Mommy Makeover

At our practice in Rochester, NY, a Mommy Makeover is a combination of procedures tailored to the unique needs of women who have had children. Because many of the changes that occur during pregnancy and childbirth can't be reversed through exercise and diet alone, we offer the option of correcting sagging breasts and lax abdominal skin all at once through this customized surgery. Dr. William J. Koenig specializes in the cosmetic breast and body contouring procedures that are typically part of a Mommy Makeover.

Women from Buffalo to Syracuse and throughout New York travel to the Quatela Center for Plastic Surgery for a Mommy Makeover from Dr. Koenig. Request a consultation using the online form to personally meet with him, or give our office a call at (585) 244-1000 to schedule an appointment.

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What Is a Mommy Makeover?

Mommy Makeover is a phrase coined to describe a combination of procedures tailored to restore the contours of a woman's body after having children. The most common group of Mommy Makeover procedures includes:

William J. Koenig, M.D.

Specializes in Breast & Body Procedures

A board-certified plastic surgeon, Dr. Koenig's experience and gentle bedside manner help put patients at ease and build an uncommon level of trust. He meticulously customizes each procedure, and sculpts beautiful results that consistently exceed his patients' expectations.

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Even though fitness and weight control alone cannot help most women regain their youthful body shape after having children, it is important that a healthy diet and regular exercise is a part of your life. This combined with a Mommy Makeover procedure will ensure the best long-term outcome.

Had Mommy Makeover which was done exactly as promised with great results. Breast lift done maintained fullness of breasts with good shape, tummy tuck and liposuction achieved desired results. Courteous staff with excellent follow-up.

— Akshia, RealSelf.com user

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Ideal Mommy Makeover Candidates

If you're unhappy with your post-pregnancy body, a Mommy Makeover can help restore your confidence. You should be in generally good health and understand the process involved with a Mommy Makeover, including the time needed to recover. It's also important to have reasonable expectations for the results, something that Dr. Koenig discusses during your consultation. He recommends waiting to have a Mommy Makeover until you are finished having children, because a future pregnancy could compromise the procedure's benefits.

Choosing the Right Plastic Surgeon

Deciding to undergo a Mommy Makeover is a personal decision and should not be taken lightly. It is vital to choose the right surgeon who can help ensure your aesthetic desires are fully met. As a board-certified plastic surgeon specializing in breast and body procedures, Dr. Koenig has extensive experience performing the types of operations commonly included in a Mommy Makeover. He works with you to develop an individualized plan for achieving both short-term and long-term physical goals.

Your Consultation

Great surgical results begin with your consultation. This is the time to not only discuss your aesthetic concerns and goals with Dr. Koenig, but to establish a trusting relationship with him. Because a Mommy Makeover includes multiple procedures, Dr. Koenig takes the time necessary to thoroughly explain how the operation is planned and answers all of your questions. Additionally, he asks about any current health issues you may have and if you are taking medications.

After performing a physical evaluation, Dr. Koenig develops a customized surgical plan that is designed to meet your goals. If breast augmentation is part of the Mommy Makeover, you'll have a chance to discuss different types and sizes of breast implants before making a choice.

Preparing for Your Mommy Makeover

Once your Mommy Makeover is scheduled, taking a few extra steps helps ensure excellent results and a smooth recovery. Be sure to contact the office if any questions arise or changes in your medical history occur.

  • Before surgery, Dr. Koenig provides detailed pre- and post-operative instructions. Review these carefully and ask any questions you might have.
  • Your Mommy Makeover is an outpatient procedure, meaning you'll return home on the day of the operation. Please arrange for transportation to and from the surgical center.
  • Pick up prescriptions before the day of surgery. These may include antibiotics and pain medications. All prescriptions should be available when you arrive home after surgery.
  • Follow-up appointments will be scheduled with Dr. Koenig to replace bandages, remove sutures, and assess the healing process. It is important that you do not miss these appointments.
  • Over the first several days following your Mommy Makeover, you may be tired and sore. Assistance with your children and small chores around the house is helpful as you heal.

Your Procedure

The specifics of the Mommy Makeover procedure vary, although all of them are performed using general anesthesia. The length of the operation depends on the procedures included, but most Mommy Makeover surgeries last from three to five hours.

Dr. Koenig may start the procedure with either a mini or full tummy tuck. He makes a horizontal incision just above the pubic area and removes excess skin and fatty tissue. He may also tighten the abdominal muscles. Using liposuction, Dr. Koenig sculpts the abdomen, hips, and waist to produce the desired contours. After removing the unwanted tissue, Dr. Koenig repositions the belly button. Finally, he sutures the incisions for proper healing.

