Mommy Makeover | Baumholtz Plastic Surgery in San Antonio

Mommy Makeover

Can Help You Get Back To Your Pre-Baby Shape!

Hello moms! This section is written just for you. Childbirth is this AMAZING process which brings life into this world. What’s not so amazing – for some moms – is how they see themselves after the process in terms of how it changed their bodies.

What can you do to get back to that pre baby body? You may have heard of a Mommy Makeover, but do you know what one is? Let Dr. Baumholtz answer any questions you may have and find a solution that is right for you.

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What Is A Mommy Makeover?

Stop beating yourself up chasing some overly unrealistic goals that movies and TV have set for you. I fully realize that some of you may want so help taking a step closer to that pre-pregnancy body you had. The mechanics of pregnancy are unfortunately stacked against you. The changes that happen after pregnancy typically involve a few key items that no amount of time at the gym or dietary changes will improve.

Skin – when stretched to its limit will lose its ability to snap back. Sometimes – the skin will even tear (you know that as stretch marks). That loss of elasticity results in skin that sags – typically at the breasts, arms, belly, and thighs.

6-pack muscles separate (rectus abdominus muscles) will literally move apart from one another giving an area of weakness. That weakness is often called a diastasis recti (separation of the rectus muscles). Sadly – no amount of planks, crunches, hot yoga, or kale salads will improve that situation. And to be clear – there is NOTHING that you can rub onto your skin that will cause it to snap back. I see so many patients come to the office after they were convinced to spend hard earned money on creams and salves in the hopes that they could avoid surgery. It’s hope in a bottle and it’s often expensive. Don’t fall for it.

Is it time for you to consider a Mommy Makeover?

The Who, What, When, Where, and Why of MOMMY MAKEOVER


Who
Although this page is primary focused on women who have had children, many of the surgeries described below would be applicable to anyone who has gained and then lost a significant amount of weight.

What
A Mommy makeover can be anything a mom who desires surgery wants it to be. Typically though Mommy makeovers refer to a breast procedure, a belly procedure, and often liposuction. Mommy makeovers can also include procedures for the arms, thighs, back, and vaginal areas as well. Stay tuned and lets address each of these areas. What follows isn’t comprehensive (couldn’t be) but it’s a good overview of the most commonly requested procedures that I do with some details about the AVERAGE expectations in terms of recovery, time off work, return to the gym, etc. If you’re combining procedures – use the LONGEST recovery times to gauge what you’ll need. Certainly some people heal faster than others. Some of that is genetics, but it’s also diet, exercise, and pre-surgical health. If you’re overweight with diabetes that isn’t well controlled – you’ll find the road’s rougher than if you were closer to your goal weight with your HGB A1C well managed. Remember what I said in the “when” section – this is all about your safety!! One last bit of advice – when you come for your consultation – where comfortable clothing. Part of my job will be to examine you naked. We will need to take pictures and measurements. Those pictures are critical to the process because I will often use your pictures not just to document your program but to show you where scars will be placed, what tissues need to be addressed, etc.

When
Typical mommy makeover procedures CAN begin about 3-6 months after breastfeeding stops (sometimes it might be longer). I want to make sure the plan we make together is based on your body in a steady state. In other words, your body weight is stable (and as close to your goal weight as possible), your breasts have returned to their pre-pregnancy size, and you’ve regained your physical strength to get through the post operative regimen we will put you through! Most of the time – I’ll let you decide what date(s) are best for you. Sometimes – if youre medically not ready and there are things you can do to be a better, safer surgical candidate – I’ll ask you to do them before we consider surgery. Remember – your SAFETY is my NUMBER ONE CONCERN. That’s not something I just say – the entire office lives that philosophy. We turn down at lot of people who I feel just wont do well at surgery and who dont want to put the work in to be better surgical candidates.

Where
Almost without exception – these are real surgeries and I choose do them in real operating rooms (typically hospitals or surgery centers that certify to hospital level safety standards). Surgery involves risk. No matter how small that risk may be – I want to put as many safety nets underneath you as possible. That’s why we operative with a board certified anesthesiologist and a team of professionals that I work with day in and day out.

Why
Simple. You want to. You look in the mirror and there’s something that you dont like. You have reasonable expectations. You have a positive outlook. You’re medically fit for surgery and you want to. That’s it. Plain and simple. You do these things for yourself.

The Typical Procedures


Breast Augmentation

A breast augmentation is a relatively short surgical procedure where a saline or silicone implant is used to enlarge (“augment”) the size of your breast.

The Implants: If you’re under 23 years old, you’ll have to have a saline implant for cosmetic / aesthetic purposes – but anyone 23 years and up can choose to have either saline or silicone. While it’s often a personal decision which implant to have – we believe both are good choices as long as you understand some important differences. A saline implant comes from the factory empty and it is filled with sterile saline once it’s placed in the body. A silicone implant comes pre-filled which means there isn’t a chance to adjust the final volume which can sometimes make symmetry harder to achieve. All implants show some degree of rippling – silicone implants ripple less. There are currently some concerns about textured breast implants and a rare form of cancer. At Baumholtz Plastic Surgery, I use smooth implants exclusively.

