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Mommy makeover

Leesburg | Loudoun | Ashburn | Virginia

Mommy Makeover

A Mommy Makeover is a combination of procedures designed to restore a woman’s body after having children.  Having children can sometimes be beyond words;  nothing else can produce the joy that motherhood allows.  Seeing the smiles and giggles of your children can provide you pride and a sense of accomplishment.  One downside, however, is the effect that having children has on your body.  Pregnancy affects every part of your body from your breast, to your abdomen, to you vagina, and even to your face.  The effects of dramatic weight shifts, breastfeeding, and vaginal deliveries change your body to a point where you may no longer feel like your sensual-self that you remember.

A Mommy Makeover is a concept procedure that combines procedures for the breast, abdomen, vagina, and face into a package for you that helps you see and feel like the woman that you were before having your bundles of joy.   Breast surgery can include an augmentation or a lift; abdominal procedures can include an abdominoplasty and or liposuction; vaginal rejuvenation procedures can include tightening, vaginal excitation shots, labiaplasty, or treatments for stress urinary incontinence; and face procedures can be anything from botox and fillers to surgery. 

These solutions are customized to your individual needs.  Some patients will benefit from only one or two of these options;  some patients will benefit from all of the options.  We can make a plan for you that will fulfill your concepts of who you were.  

Leesburg, VA plastic surgeon Dr. Phillip Chang regularly works with women who wish to have their pre-pregnancy physique back. While childbirth is an amazing and miraculous moment for many women, it inevitably will change the tightness and shape of certain body parts — and could leave one feeling a little frustrated. The most exciting news is that it’s achievable to reclaim a slim and taut appearance with the assistance of the mommy makeover surgical procedure performed at Aesthetica Cosmetic Surgery & Laser Center. This body contouring treatment uses a combination of skin tightening and fat reduction methods to reshape the abdomen and breasts, and other affected body parts — virtually any body part affected by nursing, weight gain or loss, etc. can be repaired. Furthermore, nonsurgical remedies can be incorporated to repair surface imperfections, such as skin problems or stretch marks, from the rapid stretching and fluctuation of the skin, tissue, and underlying muscles during pregnancy. Typically, a tummy tuck, breast lift, and vaginal rejuvenation is a popular combination among Leesburg patients. 

You are a good candidate for a mommy makeover if you have had children and you are searching for the body that you had before having had children.  You are interested in :

  • Restoring fullness to your breasts
  • Lifting your breasts up
  • Decreasing nipple size and length
  • Flattening your abdomen
  • Getting rid of stretch marks
  • Reducing fat in the abdomen, waist, and thighs
  • Decreasing the size of the labia
  • Tightening of your vagina
  • Treating stress urinary incontinence
  • Restoring facial beauty and fullness

Ideal candidates for body contouring and a mommy makeover are females who have undergone pregnancy, childbirth, and nursing, and have tried to get a slimmer, tighter figure through a consistently healthy lifestyle with little result. For many women, surgical intervention is recommended to once again have their pre-pregnancy figure. If you are past childbearing and are feeling hopeless with the imperfections remaining on your body, such as lifeless, deflated breasts, wrinkled skin in the abdominal area, a stretched labia, or undesirable areas of fat tissue in the hips, thighs, and buttocks, this procedure could help you. The overall goal of Dr. Chang is to help you reclaim your pre-pregnancy body so you can get back to living life without additional concern about your figure.

Details on each procedure can be found on the individual specific procedure pages.  In this section, I will simply list the surgical options that can be used to address some of your concerns.  The most common combination includes a breast augmentation with or without a lift, a tummy tuck, and a vaginal rejuvenation procedure.

Breast

  • Breast augmentation
  • Breast augmentation with a breast lift
  • Breast lift 
  • Nipple or areola reduction

Abdomen

  • Tummy tuck ( abdominoplasty )
  • Mini abdominoplasty
  • Full abdominoplasty
  • Circumferential abdominoplasty ( total body lift )
  • Liposuction of the abdomen or flanks
  • Sculpsure ( nonsurgical method of removing fat )

Vaginal Rejuvenation

  • Labiaplasty
  • Vaginal tightening
  • Treatment of stress urinary incontinence
  • Vaginal excitation shot

Thighs

  • Liposuction of outer or inner thighs
  • Thigh lift

Face

  • Botox or Fillers
  • Surgical removal of excess skin
  • Skin rejuvenation
     

?The mommy makeover procedure is a body contouring surgery, tailored for each woman by plastic surgeon Dr. Chang based on the areas of concern to be enhanced. A variety of procedures can be paired together — the most popular treatments are liposuction of the flanks and lower back, as well as breast lift surgery, breast implants, vaginal rejuvenation, and tummy tuck surgery. The mommy makeover is performed while the patient is under general anesthesia, lasting 3 – 7 hours depending on the complexity. Also, a day-long stay at the hospital might be necessary. It is common to also incorporate nonsurgical skin procedures, such as an injection or a laser treatment, to smooth facial wrinkles and diminish surface issues.