Next, Dr. Koenig may perform a breast augmentation or a breast lift replacing lost volume and shaping the breasts to address sagging. Depending on the choice you make, Dr. Koenig places saline, silicone, or highly cohesive gel (gummy bear) implants, usually through inframammary (under the breast) incisions. He again sutures the incisions.

A Mommy Makeover is typically done during a single operation, which includes several benefits for you. Combining surgical procedures can be less costly and you only have to plan for a single recovery, which is often important for mothers with young children.

Reverse Tummy Tuck

Tummy tuck surgery is one of Dr. Koenig's most popular procedures. The procedure yields extremely effective results for candidates with loose skin and/or muscle separation in the lower abdomen. However, for patients who are seeking repair of their upper abdomen, a traditional tummy tuck may potentially not address their specific area of concern.

A reverse tummy tuck is an excellent option for those seeking improvement of skin laxity and/or muscle correction in the upper abdomen to create a smoother, tighter appearance. The incision is placed across the inframammary fold, or breast crease, which allows it to be easily hidden by a bra or two‐piece bikini. With scarring being a chief concern for many potential patients, Dr. Koenig finds that the majority of his patients are highly satisfied with their results after surgery.

Oftentimes with pregnancy or drastic weight loss, patients seek a combination of breast augmentation with or without a lift and a reverse tummy tuck. One benefit of combining these procedures is that the same incision can be used for both thereby minimizing scarring.

Most patients are able to return to work and normal activities one week after surgery. Patients typically have mild to moderate pain immediately after surgery but report that it typically decreases significantly after the first few days.

If you are interested in learning more about this state‐of‐the‐art treatment option from Dr. William Koenig, please contact our office at 585.244.1000.

Recovery

Recovery varies depending upon which procedures are included in your Mommy Makeover. In some cases the recovery lasts only one to two weeks. If a tummy tuck is involved, expect the recovery to last four to six weeks. Swelling and bruising occur initially with virtually all surgical procedures. The majority of these side effects dissipate in the first three weeks, but may take six months to completely resolve. Moderate discomfort and soreness is common during the first week. Dr. Koenig prescribes appropriate pain medications needed for a comfortable recovery. A liquid or soft diet may be required for the first 24 to 48 hours, as well.

Most patients feel well enough to return to work in about two weeks, although strenuous exercise and heavy lifting should be postponed for six weeks. The full results of your Mommy Makeover won't be noticeable until the body heals completely, which can take several months. Scars gradually fade from red to pink to almost colorless over the course of several months. Additionally, Dr. Koenig offers embrace®, an advanced scar therapy designed to reduce the appearance of scars from a Mommy Makeover procedure.

Even though combining different procedures is considered safe and effective, there is still a small risk for complications. Any surgical procedure holds the chance for infection, scarring, bleeding, fluid collection or blood clots. Choosing a board-certified plastic surgeon, such as Dr. Koenig, greatly minimizes the risks of complications.

Frequently Asked Questions

What are the scars like after a Mommy Makeover?

As with any surgical procedure, visible scarring occurs after a Mommy Makeover. Dr. Koenig makes incisions in locations that are as inconspicuous as possible, usually where swimwear and clothing can cover the scars. Additionally, embrace® scar therapy is available to reduce the appearance of scarring.

My kids are little and very active. Will I be able to pick up my kids after Mommy Makeover surgery?

You should avoid lifting any of your children during the first few days after surgery, even infants and toddlers. We recommend against lifting anything that weighs more than 25 pounds for the first three weeks after your procedure. If you have small children, we suggest that you ensure you have help during your recovery process.

Will running after my kids during recovery have an adverse effect on my surgical outcome?

Elevating your blood pressure during the first week after surgery increases the risk of complications, so avoid playing chase or any other physical games with your children. That holds true for exercising, too. It's best to have someone available to help with child care and chores during the early recovery period. Usually by two weeks there are fewer restrictions on your activity.

I am still not back at my pre-baby weight. Is it ok to proceed with surgery?

It depends on the procedures that you are interested in. At your consultation appointment, Dr. Koenig assesses your health and discusses whether it is best for you to wait until you have reached your target weight or if you would like to proceed with the Mommy Makeover.

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Quatela Center
for Plastic Surgery

The Quatela Center's reputation as one of New York's finest cosmetic plastic surgery practices attracts patients to Rochester from throughout the state. Choose one of the locations below for driving directions to our practice.

Contact Us


The Lindsay House

973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000

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