The “Mommy Makeover” is a term commonly used to describe a combination of procedures used to help a woman’s body return to its pre-pregnancy condition. It generally includes a combination of two or three procedures that are done at one time, cutting down on cost and recovery time.
Do you know all the facts about the Mommy Makeover? Read below to find out.
How long must a woman wait after giving birth to have a Mommy Makeover surgery?
In general, a woman must wait at minimum six months after giving birth, however it varies for each woman. As abdominal muscles and tissues change and tighten, and breasts change shape and volume in the months post-birth, a doctor must wait until the changes have stopped so he/she can best identify what is needed to be done to accomplish the patient’s goals.
Additionally, all the baby weight gained during pregnancy must be lost, and a woman should have a BMI of 25 or less. She should also have completed breast feeding four months (or longer) prior to the procedure.
For most women, it takes a full year before all the aforementioned changes and requirements are complete.
Can you have children after having the Mommy Makeover?
Yes, you can have a normal pregnancy. However, it will alter the results of the surgery and may need to be completed again to re-gain the same (or similar) look. It’s also likely that you will be able to breastfeed, but is not guaranteed.
It is highly advisable to wait to have a Mommy Makeover until you are done having children.
What amount of pain can one expect?
Patients will normally be quite sore for about 3-4 days, and most women no longer need pain medications after the first week. Dr. DeMars’ office also offers pain pumps to make patients feel more comfortable during their healing.
How long is the recovery period?
If the Mommy Makeover includes a tummy tuck, most patients will need at least two weeks before returning to the majority of daily activities, such as driving, working (at a non-physical job), etc. If you have a more active job, you might need four-six weeks off work. You should also expect to refrain from exercising for at least 8 weeks, with the exception of light walks.
What are the most common combinations of procedures in the Mommy Makeover?
Most women have a breast augmentation and a tummy tuck. Occasionally, some women may also require a breast lift and/or liposuction to get their desired result.
Does a Mommy Makeover less than having the procedures done separately?
Yes. It costs significantly less and is therefore more efficient financially, but is also more efficient with your time since you will recover from everything at once. Many moms find that the time savings is just as important, if not more important than the financial savings.
Does it leave scars?
Yes, but depends on what procedures you have in your Mommy Makeover. With a breast augmentation you will have a small, hardly-noticeable scar around the bottom of the nipple or under the fold of the breast. A tummy tuck usually removes the majority of most stretch marks but will leave a scar in the pubic region that is hidden by bathing suits or underwear.
When is the best time to get a Mommy Makeover?
The best time to get a Mommy Makeover is when you are no longer planning on having additional children, and when you have at least two weeks to recover.
Most women opt to get the procedure in the spring months, in preparation for summer clothes and bathingsuit season. Many women also find this to be a calmer time of the year, since the holidays are over and children are still in school.
How often does Dr. DeMars do Mommy Makeovers?
Dr. DeMars is highly experienced in Mommy Makeover procedures and performs about 2-4 Mommy Makeovers each month.
If you are interested in the Mommy Makeover or have questions, call Dr. DeMars’ office at (503) 253-3458 to schedule your consultation. Please also visit the website here to learn more about Dr. DeMars’ office and staff: www.drdemarsmd.com .
1.) How do I choose the right breast implant size?
During your consultation, you should speak openly with your doctor about the general size and look you are hoping for. For example, if you have an A-cup and are hoping to be a C or D-cup, you can mention that to your doctor and he/she can help you decide what breast implant size is the best option for you. Many factors such as quality of skin, existing breast tissue, and location of nipples can all play a role. Your frame, or chest cage, should also be taken into consideration as it can play a significant role.
Another good way to show your doctor the look you are going for is to search photo galleries for women who have a very similar pre-operative breast size as you (also try to find one who has the most similar chest cage size and body composition as you) who ended up with a size you like.
2.) What should I expect during a breast augmentation consultation?
