Recent Abstracts & Updates from Scientific Journals regarding Mommy Makeover
Strategies for Aesthetic Reshaping of the Postpartum Patient.Matarasso A1, Smith DM.Plast Reconstr Surg. 2015 Aug;136(2):245-57.
Statistics reflect that pregnancies are occurring at a later age, multiple births are becoming more common, and a sizeable population–with a keen interest in nutrition, fitness, and a continued desire to retain a youthful figure–is aging. Consequently, postpartum reshaping is a priority for many women, enough so that the phrase “mommy makeover” has entered the vernacular. In this article, the senior author’s practice was evaluated to explore patient goals, methods, and outcomes in reshaping the postpartum abdomen.
A literature review was conducted to assess the state of the art in methods to meet these goals. The postpartum patient often uses her pre-pregnancy appearance as a barometer for her post-pregnancy goals. Although aging is one force motivating women to pursue abdominoplasty, the majority desires the correction of changes related to pregnancy.
The abdomen and breasts are the regions most visibly affected by pregnancy, although numerous aesthetic units of the trunk and surrounding regions concern patients seeking postpartum body contouring and they may be part of the patient’s perception and idealization of her appearance. Abdominoplasty is central to postpartum body contouring, and numerous strategies such as concurrent flap, flank, or mons pubis liposuction and waistline enhancement methods are integral components of it.
Consideration should also be given to the multiple body areas affected by pregnancy that may enhance the patient’s overall appearance. In the appropriate context, multiple procedures can be safely and effectively combined to address the various regions affected by postpartum changes.
Note from Dr Sreekar Harinatha: This study validates the use of combination of procedures during mommy makeover. This study also evaluated the efficiency of surgery in reshaping the body after pregnancy.
2. Combined breast surgery and abdominoplasty: strategies for success.Matarasso A1, Smith DM.Plast Reconstr Surg. 2015 May;135(5):849e-860e.
Abdominoplasty and breast surgery are frequently appealing to patients as combined procedures. The practice of combining abdominoplasty with other procedures originates from abdominoplasty performed in conjunction with intraabdominal or gynecologic surgery. Initially, the focus of combined surgery was on ensuring safety and minimizing local (e.g., wound healing) complications.
As surgeons began combining abdominoplasty with distant procedures such as breast surgery, because the individual procedures have little adverse impact on one another and are not altered because of the combination, concerns with systemic morbidity surpassed the initial focus on avoiding local complications. Prevention of venous thromboembolism became a paramount concern.
The authors perform abdominoplasty in conjunction with other procedures more frequently than in isolation, reflecting broader societal demand. Indeed, because of the effects of pregnancy and aging, abdominoplasty is being performed in conjunction with breast surgery with frequency sufficient to have driven the term “mommy makeover” into mainstream parlance. Consideration regarding length of surgery and the other recommendations in this report allows for the safe and successful execution of this common combination.
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Note from Dr. Sreekar Harinatha: Combined surgeries during Mommy Makeover has many advantages. This study evaluated the various aspects of combined surgeries and concluded its efficacy.