Recovery is going to be highly variable depending on the procedure that you are having.  In general, however, most patients will be out of work for about 2 weeks particularly if your procedure includes a breast augmentation or lift and or a tummy tuck.  See individual procedures for more details..  Below, I have detailed the recover for a breast augmentation or lift and or a tummy tuck.

Pain after a breast augmentation or lift plus or minus a tummy tuck

  • These are painful procedures that will most often require narcotics for 3-5 days
  • Patients who choose to add Exparel can expect to be pain free for up to 3 days

Return to work after a breast augmentation or lift plus or minus a tummy tuck

  • Return to work in about 10-14 days ( but will still be sore )
  • Return to light walking and 10 pound weights in 5 days
  • Return to aerobic exercise and 20 pound weights in 21 days
  • Drive in 7-10 days or have stopped narcotic medications for 48 hours

When will you see the final results of a breast augmentation or lift plus or minus a tummy tuck

  • Most patients will have residual swelling for up to 3 months
  • Some patients will have decreased or sometimes increased sensitivity in the nipples for 3-6 months
  • Final shape is not apparent for 6 months to a year 

As with any surgery, there are associated risks.  Only you can decide whether a breast augmentation can achieve your goals and whether the recovery and risk profile are acceptable to you.  Risks and complications will depend on the combination of procedures that you choose;  look at the procedure pages for details, but most will have these risks in common. 

  • Hematoma or bruising
  • Infection
  • Loss of sensation of the nipple
  • Widened or thickened scar
  • Asymmetry (unevenness between two sides)
  • Delayed wound healing with skin or tissue necrosis
  • Undercorrection or Overcorrection
  • Capsular contracture
  • Unsatisfactory results that may require additional procedures.  Patients will generally be responsible for any associated facility fees.  Revisions are not safe prior to 6 months to a year

A mommy makeover is a conceptual surgery that combines elements of many cosmetic surgery procedures.  It is not only technically demanding but it is an art that requires the highest level of surgical skill to perform to give you the best cosmetic results. For this reason, it is very important for you to choose a surgeon that not only has a high degree of surgical skill and experience, but one who who can artistically combine all of the tools and techniques available to provide you with a individualized and unique experience and natural appearing outcome. 

Dr. Chang is a Board Certified Plastic Surgeon who has gained a national reputation for providing his patients with natural and sensually feminine results.  He has been voted as one of the top plastic surgeons in Loudoun and Northern Virginia year after year.  His work has been featured in national publications such as New Beauty magazine and his YouTube channel which highlights his surgical techniques has attracted thousands of followers and students. 

The cost of a mommy makeover  surgery depends on many factors including the type and combination of procedures that are included.  Cost should be only a small factor in choosing the plastic surgeon.  Surgical skill and ability should be the priority in choosing a plastic surgeon.  I urge you to interview other surgeons.  Only choose surgeons who use a hospital affiliated surgery center.  The prices listed below are shown without discounts.  Discounts are usually given depending on the type and number of different surgeries performed.  The prices listed below are subject to change.  Facility center fees are only estimates

Surgeon’s fee –   Breast Augmentation –  $ 4,500 
Surgeon’s fee –   Breast Augmentation with Lift – $ 6,500 
Surgeon’s fee –   Breast Lift  –   $ 6,000 
Surgeon’s fee –   Abdominoplasty –  $ 4,500 
Surgeon’s fee –   Liposuction of the waist –  $ 3,500 
Surgeon’s fee –   Labiaplasty –  $ 4,000 
Surgeon’s fee –   diVa Laser Vaginal Rejuvenation  –  $ 3,000 ( includes 3 treatments ) 
Surgery Center Fees –   $ 3,000
VIP Members may have a discounted rate

This cosmetic body contouring procedure is categorized as an invasive process and can surgically cover a large portion of the body. Once leaving the hospital, you will begin to recover at home with the post-operative instructions provided by Dr. Chang. The overall recovery is generally a gradual process. Moving around and walking straight will be difficult the first week or so, and a step-by-step, at-home healing protocol will be adhered to in order to help the incisions heal properly. Most patients find the healing process can last around six months. Even while the primary recovery could take months, the majority of women are able to return to a somewhat normal routine within several weeks. Exercise should be held off for about two months. In the end, the mommy makeover procedure at Aesthetica Cosmetic Surgery & Laser Center can be an amazing journey for women, creating a newfound love for their new shape.