You should go into the consultation knowing three things:
a.) Why you want the breast augmentation
b.) What your and your family’s medical history is
c.) What general goals you have for your breast size, shape and appearance
From there, you can expect your doctor to ask you several questions regarding the points above, and a breast exam where the doctor will consider many factors of your body and breasts including your body composition, chest cage size, quality of skin, nipple location, amount of breast tissue present, and more. The doctor will also likely take photos for your patient records. During this time your doctor should also discuss with you the different types of breast implants and different sizes, and the different breast augmentation techniques (under the breast, under the nipple, or in the arm pit). You will also learn about what to expect before, during and after the surgery.
The consultation is your time to ask any questions or discuss any concerns about the procedure, so be sure to speak up and ask whatever you’d like to know!
3.) How should I prepare for surgery?
Your doctor will advise you on exactly what you need to know before your surgery, but in general you should refrain from smoking 1-2 weeks before your surgery, avoid specific medicines that could complicate surgery or the recovery (including ibuprofen and aspirin), schedule time off work if necessary, and arrange for a ride home post-operation and help at home for a day or two afterward.
4.) What is the normal breast augmentation recovery time?
Everyone is slightly different, but in general you should expect at least 2 full days to rest. Most women are able to return to work after about 5-7 days, and are also able to take part in light activity at that time. Do not expect to be doing moderate or heavy exercise for at least four weeks after your surgery. You can expect the swelling to be completely gone within about 4-8 weeks.
5.) How much pain should I expect?
Patients vary in how they experience pain. For most women the worst discomfort is over by the third or fourth day. Again, everyone is different and has varying levels of pain tolerance. Your doctor should be able to talk with you about pain medication or pain pump options. Be sure to let him/her know about any allergies to medications that you may have, or other medicines or supplements that you are currently taking.
6.) Do I need to come to the office after my breast augmentation?
Yes. You can likely expect that your doctor would like to see you one week after the surgery and one month after the surgery to make sure that there are no complications and that you are healing properly.
7.) How often will I need to get my breast implants replaced?
Breast implants should not be considered “lifetime devices” although they have the possibility to last a life time. In general, you might expect to have your breast implants replaced every 12-15 years, though some women’s may last longer or shorter. Of course, if there is a breast implant rupture you will want to have them replaced. Saline implant ruptures are quite obvious as the implant will deflate and the saline gets absorbed, harmlessly, into your body. However, silicone breast implant rupture can go unnoticed. The FDA recommends an MRI every 2-3 years for silicone implants to make sure that there is no ( omit this….Capsular Contracture or) rupture. If the MRI shows no indication of a rupture, and your breast implants are still soft and normal looking, you may be able to go longer without having them replaced.
8.) What happens if a breast implant ruptures/breaks?
When a saline breast implant breaks, usually due to blunt force or an old implant, it will likely deflate quickly as the saline solution leaks out of the implant shell. (It can leak slowly, in some cases, but is more rare.) Your breast will lose its size or shape, and your body will absorb the saline solution. This is almost always harmless. You will also need to have the silicone shell removed and a new implant replaced.
When a silicone breast implant breaks, it’s possible you may not even know! This is called a “silent rupture.” It can happen very slowly and sometimes it will not be noticed for years, or until the implant is removed. If it does happen, it is often harmless as the silicone usually does not make its way past the capsule (normal scar tissue) that has developed around the implant. If it does leak outside the capsule, it can make its way to other areas of the body where it cannot be removed. Therefore, refrain from mammograms as they can cause implants to leak or rupture and opt for MRIs instead. Also, if you have silicone implants and notice any change in the size or shape of your breasts, or have any unusual feelings (pain, numbness, etc.) contact your doctor immediately.
9.) What’s the difference between Silicone and Saline breast implants?
In general, silicone implants are a silicone envelope filled with silicone gel, a product that feels more like human fat. Because of this women often feel that silicone implants look and feel the most real. They are often slightly more expensive as well. They are pre-filled and inserted at their exact size during the procedure. Silicone implants are available for women 22 and older.
