P atient Guide. Mommy Makeover. Dr. J. Vicente Poblete MD, FACS. Introduction

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1 Introduction After 9 months in maternity clothes, new moms can hardly wait to ditch the elastic waistbands and stretch-panels and slip back into their favorite skinny jeans. As your stomach keeps expanding and your breasts start to balloon during the final months of pregnancy, you console yourself with the happy thought that your body will soon be slim and sexy again. But after the birth of your baby, you discover the sad truth. Your body does not magically snap back to its pre-pregnancy shape. The problem is that skin and muscles only have so much elasticity, and pregnancy taxes them beyond endurance. Overstretched and torn, skin and tissues never fully recover; and each year age and gravity exacerbate the problem. Now when you look at your body, instead of proud, you feel defeated. Your eyes are drawn to your embarrassing tummy bulge and sagging bosom. Every time you catch a glimpse of your new figure, you find yourself thinking, I want my pre-baby body back! You are not alone. A 2010 survey by the American Society of Plastic Surgeons (ASPS) found that 62% of mothers were dissatisfied with their post-pregnancy bodies and would be interested in having a to reclaim their pre-baby figures. Today women are not afraid to admit that they love their children, but they wish their bodies looked the way they did before their first pregnancies. And they re not afraid to acknowledge that they may need a little help beyond a healthy diet and exercise, said ASPS President Phillip Haeck, MD in a 2011 ASPS press release. In the past we saw a lot of women in their 50s getting these types of procedures. But today we are seeing young mothers in their 30s coming in for procedures such as tummy tucks and breast lifts. They don t want to wait years to reestablish how they used to look. They want their pre-baby bodies back now. With a, you don t have to be embarrassed about the way you look. You can have your pre-baby body back, and you can have it back now!

2 What is a? A is a special combination of cosmetic surgery procedures designed to address the body changes that result from pregnancy and nursing and restore your body to its pre-baby figure. On RealSelf.com, an online community where real people share cosmetic surgery experiences, site users voted s 95% worth it. Because loose and sagging breast and abdominal skin is the most common post-pregnancy body issue, most s combine some form of breast enhancement surgery with a tummy tuck. While an endless number of cosmetic surgery combinations is possible, each is personally tailored to meet the individual patient s unique appearance goals. Dr. Poblete offers his patients the widest range of body contouring options, including minimallyinvasive, laser-assisted Smartlipo TriPlex, the latest advancement in liposuction technology. s generally include various combinations of the following cosmetic surgery procedures: Breast augmentation restores lost breast volume and restores/augments cup size. Breast lift raises sagging breasts, improving clothing fit and silhouette. Breast reduction decreases breast size and/or removes excess breast skin. Full tummy tuck (abdominoplasty) removes excess skin and unsightly stretch marks while tightening the skin and muscles of both the upper and lower abdomen. Mini tummy tuck removes excess skin and tightens the skin and muscles in the lower abdomen only. Lipo tummy tuck is a less invasive procedure that uses liposuction to remove excess fat, tighten abdominal skin and contour the stomach area. Smartlipo TriPlex liposuction removes stubborn fat accumulations caused by pregnancy weight gain and allows precise body contouring. Lower body lifts remove loose, sagging skin and excess fat in the thighs, hips and/or buttocks to smooth skin and improve body contours. Multiple cosmetic surgery procedures can often be performed during a single surgical session or patients may choose a phased-approach, spacing procedures over a period of time. The number and type of procedures required to meet your appearance goals, surgical considerations, and your personal preference will determine the scheduling of your. Some patients prefer to spread their surgeries over time to accommodate child care or budget concerns.

3 Staged Surgery P atient Guide Patient Concern: Small, sagging breasts and loose abdominal skin after pregnancy. Solution: Staged mommy makeover. Initially, breast enhancement surgery with saline breast implants, then a few months later, a mini tummy tuck or mini-abdominoplasty. Breast Aumentation Surgery Before 12 Months After Tummy Tuck Surgery Before 12 Months After

4 What is the difference between a tummy tuck and liposuction? P atient Guide A tummy tuck (abdominoplasty) removes excess or sagging skin from the abdomen. Weak abdominal muscles can be also tightened. Some stretch marks may be removed with excess skin, and the appearance of others may be improved as skin is tightened across the abdomen. Liposuction (lipoplasty) eliminates stubborn fat deposits that do not respond to diet and exercise and is most effective in areas that retain good skin elasticity. Liposuction can be used to improve body contours, but it does not remove loose, sagging or excess skin. When skin loses its elasticity, no amount of exercise will ever cause it to snap back. If you have loose and sagging abdominal skin, surgical removal with a tummy tuck is the only effective solution. Smartlipo of Abdomen and Flank-Hip Area with Tummy Tuck Patient Concern: Fullness of abdomen and hips. Solution: Smartlipo combined with Tummy Tuck. I am offically down 34 pounds - yay!!!! I went from a size 11/12 to a 7/8, my stomach is so flat - I absolutely love my results. Thank you for being there for me this whole time. If I ever had a question you were just a phone call away. Thank you to Dr.Poblete, I now know first hand he is an amazing surgeon. I am always referring people to you guys. Everyone always tell me I look great and wants to know how I lost so much weight. And when I tell them, they re so amazed and they start to inquire about it. I make sure to tell them how supportive you are, what a great surgeon Dr.Poblete is, and how great everyone in the Chestnut Commons Surgical Center is.

