A ‘mummy makeover’ is the popular term for a combination of a tummy tuck (abdominoplasty) and breast cosmetic surgery (breast augmentation, breast uplift or breast reduction). Pregnancy affects different women’s bodies in different ways. While some ladies’ bodies return to their ‘before children’ appearance very quickly following childbirth, many patients notice long lasting differences in their breasts (e.g. deflation or drooping) and tummies (e.g. increased prominence and loose skin) which affects their confidence and self esteem. Many patients in this situation become increasingly frustrated and disheartened when they find that despite intense exercise and dieting their bodies don’t return to their pre-pregnancy appearance. Breast augmentation can restore lost breast volume and fullness. Breast uplift (mastopexy) can restore breast drooping. Tummy tuck surgery can tighten the abdominal skin and flatten the abdominal contour.
Mummy makeover – ideal patient
- Patient in good physical and mental health
- Has completed family with no plans for further children
- Has stopped breast feeding for a minimum of 6 months
- Is at a stable body weight that can be maintained in the long term (ideally in normal BMI category)
- Is a non smoker and does not take any nicotine
- Has a good support network at home to help out during recovery from surgery
Mummy makeover – before and after photos
Case 1. Photos showing appearance before and after mummy makeover surgery. This lady was unhappy because of the loose skin on the tummy which would not tighten despite exercise. She also wanted to enhance her bust. Round breast implants have been placed under the chest muscle (dual plane type 1) and a full tummy tuck (abdominoplasty) have given her enhanced proportions with a tight, flat tummy.
Case 2. Photos showing appearances before and after mummy makeover surgery. This lady had completed her family and was unhappy with the saggy skin on her tummy (hanging over her caesarian section scar), the drooping of her breasts and also wanted to increase the size of her breasts but still keep things looking natural. She had a full tummy tuck and then 2 years after this had a combination of round 350cc moderate plus breast implants inserted in front of the muscle with breast uplift.
Case 3. Photos showing appearances before and 6 weeks after mummy makeover surgery. This lady in her thirties had completed her family having had 2 children. She had also lost 5 stone in weight through a combination of gastric band surgery and lifestyle modifications. She was unhappy with the large roll in the lower part of her tummy and because so felt her breasts were too large for her frame and this made it very difficult to get clothes to fit. A breast reduction and breast uplift were performed in the same operation as a full tummy tuck with internal muscle tightening. Her bra size reduced from 34JJ to 34DD making it easier to get clothes to fit and to exercise.
Case 4. Photos showing appearances before and 6 weeks after mummy makeover surgery. This mum of two was unhappy with the loose skin on her tummy which did not tighten despite regular exercise. She also felt that her 32FF/G breasts were out of proportion with the rest of her body and this made it difficult to exercise. A combination of breast reduction and uplift, and tummy tuck with muscle tightening have been used. The red line shows how much breast lift has been obtained. Thanks to my patient for giving permission to show these images.
Case 5. Photos showing appearances before and 6 weeks after breast uplift (slight breast reduction on right), tummy tuck and flank liposuction. After having 3 children this lady was unhappy with the drooping of her breasts and nipples and prominence of her tummy/flanks. Thanks to my patient for giving permission to show these images.
Mummy makeover – procedure
Mummy makeover surgery is performed under general anaesthetic. The surgery involves tummy tuck surgery and breast cosmetic surgery which are generally performed in one operation. Sometimes if the operative time is deemed too long for the breast and tummy surgery to be performed together, a recommendation is made to stage the procedures i.e. do the procedures separately – in this situation a minimum of 6 weeks between procedures is recommended.
The precise procedures performed in a mummy makeover vary for different individuals depending on what the patient is hoping to achieve. Common combinations for mummy makeover surgery include:
- Tummy tuck + breast augmentation
- Tummy tuck + breast uplift
- Tummy tuck + breast augmentation + breast uplift
- Tummy tuck + breast augmentation + liposuction of flanks/hips
- Mini tummy tuck + breast augmentation
To learn more about each procedure please visit the following pages:
read more about: Tummy tuck
read more about: Breast augmentation
read more about: Breast uplift
read more about: liposuction
Mummy makeover surgery usually involves a 2 night stay in hospital but if patients feel able to go home after 1 night that is also fine. A wound check takes place 1 week after surgery. Patients will need to rest for approximately 2 weeks at home before increasing activity levels. Patients are reviewed 6 weeks following surgery and if all is well can restart strenuous exercise at this stage.
Mummy makeover – risks of surgery
The risks of mummy makeover surgery are the same as the individual component procedures e.g. tummy tuck + breast reduction. The main additional consideration being the fact that there is an increased risk of deep vein thrombosis and chest infections due to the longer operation time. These additional risks have to be considered against the advantages of having the breast and tummy surgery at the same time namely one less general anaesthetic, one less recovery period and reduced costs.