Saline implants are also a silicone envelope, but are filled with sterile salt water. During the procedure they are inserted while empty and then filled to the desired size. They are generally slightly less expensive than silicone implants and are available for women 18 and older.
*Both breast implants are available to women of any age for breast reconstruction.
10.) Are breast implants safe?
Yes, breast implants are very safe and see very little complications. Like any procedure, there are some risks, such as capsular contracture (when the scar tissue distorts the shape of the breast), pain, infection, loss of breast or nipple sensation (usually temporary) or implant leakage or rupture. Be sure to talk to your doctor if you have any safety concerns regarding implants.
11.) What are the different options for how the breast augmentation is accomplished?
Breast implants can be placed in front of or behind the muscle. The incisions for this can be below the breast, at the edge of the areola (nipple), or less commonly in the armpit. The procedure may also be accompanied by one of several types of lift if necessary. The implants themselves come in a multitude of varieties with smooth or textured surfaces and several shapes. During your consultation, you and your doctor should discuss all of the details of each option so you can choose the one that is best for you.
12.) Can I still breast feed after a breast augmentation?
Not all women can breast feed, but if you were able to breast feed before the surgery, it would be unlikely you would lose that ability.
13.) What if I don’t like them?
It is very rare that a patient does not like their new breast look. However, if you are displeased for any reason with the size, shape or appearance of your new breasts, you should contact your doctor and discuss the options. If you prefer your original breast size, implants can be removed.
14.) Can you make my breasts look like [celebrity name]’s breasts?
It is always OK to bring photos of the look you would like, but with the infinite variety in the human form, it is unlikely that you will look exactly like someone else.
Dr. Ronald DeMars is a board certified plastic surgeon serving the Portland area. Many of his plastic surgery patients come from Beaverton, Gresham, Tigard, Vancouver, Lake Oswego, West Linn, and Seattle.
Do you have more questions, or would like to discuss your own individual specific questions with Dr. DeMars? Call his office at (503) 253-3458 to set up a consultation or contact Dr. DeMars’ office here. We look forward to hearing from you!
Summer is in full-swing and you’re heading out to the river for the weekend…but did you pack the right sunscreen? The type of sunscreen you choose shouldn’t be taken lightly, as it can not only reduce your chance of getting a painful (and unsightly) sunburn, but more importantly it helps keep your skin from pre-mature aging and reduces your risk of skin cancer.
If you’re looking for a tan, remember that you can still get a decent bronze while using sunscreen but at least you will be protecting your skin.
Here are three tips for choosing the best sunscreen:
1.) Know the difference between “water resistant” and “waterproof”.
Although they might sound like they mean the same thing, they don’t. Sunscreen that is “water resistant” should only be used for activities where you might be lightly sweating or exposed to a little water, like if you’re boating. If you are going to be in the water or sweating excessively, you must choose a “waterproof” sunscreen. But regardless, remember that both will need to be re-applied. Waterproof sunscreen will provide protection for 80 minutes and water resistant will provides only 40 minutes of protection.
2.) Choose one with UVA/UVB protection, or is called “broad-spectrum.”
Did you know that there are different kinds of rays? UVA rays are responsible for the pre-mature aging effects on skin, while UVB rays can cause sunburns and skin cancer. Don’t sacrifice by choosing a sunscreen with only UVA or UVB protection; look for ones that have both or are called “broad spectrum.”
3.) Don’t go lower than SPF 15
Ideally, you should always use SPF (sun protection factor) of 30 or higher, but make sure you never choose one less than SPF 15. According to the FDA, SPF 15 is the minimum recommendation for sunburn and skin cancer protection.
So, what is the sunscreen you should pick up at the store? Choose one that is SPF 30, broad-spectrum and waterproof. And re-apply every 1-2 hours!