5 Are these procedures common? s have become one of today s most popular cosmetic surgery procedures, particularly among women in their 30s and 40s. Women are starting families later in life and giving birth when their bodies are less resilient. According to the National Center for Health Statistics, the average age of first-time mothers has risen from 21 to 25 since 1970; and the average age of all new moms, from 25 to 28. New mothers are also returning to their careers more quickly after giving birth, often within 3 to 6 weeks. Active, energetic, career-driven and successful, today s woman isn t willing to accept the matronly shape conferred by pregnancy; and with a she doesn t have to. Young and energetic, these women want to feel proud of the way they look. s allow busy, vital women to say good-bye to mom jeans and reclaim their attractive, sexy, pre-baby figures. According to the American Society of Plastic Surgeons, 1.6 million cosmetic surgical procedures were performed in the U.S. in 2010, 91% on women. In the decade since 2000, 2010 saw a significant increase in the most common procedures: 111,642 tummy tucks, an increase of 85% 89,931 breast lifts, a 70% increase 296,203 breast augmentations, up 39% In 2010, women aged 40 to 54 comprised the largest cosmetic surgery consumer demographic (48%) for all cosmetic surgery procedures, followed by women aged 30 to 39 and 20 to 29. Patient numbers in all demographics increased by 2% to 3% between 2009 and 2010, indicating women s acceptance of cosmetic surgery as an effective solution to appearance problems.

6 What is the recovery time? recovery times are dependent on the combination of cosmetic surgery procedures selected and can vary widely. However, technical and procedural advances in cosmetic surgery have significantly decreased recovery times while increasing patient safety. For example, a woman who undergoes Smartlipo TriPlex liposuction on Friday can be back in the office on Monday; whereas, a tummy tuck, which many patients liken to having a Caesarian Section, may require closer to 6 weeks for complete recovery and return to all normal activities. Generally, patients can expect initial recovery to take from 3 to 10 days, depending on the procedures performed. Many patients, even those undergoing more extensive procedures like breast augmentations and tummy tucks, are back to work within 7 days; although some patients will require a longer recuperation. Restrictions on lifting, exercise and strenuous activity may extend for several weeks beyond the initial recovery period. Patients can minimize recovery time by carefully following all pre- and post-operative instructions. Will anyone notice? You will find the results of your amazing; but your friends and coworkers, while noticing how great you look, will probably attribute your improved figure to more hours at the gym. It is important to understand that cosmetic surgery will not prevent future weight gain which can undermine the positive results of your. The long-term success of your will require a commitment to a healthy diet and regular exercise. Of course, your new healthy lifestyle will only reinforce your friends belief that your sexy new body is the result of sweat and hard work.

7 Are my goals realistic? Women who begin their with realistic expectations will be the most satisfied with the final results of their cosmetic surgery. When meeting with your plastic surgeon, be specific about your appearance goals. Arrive at your consultation with an open mind. Cosmetic surgery procedures that worked for your friend may not be the best way to meet your appearance goals. Rely on your plastic surgeon s expertise and recommendations, but do not be afraid to ask questions. Your surgeon will want you to be comfortable with the plan he designs to help you achieve your goals. Some women schedule s not long after the birth of their baby. Others choose to wait several years until their children are more independent. The American Society of Plastic Surgeons recommends waiting at least 6 months to a year after the birth of your final child and after you finish nursing before scheduling your. For optimal results, you should complete any planned weight-loss program before undergoing your and plan to adopt a healthy diet and exercise routine after your makeover to maintain your new shape. A will rejuvenate your body and boost your self-esteem. Women who have s say the emotional boost they receive makes them a better woman, a better mom and a better wife. When you look in the mirror you should love what you see. After a, you will!

8 How much does it cost? prices vary considerably depending on the combination of cosmetic surgery procedures selected and their complexity. RealSelf.com users reported an average cost of $13,100 when several major procedures were performed. Patients may realize some cost savings by combining procedures into a single surgery. Patients that wish to spread costs over a period of time might want to consider a phased-approach. Financing options are also available. When considering a, you have to put the cost in perspective. When supported by a healthy diet and exercise regimen, the results of a Mommy Makeover can last a lifetime. For the same cost as a single 2-week family vacation, you can reap decades of pleasure from a. Think of it this way: If you have a when you re 35 and live to be 85, the cost of a $15,000 is $300 per year or less than $1 a day. You spend considerably more than that on your daily latte! Ask yourself, Isn t feeling young and sexy and good about my body worth the price of a cup of coffee? A word of caution: Cosmetic surgery is major surgery that should only be performed by a board-certified plastic surgeon like Dr. Poblete who is an expert in performing complex multiple cosmetic surgery procedures. Your safety and your satisfaction with the results of your will depend on your plastic surgeon s skill and experience, not price.

9 How do I get started? It s easy to begin your transformation back to your svelte, sexy pre-baby body. To get started, call our office at to schedule your personal consultation. If you have any questions about s, send them to Ask Donna on our website homepage and Donna will send you a personal, confidential reply. On our website, you ll find additional information about s, as well as before and after photos of an actual patient s Staged Surgery. Women who are considering a may also find it helpful to download our Patient Diaries and read about the actual experiences of women who have completed a, or one or more of the procedures involved. About Dr. J. Vicente Poblete Board-certified plastic and cosmetic surgeon, J. Vicente Poblete, MD, FACS is committed to patient satisfaction and quality medical care to the patients he serves in the Cleveland, Cuyahoga, Lorain and Sandusky-Huron areas. Physician training and expertise is imperative when choosing your plastic surgeon. J. Vicente Poblete, MD, FACS has advanced credentials. He is board-certified in both Plastic Surgery and General Surgery by the American Board of Medical Specialties. He is a member of the pre-eminent national plastic surgical societies: the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons. Dr. J. Vicente Poblete MD, FACS