 48
Gender: Female

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