If your skin has already suffered skin damage or has fine lines or wrinkles, consider calling 503-253-3458 to schedule a consultation with Dr. DeMars to discuss your options.
As you know, being a mother is one of the most rewarding jobs, but it also takes a toll on your body. In honor of Mother’s Day, Dr. DeMars is offering a special on the Mommy Makeover and Eyelid Surgery during the month of May. So, if you’ve been wanting to get your pre-pregnancy body back, or get rid of droopy eyelids or under-eye bags you’ll want to take advantage of this deal! Contact us here or call (503) 253-3458 to schedule!
What Is The Special?
- Abdominoplasty with Saline Breast Augmentation $12,040.00…a savings of $3,480.00!
- Abdominoplasty with Silicone Breast Augmentation $12,790.00…a savings of $2,730.00!
*All surgery must be booked by May 31st, 2013 and completed by September 30, 2013. For patients with BMI not to exceed 30%
- Upper or Lower Blepharoplasty Special: $4,140.00…a savings of $1,095.00!
- Quad Blepharoplasty Special $5,650.00… a savings of $1,360.00!
*Surgery must be booked by May 31st, 2013.
Contact us here or call (503) 253-3458 to schedule!
What is a Mommy Makeover?
The Mommy Makeover is designed to help women fix changes that happen to their bodies after pregnancy, such as deflated breasts, loose abdominal skin, separation of abdominal muscles, fat deposits, and more.
What is Eyelid Surgery?
Technically called Blepharoplasty, this procedure rejuvenates your appearance with more youthful looking eyes. Get rid of the sagging eyelids and/or the puffy bags and feel years younger!
Maybe you’ve heard about the QuickLift from friends or from browsing online; but what is it? To start, it’s one style of many types of facelifts. It is a true facelift but is slightly less invasive and requires less downtime than a traditional one.
The purpose of the QuickLift is to rejuvenate the lower half of the face for a more youthful appearance. The procedure tightens and lifts the cheek and jowl area. Here are some ways to tell if QuickLift might be a good option for you:
- If you have loose, lax skin, especially around the cheeks.
- If you have large smile lines around the mouth.
- If the skin around under or around your neck is looser than you would like.
- If you are interested in a more youthful appearance in the face from a less drastic procedure, or are a younger patient with early signs of aging.
- If you have minimal time for recovery.
It is important to note that the QuickLift does not fix problems with the upper or lower eyelids and forehead areas. If you are a good candidate for the QuickLift but would also like to improve these other areas, you may need a separate surgery to get the results you are looking for. About half of the patients that visit Dr. DeMars for QuickLift also opt for an additional procedure for this purpose.
Still want more information, or would like to schedule a consultation? Call 503-253-3458 or visit our contact page.
Just last week there was a story in the news about a Florida man pretending to be a plastic surgeon and offering procedures from a rented motel room. Unfortunately, there were several victims who opted for his services and have now been suffering serious complications and infections. While it might seem obvious to some that receiving plastic surgery services from someone out of a motel room is not a safe idea, there are several less obvious but important questions people should ask their plastic surgeon before opting for any surgery.
Below are recommended questions to ask your plastic surgeon during your consultation:
- How often do you do this procedure/how many of them have you done?
Ask your doctor this question about the specific procedure(s) you are considering. This will give you a good idea about his/her experience, but is also important to ask because although the doctor might be experienced, he/she might specialize in “Procedure A,” but might not do “Procedure B” as often or as well.
- Are you certified with the American Board of Plastic Surgery?
If a plastic surgeon is not certified with this specific board, do NOT go to this doctor. Becoming certified by the American Board of Plastic Surgery requires that a doctor complete hours of work and prove his/her work up to a certain standard. This is one of the best ways to tell if a doctor is qualified.
- Do you do the surgery in your own facility?[If so,] Is it a certified surgical facility?
