Flat to Fabulous in 2 Hours: Mastopexy (Breast Lift) With Implants

One day you wake up and realize your breasts look like they belong on someone else’s body—someone like your elderly aunt. And as we say in the office, that’s not the look you were going for. When breasts lose volume and sag, it may seem like a lost cause, but it’s not. There’s hope.

Dr. Kinsley’s Advice

After kids, and with normal aging, breasts lose volume. Ordinarily, the volume can beA woman's chest marked for surgery in Covington, LA replaced with implants alone. If the tissues drop or sag, however, an implant alone may not provide enough lift, and a breast lift or mastopexy is needed. A word of caution—over the years, I have seen many patients opt for a large(r) implant instead of a lift with a small implant to avoid the scars associated with a breast lift. What frequently results in these cases is a larger, saggy breast, like a grapefruit in a sock. My advice is to do what’s needed or do nothing at all.

In the past, some surgeons were reluctant to perform both of these procedures at the same time, opting to do a breast lift then come back a few months later and place implants. In my practice, I routinely perform these procedures together with proper patient selection.

During the Procedure

The surgery is done as an outpatient procedure under general anesthesia, and it usually takes less than two hours. While the patient is awake, I mark them while they are in the sitting position. Then, the surgery begins by placing the implant. To me, this is like pouring the foundation of a house. I place the implant, and then with the patient in a semi-sitting position, I tailor tack the skin around the implant to get the perfect shape and lift. Tailor tacking means stapling the skin without cutting it so that the incision lines can be fine-tuned. Once this is done, the skin is marked again, and then the breast lift is done. The few extra minutes it takes to “tailor” the breast make a huge difference in results, in my opinion.

After the Procedure

The patient wakes up in recovery in a bra after the procedure. As far as discomfort, a breast lift with implants is comparable to a breast augmentation. For the first two weeks, restrictions will be in place for high impact sports and activities, as well as heavy lifting.

For before and after photos of my work, view previous breast augmentations. If you’re interested in setting up an appointment, fill out the contact form.

Postpartum Plastic Surgery a.k.a. Mommy Makeover

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You’re a new mom! Congrats! However, along with the incredible joy comes the not-so-great discovery that your breasts now look like they belong to your old Aunt Edna, your tummy has enough extra skin to donate to a burn unit, and the spider veins on your legs look like a road map of the US. There’s no need to panic, and don’t start hating on your husband because (a) he looks the same no matter how many children he has, and (b) he keeps saying you look great and you know you don’t. Unless you went completely crazy with the weight gain during your pregnancy, with the help of a mommy makeover, you can be
looking awesome in no time.

First things first. Give your body enough time to recover from the pregnancy. Growing a human being in your body for ten months is no small feat, so give yourself a minimum of six months before you consider the need for any surgery. This is the time for good health, diet and exercise, and enjoying the new baby. Before you consider a mommy makeover, your weight should be within a 10–15 lb range of your pre-pregnancy weight, depending on your height and body type. You should also wait several months after you stop breastfeeding.

Let’s go from the top down with mommy makeover options and take a look at your breasts. Frequently, all that is needed is volume replacement done with a breast augmentation. Many women are shocked that their breasts after pregnancy are smaller than before pregnancy. This happens as breast tissue involutes or simply shrinks up. Breast augmentation is an easy operation that takes about 45 minutes and only requires a weekend to recover. If you find that your breasts sag a bit, you may require a lift in addition to implants. A mastopexy, or breast lift, tightens the skin, lifts the nipple area, and restores some perk. This adds a little to the surgery time, but recovery is still fairly easy.

The second aspect of a mommy makeover is an abdominoplasty. The abdomen, or tummy area, is where most of the pregnancy damage is done. Two things happen that NO amount of exercise or diet will correct or improve. First, your abdominal muscles get stretched apart, especially near the belly button. This is called a diastasis, and it is what makes some women look 3–4 months pregnant when they’re not. On a man, the rectus muscles may be 2–3 millimeters apart, but after a baby, these muscles on some women may be 2–3 inches apart. Second, the skin stretches. The amount of excess skin will vary depending on your genetics and weight gain. You will see some shrinkage in the first few months after the baby, but most women will have lax skin in this area that persists. The cure for these two issues is an abdominoplasty, or a tummy tuck.

