PATIENT BACKGROUND: This active 36-year-old woman has consulted Dr. Mariotti regarding a Mommy Makeover. She is active and fit, but after having 4 children she has been unable to tighten skin of her abdomen. She is 5 feet 6 inches tall and weighs 145 pounds. Also, she is currently a 34 C-cup but prior to her four pregnancies, she was a perky C-cup, or D-cup. She wants more volume, as well as upper pole fullness, while at the same time avoiding that overdone appearance. She is hoping to achieve some of the figure she had prior to her pregnancies.
DR. MARIOTTI’s IMPRESSION: This energetic woman is an excellent candidate for a Mommy Makeover. First, we discussed her breasts, which was her primary focus. An augmentation alone, in her case, would give her poor results. Rather, I have recommended a breast lift in addition to an augmentation. The lift is what would give her tighter, perkier breasts, while the implants are what would give her the upper pole fullness and increase in volume. We talked about the differences between saline and silicone gel implants. I have also recommended that the implants be place under the muscle. Doing so gives a better contour to the upper portion of the breasts. The breast lift would then tighten up the skin of the breasts and raise the nipple-areolar complexes to a more appropriate position. Next, we talked about her abdomen. A tummy tuck, also known as an abdominoplasty, would allow me to remove all the skin between the pubic hairline and the belly button. This along with tightening of the abdominal muscles, which have been stretched with pregnancy and pulling the upper abdominal skin down tight will give her a nice, flat tummy.
FOLLOWUP/OUTCOME: 4 days after surgery and she is not only feeling good but is looking really good so soon after surgery. Both her breast and abdomen incisions are healing nicely. 1 month after surgery and the results are really starting to take shape. 3 months on the after photos were taken and she is thrilled with the results. Wouldn’t you be too?
Keep in mind that each patient is unique and your results may vary. These photos are of an actual patient of our practice who has provided consent to display their pictures online.
Surgeon: Dr. Mariotti