Some surgeons do their surgery in a hospital. In this case, you know that the facility is up to par. If a surgeon (like Dr. DeMars) does it in his/her own facility, it must be certified. Don’t go to a doctor whose own facility is not certified as it may not meet up with certain health and safety standards.
- Do you use a board certified anesthesiologist?
Having a board certified anesthesiologist is a must and should be a requirement for any surgeon you consider. In very simple terms, an anesthesiologist is the physician responsible for putting a patient to sleep for a surgical procedure. For this reason, having a highly qualified, experienced and certified anesthesiologist is very important.
- If there is a serious complication from the surgery, do you have privileges at a local hospital?
If your surgeon’s practice is in his/her own facility, it is essential that he or she have access at a local hospital. This means that the doctor and the hospital have an agreement allowing the doctor to take the patient to that hospital if a complication were to happen during/after the procedure for any reason.
- What’s your policy on handling complications regarding financial issues?
This is always good, basic information to know especially if you will be financing your procedure.
Be sure to ask your potential doctor all of these questions, and any others that you may have! Dr. DeMars is happy to answer any questions – feel free to comment on this post or contact his office if you would like to have any of yours answered.
Deciding to have plastic surgery is a big decision. Deciding who performs the surgery equally as big and extremely important. There are several things to look for and keep in mind while researching doctors and meeting them and their staff during a consultation. Here are five ways to know if a doctor is not a good doctor for you.
- He/she is not board certified by the American Board of Plastic Surgery
There are many other “board certifications” out there and they are not all equal. You must insist on a doctor that is certified by the American Board of Plastic Surgery. You can learn more about what that certification entails and confirm if your surgeon is certified by visiting the American Board of Plastic Surgery’s website.
- The doctor does not meet with you personally on your first visit
A good doctor will make sure to see you on your first visit to his/her office. Unfortunately, several doctors have their patients meet with a nurse instead. If the doctor doesn’t care enough about you to personally talk with you during that first trip to his/her office, the doctor likely will not care about you enough, period.He/she does not carefully answer all of your questionsIs your doctor evading any questions, rushing through answers, or speeding through your consultation? If so, this doctor is not the right fit for you. Only go with a doctor who cares enough to make sure that you’ve asked every question on your mind and who takes the time to make sure you understand each of his/her answers.
- You have not seen or heard reviews from past patients
Hearing about pleasant experiences of past patients is important. If there are no (or only negative) reviews about the doctor online, or you have not heard recommendations about him/her from friends, this is a big warning sign. If you do not personally know any of his or her past patients, try looking for testimonials about the doctor on his or her site, but more importantly on sites like Google Reviews, Yelp and RealSelf.
- You don’t feel completely comfortable with the doctor
After meeting the doctor, ask yourself, “Am I comfortable with him/her?” You are going to develop a relationship with that person and be seeing him/her for awhile, so make sure you are comfortable seeing the doctor multiple times and follow your gut instinct. If you don’t feel completely comfortable or don’t completely trust him/her, it’s not the right fit.
If you have any questions feel free to call Dr. DeMars’ office at 503-253-3458 or visit www.drdemarsmd.com.
Have questions about plastic surgery? See what questions most patients have for Dr. DeMars during their first consultation. (And find other questions & answers in Common Plastic Surgery Questions Part 1!)
1.) How long do I have to wait before resuming my workout routine?
That depends on the specific surgical procedure performed and can run anywhere from 3-8 weeks. Please call our office to ask about the down-time for a specific procedure.
2.) Is there a charge for follow-up visits?
No. Although the routine post-operative follow-up may only cover a few weeks, we never charge for follow-up visits for as long as a patient feels the need to come in. Sometimes questions pop-up that need to be answered and we are happy to see patients back whenever they like.
3.) Can I still have children after breast or tummy surgery?
Yes. There is no reason you would not have a normal pregnancy after breast surgery or a tummy tuck; but the surgery may cause some post-pregnancy changes that will need more surgery to correct.
4.) What type of liposuction do you do?