A tummy tuck removes the excess skin and tightens the muscle. Frequently women will look better after this step of the mommy makeover than they did before pregnancy, as a tummy tuck contours the waistline and hips and makes the tummy super flat and tight. A quick word about a mini tummy tuck. Some women want to avoid the scar from a full tummy tuck and request a mini. However, in my opinion, limiting the scar limits the results. A mini tummy tuck tightens the lower abdomen and removes a little excess skin, but since most of the laxity is above and below the belly button, the upper abdomen is still lax and appears even larger when only the lower is tightened. Ask yourself, when you’re sitting down and not holding anything in, if you like how your tummy looks with no scar. The scar from a tummy tuck is usually hidden in the bikini line, so for most women, it’s a good trade-off. The operation takes 1–2 hours and is done as an outpatient procedure. During recovery, it takes about 2 weeks to return to light activity, and 6–8 weeks before returning to full workouts.

While not a surgical component of the mommy makeover, spider veins and other issues can usually be addressed in the office with various laser treatments or injections (sclerotherapy). A word of caution: there is no treatment that works for stretch marks, so don’t let someone take your money with a laser treatment or some other voodoo. Often the stretch marks on the tummy, if confined to the lower abdomen, will be removed with the excess skin during a tummy tuck. Stretch marks elsewhere will fade with time, but will be there forever. (Sorry!)

So, the mommy makeover usually includes a breast augmentation and/or lift, a tummy tuck, and some liposuction for contouring the hips, waist, and thighs. These can be done together as an outpatient procedure, which usually takes 3–4 hours total. Generally, recovery time is not increased by adding more procedures. Most women will tell me that a mommy makeover is the best thing they’ve ever done and that they wish they had done it sooner. Good luck!

The Husband’s Guide to Plastic Surgery

red carpet prom dressesHere’s the deal. If a man fathers 20 children or more, his body will look absolutely no different after than it did before children, except for normal aging (str8 h8). Women, on the other hand, see their bodies undergo permanent changes during maternity that can affect their self-confidence, self-esteem, and sex drive, which is why they may decide to undergo a procedure like a mommy makeover. So, even if you think she looks beautiful, and you’re happy with her just the way she is, the important thing to remember is that she might not be satisfied with the way she is. And, most smart men want their wives to be happy.

In my years of practice, I have seen so many cringe-worthy moments as husbands sit through their spouses’ consultations for everything from breast augmentations to eyebrow lifts to mommy makeovers.​ Some do better than others to be perfectly honest, so I decided to give the guys a little help. Here are seven tips on how to survive your wife’s plastic surgery journey.

Lesson 1

This is in no way about you. Not on any level. Not even a little bit. Your wife wants to look better in her clothes, feel better about her body, feel better about how she looks in a bathing suit, or any number of other personal goals. At some point, you will be able to enjoy your wife’s new self-confidence and self-esteem, but you are not the reason she is having a mommy makeover or any other procedure.

Lesson 2

Be supportive. If you’re too enthusiastic about your wife altering her appearance, you will look like a jerk. If you aren’t excited at all, you will look like a jerk. The best bet is just to be supportive of her decisions. If she looks at you and asks what you think, say “whatever you think, honey,” or something to that effect.

Lesson 3

At the consultation for a mommy makeover or other procedure, speak only when spoken to. I have had husbands actually pipe in and tell me, “Doctor, I don’t know if this is important, but I’ve known her since college, and she’s never been petite.” Yikes! It’s best to remember that you don’t really factor into this, and you’re only there for moral support.

Lesson 4
Do not feel like it’s necessary to tell the doctor that you think your wife looks great just as she is (see lesson 1). So many husbands feel like they have to get this in, and they blurt it out at the start of the consultation as if they need to get it off their chests. The doctor knows this. She has heard it a million times.

Lesson 5
Your wife will not die, widow you, or orphan her children in her attempt to improve her appearance. Secretly, women have this fear, too, and I often bring it up in the consultation. Most women seeking mommy makeovers, tummy tucks, or breast augmentations are relatively young and at a very low risk for complications from surgery or anesthesia. The important things to do are make sure you are seeing a board-certified plastic surgeon, and make sure the surgery is done at an accredited surgical facility. This will optimize the chances of a good outcome, minimize complications, and make you both feel less anxious about having elective surgery.

Lesson 6 (Optional)
Take her on a shopping spree, give her a spa day, or do something extra special when she is recuperating. Cosmetic surgery can make a person feel vain, petty, or selfish, and a lot of moms feel super guilty about spending money on themselves, whether for a full mommy makeover or less invasive cellulite treatment. Most cosmetic patients go through a period after surgery where they question why they did it and whether it was the right thing to do. This is usually when they are hurting, bruised, and swollen. This is the time to step in, be supportive, and reaffirm her decisions.

Lesson 7
When all else fails, refer back to lesson 1. Good Luck!