Breast augmentations are frequently performed with silicone gel implants. Silicone implants are much more natural in appearance and feel compared with saline implants. There are now multiple options available for silicone implants, including the round gel with different profiles. We will help patients determine which implant choice is best for their needs and their body type to give patients the best makeover there is to offer.
There are different options with a breast lift or mastopexy. Some mastopexies, or breast lifts, are performed with a doughnut or circumaerieolar technique, while others require a circumvertical or lollipop technique, and some will require a wise-pattern or anchor scar incision. This is dependent on how much skin needs to be tailored and how much the nipple areolar complex should be raised. We will help patients determine which technique is the best for their body type.
During a patient’s Mommy Makeover, abdominal contouring may involve liposuction alone, a tummy tuck (or abdominoplasty), or a combination of abdominoplasty and liposuction of the waist, love handles, or flanks. If one maintains excellent elasticity and has good abdominal tone without stretch marks, liposuction is a wonderful alternative; however, if one has loose skin and stretch marks, as well as a loose abdominal wall with what is called “diastasis recti” or separation of the abdominal muscles, then, abdominoplasty is the preferred technique to obtain a flat tummy.
Abdominoplasty does require a longer incision in the bikini area; however, this incision can frequently be covered by most bikinis or panties. Liposuction is frequently performed in conjunction with an abdominoplasty around the love handles or flanks. Many times, patients also request contouring of the thighs with liposuction. Dr. Mirrafati utilizes a “no-drain” technique for his abdominoplasties over the past several years. He places what are called progressive tension sutures or “quilting sutures” which help re-approximate the fatty tissue layer back down to the abdominal muscle area which avoids any space between these areas, and minimizes any fluid buildup, thus eliminating the need for any drains. Dr. Mirrafati also focuses much time and attention to obtaining a very natural and sexy appearing bellybutton or umbilicus and avoiding the unsightly others you may have seen.
In addition to breast surgery and abdominal surgery, there are times when our Mommy Makeover patients request vaginal rejuvenation or labiaplasty as part of their Mommy Makeover. It is not infrequent to see elongation or excessive redundancy of the labia minora, or inner lips, of the labia which will require refinements to give a much more youthful appearance. Please see the labiaplasty section for further information.