Pregnancy is celebrated by the birth of the baby at term. During these 9 months, the mother’s body goes through many changes to prepare for this miraculous process. Some of these changes are permanent, and whether it is after one or multiple births, these changes may have both aesthetic and physical sequelae.
Despite best efforts, with both diet and exercise, abdominal skin droop and muscle bulge just doesn’t seem to change. Weight fluctuations and breast-feeding can also cause the breasts to lose shape and volume.
‘Mummy Makeover’ is not a medical term but popularised by a set of surgical procedures offered to post pregnancy mothers for options of restoring their post pregnancy body changes. The drive for surgery may originate from self-empowerment, to improve certain body contours, or a need due to back pain as a result from separation of core muscles. Whatever the reason, the surgical outcome is gratifying both cosmetically and physiologically, with resolution of back pain in many cases.
Usually the surgery would include abdominoplasty (tummy-tuck), and a breast procedure, such as breast lift (mastopexy), breast augmentation or a combination surgery, augmentation mastopexy, depending if the goals are restoration or further enhancement, and to which areas. This can be accompanied by other procedures, such as liposuction. Dr Kwei will customise the surgical plan to meet your aesthetic preferences and cosmetic goals. If the surgical goals are multiple, the surgery may be staged so these can be achieved for you safely.
During pregnancy the abdomen undergoes significant changes and even though the skin retracts to a degree after childbirth, many mothers are left with stretch marks, drooping abdominal skin and separated core muscles. This can also be accompanied by lower back pain and umbilical hernia.
The aim of the tummy tuck surgery is to remove the excess skin and stubborn fat, reconstitute and reconstruct the core muscles, reposition the belly button and repair any accompanying hernias. If you have a Caesarean section scar, this is normally removed with the procedure. The result is a tighter, slimmer waistline. When paired with a healthy lifestyle, the results are dramatic and long lasting.
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After lactation and breast feeding, breasts would be left looking ‘empty’ and ‘deflated’. One of the most common cosmetic complaints women have after pregnancy is dissatisfaction with the shape and volume of their breasts. This change can be restored with an augmentative procedure using silicone implants, resulting in a breast-hip figure that is more in proportion.
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Often you are happy with the volume of the breasts but not with the change in the shape and the skin droop after pregnancy. In this scenario you would need a breast lift, which aim to re-establish both nipple and breast positions and breast shape.
At the end of this surgery, you will have either the ‘lollipop’ scar or ‘anchor’ scar around the inferior breast and with good scar care regime, it becomes less noticeable after 6-9 months.
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Although Breast Augmentation can restore the volume to the breasts, this procedure alone does not provide much lift to sagging breasts. Depending on the degree of breast droop and position of the nipples, it may be necessary to combine an augmentation with a lift to position the nipple and the breast up to an ideal position to give that ‘perky’ rejuvenated appearance.
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Many new mums follow a strict diet and exercise plan after giving birth, but still find certain areas of the body with stubborn pockets of fat which remains the same. If you have fat deposits that is not responding to traditional weight-loss methods, liposuction and liposculpturing procedures can address these areas. Dr Kwei is highly experienced in performing both the tumescent and the super-wet techniques of liposuction.
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Any surgical or invasive procedure carries risks. The information provided here is for general educational purposes only. Please contact Dr Johnny Kwei to discuss the best options for your individual situation.