The Procedure: Typically implants can be placed either under the breast tissue or under the muscle. I will often recommend placing the implant under the muscle as a way to decrease (not eliminate) the risk of capsular contracture. In terms of the incisions – I will typically recommend using the fold under the breast as the entry point because I believe it gives me the most direct way to place the implant and the most control over the inframammary fold. I also believe it’s a way to conserve scar because if a person needs some form of a revision years later – that incision can be used over and over again.

The Recovery: Typically 2 weeks to heal the incisions and 6 weeks total until you are cleared to slowly return to full activity. We ask that you wait for bra and bathing suit shopping for the full 6 weeks. Even then – it may take longer fo the implant to reach its final position.

The Baumholtz-isms: I use this to mean things I tell patients based on either my personal beliefs or just based on doing this work for many years. To begin – there is no industry standardization on bra cup sizes. A “C” cup in one store wont be the same as a “C” cup in another. The operation will make your breast bigger and 6 weeks after surgery – you go to your favorite store and get measured. That will be the new you! I cant make any promise or prediction for cup size. CC’s – cc’s is problably the most confusing and argued over item in all of my breast implant consultations. The reason is that most of social media and the web’s presentation of implants has only to do with CC’s. In truth the cc’s of an implant (i.e it’s volume) is a then end result of the following equation: base width (how wide your breast is) x projection (how far the breast implant sticks out from the body) = volume (expressed in cc’s). A 400cc implant can be narrow and tall or short and flat. I base my analysis on visual appearance. We are a visual society. How something looks is far more important to me than how many cc’s it takes to get that look.

Breast Lift

If your nipples are “looking” down – chances are it’s time to talk about a breast lift. Yes you will likely hear that just using a bigger implant can SOMETIMES remove the need for a lift but in my experience – bigger implants just lead to bigger, saggier breasts and unhappy patients. Assuming you’re at peace with the need for a lift – let’s discuss it.

How Do I Know If I Need A Lift: If your nipple is below the fold of your breast – you will likely need a lift.

The Procedure: For most women, this is a 2-3 hour outpatient surgery. Scars are placed around the areola, down the front of the breast, and underneath the breast. You are trading scars for contour and nipple position. The same scar pattern can be used for a lift alone or a lift with an implant.

The Recovery: Typically 2 weeks to heal the incisions and 6 weeks total until you are cleared to slowly return to full activity. We ask that you wait for bra and bathing suit shopping for the full 6 weeks.

Breast Lift With Implant

For women who have lost both volume and nipple position – typically following massive weight loss or childbirth – I can perform a breast lift with an implant. The operation typically takes 2-3 hours. You go home the same day and the healing / recovery time is about 6 weeks until return to full activity. Typically – if you work at a desk you can be back at work in about a week. Historically this operation was done in two stages but now it is typically done as a single procedure. There is a balancing act however between the lift and the size of the implant in terms of the blood supply to the nipple. This balancing act requires that we select reasonably sized implants when doing a lift at the same time. We dont want to stress out the nipples with an implant that’s just too big.

Liposuction

Liposuction is a technique of removing fat from under the skin with small metal cannulas. It is the gold standard against which all non-invasive fat reducing technologies are measured. Liposuction can help someone achieve some really impressive results but it is often used as an adjunct or complementary procedure to a surgical procedure. When used alone, liposuction does indeed reduce the fat layer but it can produce the effect of excess skin. In truth, the skin was always there – but now that the “air” has been let out of the “balloon” the skin will sag. It’s a rough analogy but you get my point? In terms of the recovery – even though small incisions are used, you are likely going to feel pretty sore. Typically, I ask you to wear a compression garment for 6 weeks. Sometimes, I will use a drain after liposuction and we will wait to start the compression until the drain is out. The final result of liposuction isnt seen for 3 months but you are welcome to return to full activity when you feel up to it. Just know that the sooner you return to activity – the longer the swelling may last.

Abdominoplasty

aka the tummy tuck. If you’ve had a child (or more than one) and you don’t need a tummy tuck – consider yourself very very lucky. Typically the process of childbirth (and / or significant weight loss) brings on the three horsemen (horsewomen?) of the tummy tuck = excess skin, excess fat, and muscle weakness or separation. Most women will have a combination of all three of these issues. In order to balance expectations, we need to develop a surgical plan to address whichever of these issues is at play. In its most basic form a tummy tuck is a combination of liposuction, skin removal, and muscle tightening. The surgery typically takes 2-3 hours and you typically go home the same day. I do use drains which will stay for about 2-3 weeks. Once the drains are out – you will go into a compressive garment for 6 weeks. While I want you to walk the night of surgery – you can’t lift, push, or pull more than 10-15lbs for 3 months during your recovery. After 3 months – you can gradually return to full activity. Just know that if you call me a year after your tummy tuck from the yoga studio and tell me that downward dog still feels tight – my response will be “exactly!!”

