A comprehensive restoration of the breasts and body.
A Mommy Makeover combines breast and body procedures to address the changes left by pregnancy and breastfeeding. Typically combining a tummy tuck with breast augmentation or lift, this single-stage surgery restores your pre-baby body contours.
InquireThe Mommy Makeover is a carefully orchestrated combination surgery typically including abdominoplasty with rectus plication, liposuction of the flanks and lateral thighs, and either breast augmentation, mastopexy, or augmentation-mastopexy. The operative sequence is planned to minimize positional changes and optimize efficiency: breast surgery is performed in the supine position first, followed by abdominoplasty and liposuction. Each component is performed to its own technical standard without compromise for speed. Total operative time is controlled to remain within safe limits, usually no longer than six to seven hours, to minimize anesthesia and thromboembolic risk.
A Mommy Makeover is usually a good fit once you are done having children and your body has had 6 to 12 months to settle after pregnancy and breastfeeding. Good candidates often have multiple post-pregnancy concerns including breast volume loss or ptosis, abdominal skin redundancy, rectus diastasis, and localized fat deposits that have not responded to diet and exercise. Non-smoking status, overall good health, a stable weight, and strong support at home for the initial recovery period are all essential prerequisites.
Mommy Makeover recovery is the most extensive of any procedure offered due to the combined nature of surgery. The first week requires full rest with assistance for all activities, including childcare. Walking short distances is encouraged from day one to reduce DVT risk. The tummy tuck component typically dictates the recovery timeline, with most patients returning to desk work at two to three weeks. Lifting restrictions (including children) are enforced for six weeks. Full activity resumes at six to eight weeks.
Full rest required. Assistance with all daily activities including childcare essential. Light walking from day 1. Drains and compression garments managed.
Increasing independence. Return to desk work possible at 2–3 weeks. Lifting restrictions strictly enforced. Swelling diminishing.
Light lower body exercise permitted. Abdominal binder transitioned to shapewear. Breast shape improving as implants settle.
Full activity resumed. Final body contour becomes visible as all swelling resolves. Scars mature over 12–18 months.
The combination of multiple procedures in a single session requires a longer operative time under general anesthesia, which modestly increases risks including DVT, pulmonary embolism, and anesthesia-related complications. Each component procedure carries its own individual risks. Careful patient selection, safe operative time limits, thorough DVT prophylaxis, and appropriate postoperative monitoring significantly reduce overall risk. Patients should be thoroughly medically optimized before undertaking combined surgery.
Patients with only breast concerns may choose breast surgery alone, deferring body contouring to a later date. Staging the procedures across two separate surgeries reduces total anesthesia time and can be appropriate for patients with specific medical considerations. Non-surgical options address individual concerns modestly but cannot replicate the comprehensive transformation of a combined surgical approach.
Performed by Dr. Ruben Castro in Newport Beach, California