Mommy makeover: Timing and surgical strategy

The mommy makeover is currently one of the most popular combined plastic surgery techniques designed specifically to address common problems faced by women who have experienced one or more pregnancies And breastfeeding. Pregnancy and breastfeeding can have significant and lasting effects on a woman’s body, with changes that can include abdominal skin relaxation, diastasis of the rectus muscles, ptosis with associated hypotrophy Breast and localized fat accumulation. in abdomen, flanks, and border anatomical districts.. The term “mommy makeover” refers to. to a specific combination of body reshaping procedureswhichcommonly include abdominoplasty, mastopexy (with or without implants), and liposuction. This study aims to provide a comprehensive overview of procedures, expected outcomes, and preoperative and postoperative considerations. Each procedure surgical is customized to meet the specific needs of the single patient. However, the surgical approach generally begins with a remodeling procedure contextual of breast and abdomen, with the addition of more minor surgical procedures as needed. Since the breast and abdomen are the main areas who undergo the change With motherhood, a mommy makeover will often focus on a surgical procedure that will affect the breast and abdomen.During pregnancy and lactation, the breast undergoes of major changes in both volume and shape. However, returning to “normal” can involve a Significant loss of breast volume, considerable relaxationwithchanges in shape and position of the udders at chest. During pregnancy,muscles recti of the abdomen, the skin and subcutaneous tissue stretchto safely accommodate the fetus growing. Postpartum, tissuesmaynot return to their shape, consistency and condition pregravid and therefore require their surgical correction. È advisable wait 12 months after delivery and at least 6 months after the end of breastfeeding to ensure more stable results.

Mom makeovers can include:

Abdominoplasty: Often combined with rectus muscle plication to correct diastasis and with liposuction to improve body contour.

Mastopexy/Additive Mastoplasty: Used to lift and fill the breasts Which may have lost volume and tone after pregnancy; for restore form and position of breasts in harmony between of them on the chest.

Liposuction: Targeted at areas of resistant fat accumulation, such as abdomen, hips and thighs; Techniques

Advanced: The use of lipofilling, which involves the transfer of autologous fat into dystrophic/atrophic areas can improve body contours and add volume in specific areas, further improving aesthetic results. To further enhance the figure, additional procedures may include. circumferential abdominoplasty with remodeling of the buttocks and liposuction of the trochanteric areas, hips, and thighs: necessary when following a marked post-pregnancy slimming is necessary to correct the prolapsed structurarle affecting the lower third of the trunk. Personalization of the mommy makeover is critical to achieve optimal results that reflect patients’ individual expectations. Each woman has unique anatomical features and personal aesthetic goals, making a tailored approach crucial. A detailed preoperative evaluation and careful postoperative follow-up is crucial. The patients submit a mommy makeover report significant improvements in body perception and quality of life, with reduced anxiety and increased self-esteem. Aesthetic benefits notwithstanding, functional and Psychological, these procedures can involve risks of complications that need to be carefully evaluated. Complications may include infection, postoperative hematoma, seroma, and wound healing problems. The occurrence of these possible possible complications will have to be treated in the times and ways that are inherent in each surgeon’s knowledge and experience. A systematic literature review was conducted using databases such as PubMed, Scopus and Web of Science, selecting studies published between 2000 and 2023. English- and Italian-language articles dealing with mommy makeover were included, specifically analyzing surgical protocols, cosmetic results, complications, and patient satisfaction. In addition, clinical cases of patients undergoing mommy makeover at our surgical center were reviewed.

This literature review provides a comprehensive overview of the risks of complications associated with mommy makeover, highlighting the importance of patient selection and preventive measures to reduce these risks. Studies report an incidence of infections varying between l’1% to 5% in plastic surgery procedures combined. Pre- and postoperative antibiotic prophylaxis is a common practice to reduce the risk of infection. Proper wound hygiene and postoperative monitoring are essential to prevent and treat timely infections. Hematoma occurs in about 2-10% of cases, while seromahas an incidence of up to 15% in abdominoplasties if “progressive tension free suture” is not implemented. The use of surgical drains, postoperative compression, and frequent aspiration of seromas are effective methods for managing these complications. The risk of DVT and EP increases In long-term surgical procedures. The incidence is estimated between 0.5% and 1% for patients undergoing procedures combined. Complications of Liposuction: contour irregularities occur in 15-20% of cases, especially when large volumes of fat are removed. Fat Embolism: Although rare, fat embolism is a life-threatening complication with an estimated incidence of less than 0.1%. Preventive measures include use of low-molecular-weight heparins, compression stockings, use of dynamic intraoperative and postoperative compression systems until mobilization, early mobilization. Skin necrosis is a rare but serious complication with a reported incidence of 1% to 4%, è more common in patients who smoke or have comorbidities. Wound dehiscence may occur in 2-5% of cases. Excessive tension on sutures is a risk factor important. Complications of Mastopexy/Additive Mastoplasty. Capsular Contracture: the capsular contracture Occurs in about 5-10% of implantation cases breast. It is a complication that often requires surgical revision. Plant displacement: Plants can displace or rotate, with an incidence reported between 1 percent and 3 percent. Selection of Patients: Preoperative evaluation should consider factors such as obesity, diabetes, smoking habits, and condition pathological pre-existing that may increase the risk of complications. Postoperative Care: Strict follow-up and adherence to postoperative instructions including wound management are essential to prevent complications. The management of complications in mommy makeover can request A multidisciplinary approach involving plastic surgeons, anesthesiologists, and nurses. Careful patient selection and the use of advanced surgical techniques can significantly reduce the risk of complications. It is essential to educate patients about the potential risks and warning signs of complications to ensure timely intervention and a their Effective management. During the first visit, a thorough understanding of the patient’s concerns and aesthetic desires is essential. A thorough discussion of realistic expectations helps to outline an appropriate surgical plan . The assessment of specific physical conditions will allow by determine thechoice of techniques most appropriate.

Conclusions

Mommy makeover is an effective solution for many women eager to restore their post-pregnancy fitness. However, careful selection of patients and careful management of their expectations and the postoperative course is essential to minimize risks and maximize benefits . The literature indicates that with proper patient selection, advanced surgical techniques, and rigorous postoperative care, it is possible to minimize these risks and achieve satisfactory results. The key to success lies in the surgeon’s ability to listen, understand, and translate patients’ aesthetic aspirations into tangible results and harmonious; should some of the above-mentioned complications occur, in their timely and proper treatment.