Mommy Makeover Video NYC Patient #2
Mommy Makeover Video:Patient 2
This is Dr. Carlin Vickery. I am a Board Certified plastic surgeon with 30 years experience practicing in New York.
The following video will cover a candidate who has undergone a Mommy Makeover surgery.
NYC Patient Considering a Mommy Makeover
This is a 32 year old woman who came seeking improvement in her breasts and her abdomen following three pregnancies. During her pregnancies the patient states that she had lost the tone and the volume of her breast and that her breasts had dropped down from their more youthful position. Additionally the patient, despite exercise and diet, had persistent laxity and protrusion of her lower abdomen such that she was frequently mistaken for being pregnant, postpartum.
The Effects on the Body
If one looks at her first picture, you see that looking at her breasts, her breasts have a slope onto the abdomen and she has large nipples and areolas and there is very little fullness in the upper portion of her chest wall. Additionally there is some asymmetry between the two breasts. In her abdominal area you see that she in fact looks as though she is approximately 4 to 5 months pregnant with protrusion of the skin and the fat from the upper abdomen to the lower abdomen.
The next slide focuses on her breasts. Again you can see the large dimensions of her nipple and areola, you see the asymmetry and you also appreciate that the droopiness of her breasts has extended onto her abdominal wall.
Tightening the Stomach MusclesFocusing on her abdomen, the umbilicus is widened and this is reflective of the fact that the musculature of her abdominal wall has spread on palpation there is approximately a two and half inch space between the natural position of her rectus abdominous muscles. In order to achieve strong abdominal support the patient will require not only removal of the excess skin and fat but she will also have to have a corset like tightening of her rectus abdominous muscles from the top to the bottom of her abdomen and along the mid line of her umbilicus (also known as a Tummy Tuck.)
The oblique position again demonstrates the protrusion of her abdomen and the pregnancy like state despite the fact that she is postpartum.
And the full side view likewise demonstrates the laxity of her abdomen and loss of abdominal lobe, core strength and muscle support.
In this photograph you have both the pre and post operative photographs. The left side demonstrates the preoperative photograph in which the muscles are spread and she has lost abdominal wall integrity. Post operatively the patient has a scaphoid flat abdomen, the muscles have been returned to their anatomical position with the corset like suturing that has been performed at the time of surgery and the excess skin form the pregnancy has been removed through an incision which is well hidden by the bikini line.
The frontal view likewise demonstrates this improvement, the abdomen is now flat and bikini ready, the belly button is the smaller size and is no longer stretched out, and you can appreciate the underline abdominal wall musculature in the center portion of her abdomen which now represents natural core strength.
Focusing on her breasts, the patient underwent placement bilateral breast implants in order to achieve fuller volume in the superior portion of her breasts, additionally the patient had resizing of her nipple and areola complexes and tightening of the skin envelope so that the breasts have greater volume and more youthful tone and shape.
This is the end of the video presentation. I hope it has furthered your understanding of Mommy Makeover Surgery.