How do I decide what to include in my mommy makeover?
In your initial consultation with Dr. Chang, he will listen to your needs and concerns before examining your body. After this, he can make recommendations on what should be a part of your mommy makeover. Most women include a breast surgery (augmentation and/or a lift) along with liposuction, vaginal rejuvenation, and a body lift.

What are the most common procedures included in a Mommy Makeover?

The most common procedures included in a mommy makeover includes a breast augmentation with or without a lift, a tummy tuck, and a vaginal rejuvenation procedure.

Where is the Mommy Makeover procedure performed?

Our office is located in Lansdowne in Leesburg, Virginia.  Most patients will have their procedure performed on an outpatient basis at the Loudoun Ambulatory Surgery Center or at Fair Oaks Hospital.  The facility is extremely safe and is run by board certified anesthesiologists.

How long does a Mommy Makeover take to complete?

This depends on who procedures are chose;  the most common procedures included in a mommy makeover includes a breast augmentation with or without a lift, a tummy tuck, and a vaginal rejuvenation procedure.  This combination will take about 5 hours to complete.  

Why do a lot of women need or benefit from a breast augmentation and/or a lift  after having children?

Most women will lose volume and develop some sag to their breast after having children.  The reasons are a combination of weight changes that stretch the breast skin and ligaments as well as loss of breast glands after breastfeeding.  This leads to the appearance that the top of the breast is flat while the nipple position and the bottom of the breast falls.  Women whose nipple position has only fallen a little and remains above the infra-breast crease will only need a breast implant to fill the volume loss.  If the nipple position is at or just below the under-breast crease might only need an implant but may also need a lift.  If the nipple position is significantly below the crease, the woman will need to make the choice between a lift or an implant plus a lift.  290,000 women had a breast augmentation procedure in 2016.  

Why do a lot of women need or benefit from a tummy tuck after having children?

Most women will benefit from a tummy tuck after having children.  The reasons include fact the your baby has stretched out not only the skin of your abdomen, but has also stretched out the abdominal wall muscles.  Stretching of the muscles makes your abdomen perpetually round despite being thin.  The stretch may have also led to stretch marks and lower abdominal fat accumulation.  A tummy tuck will address all of these problems including removing the extra skin, stretch marks, and lower abdominal fat, in addition to tightening up the loose abdominal wall like a corset with sutures.

Why do a lot of women need or benefit from a vaginal rejuvenation procedure after having children?

Most women will benefit from a vaginal rejuvenation procedure after having children.  The reasons include the fact that the weight gain during and after children build of intra-abdominal pressure and put pressure on the pelvic floor.  This is also why women get hemorrhoids during pregnancy.  These changes are dramatically aggravated by vaginal delivery of your baby.  The stretch and tear of the vaginal walls will often stretch the wall, tear the muscles, and alter the anatomy of the pelvic floor and sling.  The result is a dilation or stretch of the labia, stretch and laxity of the vaginal vault, and susceptibility for stress urinary incontinence.  Note that stress urinary incontinence has been shown to be present in up to 70% of women after vaginal childbirth.    Labiaplasty is simple procedure to reduce the size and length of the labia.  Vaginal laxity and stress urinary incontinence can be addressed with the diVa Vaginal Rejuvenation Laser system with over a 90% satisfaction rate.

Am I a good candidate for a Mommy Makeover?
The simple answer is yes if you have had children.  Having children inevitably changes your body.  Changes occur in your breasts, belly, vagina, and even your face.  The typical mommy makeover addresses only the first two back, but can address all of these areas.  A good candidate is a women in good health, finished having children, close to a healthy goal weight, and who wants to get back to her pre-pregnancy appearance.  If you find yourself wanting fuller more uplifted breasts, flatter abdomen, thinner hips, tighter vagina without urinary leakage, then you are a good candidate.

