Orange County Mommy Makeover Surgeon: Breast Enhancement
October 26th, 2009 Dr. TaleisnikMommy Makeover Surgeon- Dr. Andres Taleisnik
As many women know so well, there can be a physical price to pay for having children. Unfortunate changes often occur in the breasts, abdomen (tummy), or other areas. I recently wrote an article about The Mommy Makeover, a combination of plastic surgical procedures designed to help women to regain their pre-pregnancy figures (or even better). A Mommy Makeover almost always includes a tummy tuck (or abdominoplasty), and procedures to improve the breasts. I also wrote recently about the tummy tuck component of The Mommy Makeover in greater detail. This article addresses the enhancement of the breasts after pregnancy.
Many women who were entirely satisfied with their breast size and shape prior to pregnancy complain of decreased volume, emptiness of the breasts, or sagging afterwards. Fortunately, I can offer surgical options to improve each of those problems. It is important to consult a plastic surgeon certified by the American Board of Plastic Surgery, as I am, since the surgeon must have the training, knowledge and experience to provide an individualized plan for every patient, since every woman’s needs and desires are unique.
Some women complain to me that their breasts are “saggy” after pregnancy, when they are actually just “empty.” Such patients may do extremely well with breast augmentation alone, using either saline or silicone implants (I’ve discussed the differences in a prior article). The implants can restore fullness, which is usually quite lacking in the upper breast and cleavage area in particular. There may be choices as to the final size or volume of the breasts as well. When you meet with me for your consultation, I will help you to determine whether augmentation alone will achieve your goals.
While augmentation alone may be sufficient for many women, there are certainly others who might benefit from a lift, or mastopexy, with or without implants. If the nipples are on the lower part of the breasts, or point downwards, a lift could be helpful. A lift is often beneficial if the nipples are near or below the level of the inframammary fold, which is the crease or fold beneath each breast.
If the breasts already have enough volume, a lift alone may be fine. Often, however, it’s not possible to restore the degree of fullness in the upper breasts that many women want without using implants. Such patients are candidates for an “augmentation mastopexy,” or lift plus implants.
There are also different types of lifts that can be used. If there is significant drooping (breast “ptosis”) or laxity of the breasts, a larger, more traditional type of mastopexy, or lift, must be used. Such lifts create more scars (which usually fade and become fairly inconspicuous as time passes), but are also more powerful, reshaping a severely saggy breast very nicely. If a more minor degree of lifting or tightening is required, there are lifts that involve, for example, scars only around the areolas. These are known as “concentric mastopexies,” “crescent lifts,” and others.
The good news is that a caring, well-trained plastic surgeon can improve MANY of the unwanted body changes that accompany pregnancy, childbirth and breastfeeding. As you might imagine, it’s critical to seek a surgeon who is not only well-trained and certified by the American Board of Plastic Surgery, but who will also take the time to evaluate your specific issues and desires, and to review them with you in an understandable fashion so that you can make the best possible choices. I take pride in caring for my patients with more individualized and complete attention than can be found anywhere else, as you’ll discover when we meet. Please call my office at 714-835-6500 to schedule your free consultation.
Three unwanted changes can often occur to your tummy, or abdomen, after pregnancy: stretching or sagging of the skin, loosening or bulging of the muscles, and development of stretch marks. Fortunately, a well-performed tummy tuck can often improve all three of these problems. The main purpose of a tummy tuck is to remove excess, loose skin (and some fat at times). Every woman’s skin recovers differently after pregnancy. Some women are fortunate that their skin tightens up nicely, staying smooth and without stretch marks. More often, the skin doesn’t tighten back to its pre-pregnancy state. The tummy tuck excises, or cuts out, the excess skin. The extra skin, accompanied by drooping, folds or creases, and jiggling with movement, can occur in women of any age or size. I have performed tummy tucks, with excellent improvement, on women who are 5 feet tall and weigh over 200 p0unds, and on women who are 5’7″ tall and weigh 110 pounds. ANYONE can develop loose, hanging skin after giving birth. There are photos of women of different sizes on 
Having children is a wonderful experience for most women, but it often leads to many undesired changes in their bodies. Some women are fortunate (not many!), since their bodies recover almost to the pre-pregnancy shape. Most never quite regain the figures they had before giving birth.