Fleur-De-Lis Abdominoplasty

Aka FDL tummy tuck is a tummy tuck with an additional vertical scar to remove excess skin. Here I have to define some terms. Vertical excess of skin is the skin that hangs over your belt buckle. Horizontal excess of skin is the skin that hangs over the sides of your pants. A typically tummy tuck does a great job of managing the vertical excess but not such a great job of managing the horizontal excess. If you have both significant horizontal and vertical excess – I may likely recommend this form of abdominoplasty. The surgery is slightly longer than a typically tummy tuck but the healing and recovery are all the same.

Body Lift

The body lift is a tummy tuck that goes all the way around the body. Much like a belt comes around your body, this procedure removes a “belt” of skin from your belly, waist, and low back. It addresses the vertical excess in the front, saddle bags, and a sagging backside – all in one operation. Occasionally, where there is significant excess skin, a vertical scar is also added to address that issue. This procedure takes about 5-6 hours and I do have you spend at least one night in the hospital. It’s mostly for your comfort and safety. Following discharge your recovery is very similar to the procedures described above. 2-3 weeks for the drains. 6 weeks for the garment and 3 months to get back to working out. Just like the above procedures – I will ask you to walk the night of surgery. This operation can be transformational for people struggling with significant weight loss and excess skin.

Labiaplasty

For some women, the visual appearance of their labia – either the labia minora or the labia majora – is problematic. In those cases there are procedures which can address these concerns. A typical scenario would be a women who is self conscious about the size or asymmetry of the labia minora following childbirth. In this scenario, an office procedure can be considered to balance the size (not amputate) but balance the size of these structures. Women with excess skin of the clitoral hood may have difficulty with sexual satisfaction and in those cases a clitoral hood reduction can be considered. Finally – if the labia majora are consider either too empty or too full – surgical solutions can be considered with either fat grafting for the former or excision for the latter. Typically these procedures are not all done at the same time but rather staged to achieve desired look.

Brachioplasty

Aka arm reduction. Age, childbirth, and weight loss can all contribute to loose, saggy skin between the armpit and the elbow. A common surgical solution involves a combination of liposuction and surgical excision of the excess skin. Surgery takes about 2 hours and you are home the same day. Typically the incisions heal in about 2-3 weeks with return to full activity in about 6 weeks. Based on the type of work you do – you may be able to return after 1-2 weeks.

Medial Thigh Lift

Excess skin of the inner thighs is one of the most common issues facing women and it can be a challenging one to address. Reasonable expectations are the key to happy patients when working with the thighs. The skin, how it attaches to the underlying structures, the presence or absence of cellulite – all contribute to how this area looks and how it will respond to surgery. Surgical options can include: liposuction alone or in combination with an excision of skin. Typically, I will suggest a staged approach where liposuction is done at the first stage to debunk the leg and make the tissues less heavy and then 3 months later – return for skin excision and tightening.

A mommy makeover costs San Antonio women far less as a package than as a group of separate surgeries over time.

While the cost of a mommy makeover can vary significantly from woman to woman, these procedures are considered major surgery, which always comes with preparation time and costs, as well as recovery time and costs. This is why, if you are done having kids and have finished weaning them and you’ve done all you can in terms of diet and exercise to get yourself to a healthy weight, a mommy makeover costs San Antonio women so much less, over time, in terms of both time and money, than having separate surgeries done at different times.

By combining your tummy tuck, breast augmentation and any other desired procedures together into a mommy makeover, you will only have to prepare for one surgical event, and then recover from one surgical event. This can still require several days to a few weeks for full recovery, but the time is, nevertheless, much shorter than doing different procedures at different times. And as busy moms all know, time is essentially money, if not more so. The time you have to spend, feeling healthy, confident and gorgeous with your family is truly priceless.

Dr. Baumholtz works with you individually to decide which procedures would help you feel your best, at a reasonable cost, and within a reasonable timeframe for you and your needs. Ultimately, we want you to be absolutely thrilled with your results! You deserve to feel your best.

The mommy makeover reviews San Antonio women give Dr. Baumholtz are amazing.

Choosing a board certified plastic surgeon is essential to getting the best results for your mommy makeover. Board certification is hard to earn and requires that your surgeon adhere to the excellence in training, experience and all other areas of surgery in order to provide excellent results without complications. Not only is Dr. Baumholtz board certified, he is in high demand at teaching hospitals and as a lecturer in all things plastic surgery. And the many 5-star mommy makeover reviews San Antonio women give him on social media are a testament to his excellence in working with moms to help them achieve their best bodies.

Don’t let your post-baby body get you down! If you’re a good candidate for a mommy makeover in San Antonio, schedule your first consultation with Dr. Baumholtz today and prepare to feel amazing in your own mom bod again!

With the exception of before and after photos, images on this site feature models.

*Results May Vary From Person To Person

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