We use tumescent liposuction. In spite of many advertising claims, none of the other types have shown any scientific proof of superiority, but do occasionally increase cost and risk. The tumescent technique is the gold standard against which all other types are compared.
5.) What is a QuickLift?
A QuickLift is a style of facelift. There are many ways to do the facelift procedure ranging from a seldom done mini-lift to a very extensive lift. The advantage of the QuickLift is in the more rapid recovery. It has a long lasting effect with a beautiful natural look.
6.) Is a QuickLift done under local anesthesia?
Nowadays almost any cosmetic can be done under local anesthesia, but because a general anesthetic is so safe and it takes away all the anxiety and sensation of the surgery, most surgeons that have a fully-equipped surgical center like ours will use general anesthesia.
7.) What is a Mommy Makeover?
That is a general term to indicate a combined breast and tummy surgery, intended to correct the changes that result from one or more pregnancies. It usually includes a breast augmentation, sometimes with a breast lift, as well as a tummy tuck.
8.) Are the abdominal muscles repaired during a tummy tuck?
After one or more pregnancies or a major weight gain and loss, the abdominal muscles may be separated. During the procedure we have the opportunity to repair the muscles if necessary.
Have other questions you’d like to have answered? Feel free to call Dr. DeMars’ office at 503-253-3458 and schedule a no-cost consultation or visit www.drdemarsmd.com.
Have questions about plastic surgery? See what questions most patients have for Dr. DeMars during their first consultation. (And look out for Common Plastic Surgery Questions Part 2!)
1.) Are your surgeries done as an outpatient?
Yes, we do almost all of our procedures as an outpatient. On the average a patient is ready to go home, with a driver about 2 hours after the surgery is completed. Just be sure you have someone available to take you home.
2.) Are your surgeries performed in the office?
Our procedures are performed at our office in the same facility where consultations are done, but we have a separate area that is a fully-equipped, hospital-like surgical suite and we are Licensed by the State of Oregon as an Outpatient Surgical Center.
3.) What does the price of the procedure cover?
The total surgical fee covers the surgeon and anesthesiologist’s fee, the cost of the surgical suite and all follow-up visits. If the surgery is a breast enlargement, the cost of the implants will also be included. All medications are separate but most patients’ health insurance includes drug coverage.
4.) What is the difference between saline and silicone breast implants?
Simply put, saline is saltwater. It is the same fluid given as an intravenous fluid and is used to fill saline implants during the surgery. Silicone is not a liquid like saline, it is a mass of gelatinous substance and those implants come pre-filled from the manufacturer. Many patients prefer one or the other depending on price, feel and other factors discussed during the consultation.
5.) What is the price of Saline versus Silicone?
For both procedures the cost of the surgery, the surgical suite and the anesthesiologist are the same. However, the actual silicone implants cost a few hundred dollars more.
6.) Are silicone implants safe?
Several years ago the silicone implants were taken off the market by the FDA, not because they were unsafe, but because the FDA felt they had not been adequately studied for their safety. They were re-released by the FDA for public use in 2007 once the FDA cleared them.
7.) Are the breast implants placed under the muscle?
For most patients, we get a better more natural result by putting the implants behind the muscle. This is also a subject discussed and decided on during a consultation.
8.) What is the difference between implants under or over the muscle?
When placing an implant under the muscle, the muscle does not cover the entire implant, but it covers the top edge of the implant as well as the inner edge near the breast bone. By hiding the edges of the implant it looks more like a natural breast. In a thin patient, if the whole perimeter of the implant is easily seen the result looks more like an implant and less like a breast.
9.) What is the difference between textured or smooth implants?
In the 80s and 90s, the implants available at the time that were rough or textured surface often gave a softer result. That is no longer true and most modern implants have a smooth surface and still give the soft result.
Have other questions you’d like to have answered? Feel free to call Dr. DeMars’ office at 503-253-2458 and schedule a no-cost consultation or visit www.drdemarsmd.com.