Contemplating The Bikini Makeover
The Bikini Makeover (or Mommy Makeover, as it’s commonly known) is actually a combination of two surgical procedures: a Breast Augmentation, with or without a lift, and a modified or full Abdominoplasty. This surgery can be ideal for women whose bodies have changed as a result of childbearing, weight loss, or age.
Women in their 40s and 50s are good candidates for this makeover, as they often have some or all of the following concerns:
- Breasts have lost volume, become relaxed, or perhaps fallen.
- The abdomen protrudes from a stretched fascial wall, more fat and redundant skin.
- A healthy diet, good mindset, and exercise do not significantly change these issues.
Preparing for the Procedure
During your consultation with Dr. Anton, he will evaluate you as a candidate for the Bikini Makeover. With regard to your Breast Augmentation, you will discuss your preference of the size you would like to achieve. Prior to surgery, you will be provided with instructions and exercises to help you determine the breast size with which you feel most comfortable. This is a personal, individualized process for each patient. Dr. Anton will also discuss the necessity of a full breast lift with augmentation or a C-Pexy (Crescent Lift).
When addressing the issues concerning an Abdominoplasty, Dr. Anton will assess the quality of your abdominal skin as well as any existing abdominal scars. When a C-Section scar is present, it can often be used as the incision site, elongating the incision on each side. The location of the incision is partially based on personal preference in regards to how low one prefers the incision to be. Incisions are strategically placed and very well concealed when wearing a bathing suit or undergarments.
The amount of abdominal skin and tissue will determine if you are a candidate for a full or modified Abdominoplasty. A full Abdominoplasty has an incision in the lower abdomen area that runs from hip to hip. Another incision is also made around the navel to reposition the belly button and remove any loose skin around it. This incision heals well and is deep inside the belly button and almost impossible to see once the area has healed. A modified Tummy Tuck requires a smaller incision in the lower abdomen area and often does not require an incision around the belly button. Some stretch marks are removed in a both types of procedures.
About the Procedure
The Bikini Makeover procedure takes approximately 4-6 hours under general anesthesia.
Breast Augmentation: A small incision is made on the lower edge of the areola. This is the optimal area for the incision, tends to heal extremely well, and fades quickly. The breast implant is placed underneath the pectoralis major muscle. Breast implants that are under the muscle have a lower rate of capsular contracture and rupture. Also, when implants are under the muscle, mammograms are not compromised. Depending on personal preference, a silicone gel or saline implant can be used.
Abdominoplasty: The length of the procedure depends on how much tissue and fat needs to be removed and if the muscle fascial wall (imagine a corset that holds the muscles together) needs to be tightened. All sutures are placed internally; there are no external sutures.
Dr. Anton performs what he calls a Triple Tuck Abdominoplasty™when possible for both full and modified tummy tucks. He imbricates the fascial wall (corset) and places one suture down the midline of the abdomen. He then adds a suture on either side of the midline to further support and strengthen the fascial wall around the muscle. This procedure allows for a more natural look, and the abdomen is able to maintain its natural contours while still achieving a tighter appearance. It also eliminates the need for drains post-surgery and much of the pain commonly associated with traditional abdominoplasties.
What to Expect After Surgery
Most patients wake from surgery feeling groggy, tired and just wanting to rest. You will be wrapped in compression bandages and may feel some mild to moderate pain that is usually alleviated by prescribed pain medication. Overall, patients feel their surgery was less painful than anticipated and are able to discontinue their pain medication after 4 to 5 days.
Breast Augmentation: It is typical for breasts to feel very tight especially immediately after surgery; this will gradually subside throughout the healing process. Approximately one to two weeks later, your implants should relax into their proper position and move freely. This process can take longer in certain patients.
Abdominoplasty: Initially, the abdominal area can feel tight. This will gradually subside during the healing process. You will wake from surgery wearing an abdominal compression binder. This binder is worn at all times for two weeks. You will then be instructed to change to a lighter support garment for approximately 2-3 more weeks.
Your activities are restricted for a full two-week period after surgery, including no lifting, bending or straining of any kind. Exercise and movements that involve bending or twisting at the waist may be restricted for up to 4 weeks or more depending on healing. You will be advised during your post-operative appointments about these restrictions. The healing process varies from patient to patient and is decided on an individual basis.