How long will my Mommy Makeover surgery take?
How long your surgery will take will depend on what procedures you will need.  The typical mommy makeover includes a breast augmentation and/or lift, a tummy tuck, liposuction of the hips and sometimes saddle bags.  Often included will be a labiaplasty and minor forms of facial rejuvenation like botox, or facial fillers.  Breast augmentation will take about one hour.  When combined with a breast lift it might take about 2 hours.  A tummy tuck with liposuction typically takes about 3 hours.  And a labiaplasty takes about 1 hour.

How long is the recovery after a Mommy Makeover?
Recovery after a Mommy Makeover varies depending on the procedures that you have.  The worst pain lasts about 3 days.  Most patients are back to work after a Mommy Makeover in 2 weeks.  Most patients are allowed to drive after a Mommy Makeover in 2 weeks or after being off of narcotics for 2 days.  Light exercise can resume in about 2-3 weeks.  More strenuous exercise is not recommended for 4-6 weeks.   Results vary but can not be appropriately assessed for 3 months.  Complete recovery and settling takes up to a year.  We will be closely monitoring your progress and will let you know how quickly you can begin engaging in activities such as exercise and lifting.

How long will my results last after a Mommy Makeover?
The results of a Mommy Makeover will last as long as you don’t have substantial weight gain or another child after your surgery. 

Can I have children after having a Mommy Makeover?
You should never have a tummy tuck is you are planning on having more children.  This does not mean that you can’t as I have had patients have the occasional “woops”.  But this will stretch out the abdominal muscles that have tightened and ruin the results that I have provided.  The breast might be more forgiving.  Patients will often have a breast augmentation and/or lift after having a Mommy Makeover

Is a Mommy Makeover safe?
It is important to remember that a Mommy Makeover procedure is a collection of other surgeries, each with their own risks.  It is overall a very safe and common procedure that I perform.  Refer to the pages on breast augmentation, breast lift, tummy tuck or abdominoplasty, and labiaplasty and the Diva Laser Vaginal Rejuvenation.

Is a Mommy Makeover an outpatient or inpatient procedure?
Mommy Makeovers can often be done on an outpatient basis, with no need for an overnight stay. You will remain in our facility for a while after surgery, so we can monitor your recovery. Some very rare patients will require an overnight hospital stay depending on your age, health, and extent of procedures. You will need to have a friend or family member drive you home.

How much does a Mommy Makeover cost?
The cost of a Mommy Makeover is dependent on the types and number of procedures involved.  Each situation is unique.  After an initial complimentary consultation, a customized treatment plan will be created that is tailored to your individual needs and budget.  A typical patient getting a breast augmentation, tummy tuck, hip liposuction, and labiaplasty can range from $15,000 to $20,000. 

What about nonsurgical treatments?
Pregnancy and childbirth can really take a toll on the body, so often times nonsurgical treatments are not enough to get the results you want. During your consultation, Dr. Chang can discuss both surgical and nonsurgical options. Based on your needs and goals, he will let you know if treatments like nonsurgical fat reduction (for example, SculpSure), laser vaginal rejuvenation (for example, DiVa vaginal tightening), or nonsurgical skin tightening (for example, SkinTyte) can be considered.

Will I have scars?
While a mommy makeover creates a beautiful new shape and figure for a woman, unfortunately it does include some scarring. Dr. Chang will make every effort possible to create clean incisions that are as small as possible. Any scars that result from this surgery will be able to be concealed with undergarments or swimsuits. As part of your recovery instructions, Dr. Chang or a member of his team will go over scar care so your incisions heal properly.

What if I get pregnant again?
In a perfect world, women would wait to have a mommy makeover until after all pregnancies have been completed so the surgical results are not compromised. Generally, any body part that has been lifted or tightened would be at risk for stretching out if a subsequent pregnancy were to occur. If you get pregnant after a mommy makeover, a second surgery can be performed to refresh your results.

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Dr. Phillip Chang Plastic Surgeon in Loudoun VA

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

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All potential patients receive either a phone, virtual, or in-consultation for free.

During the consultation we will discuss your treatment wishes and expectations. This is the time to ask us lots of questions to really understand what is involved, what the costs will be, and what is expected of you. This is also a great time to get to know Dr. Chang.

Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

We have three execeptionally talents cosmetic nurses:

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  • Katy Down, RN, BSN
  • Angela Westbrook, RN, BSN

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