Procedure

A 'mummy makeover' is a combination of surgeries involving the breast, abdomen, waist, hips and thighs designed to restore the body to its original contours and appearance prior to childbearing.

The procedures typically involved are a breast augmentation and breast lift, a tummy tuck and liposuction. All of these can be combined into a single surgical procedure.

The breast augmentation and lift aim to deliver a firmer breast with better contouring, and can either be done at once or in a staged fashion with the lift first and then the augmentation.

For women also in need of a tummy tuck the excess skin and fat from below umbilicus is removed and redraped to provide a firmer appearance of the abdomen, whilst the muscles underneath are recentralised to provide better contouring and appearance. The incision is concealed below the waistline, and the procedure is often combined with liposuction to further improve contouring. Typical areas for liposuction include the waist, hips and thighs.

What is a Mummy Makeover?

The goal of a mummy makeover is to restore the shape and appearance of a woman's body after pregnancy. Many women notice changes in their bodies post-pregnancy, and desire the restoration of their previous shape.

There are many areas of the body that can be addressed by surgery, most commonly the breasts, abdomen, waist, thighs, genitalia and buttocks.

A mummy makeover is typically performed as a single stage procedure. There are many techniques used to perform a mummy makeover, and many factors should be taken into consideration when choosing which techniques are best:

  • What is the desired amount of restoration?
  • What are the desired areas of restoration?
  • Where would you like the incisions discretely placed? 
  • Are breast implants or natural breast augmentation alternatives preferred? 

At a glance

  • Surgery Time: 4 to 6 hours
  • Hospital Stay: 3 to 4 hours
  • Time Off Work: 3 to 4 weeks
  • Reasonably Mobile: 4 to 5 days
  • Washing: Shower after 2 days 
  • Driving: 3 weeks 
  • Bras & Garments: night and day for 2 months
  • Exercise Including Gym: 8 weeks
  • Sexual Activity: 6 weeks
  • Full Recovery: 8 weeks
  • Sleeping Position: Sleeping on back recommended for 4 weeks

Typical areas of rejuvenation during the Mummy Makeover procedure include the legs, breasts and the tummy, but additional areas which are rising in popularity include eyelid, facial, genital and C-Section scar revision surgery.

Why do people have it

The main reason for having a mummy makeover procedure is to help restore a more visually pleasing body shape and appearance, similar to the one enjoyed prior to pregnancy and childbirth.

The procedure aims to reverse any unwanted or unplanned changes, ranging from unmoveable 'baby weight', to changes in breast size and shape, excess abdominal skin and undesired genital shape and function changes.

Mothers who undergo such procedures typically report a corresponding increase in self-confidence and an improved sense of psychological wellbeing.

Typical expected improvements from surgery include:

  • Removal of excess abdominal skin and fat 
  • Centralization and tightening of the stomach wall muscles
  • Reducing or restoring breast volume and shape
  • Reducing the visibility of scars and stretch marks
  • Removal of excess pockets of fat and skin from trouble areas such as the waist, arms and thighs
  • Rejuvenating the appearance and structure of the vaginal region
  • Increased satisfaction with the overall body contour and shape

Most commonly procedure combinations include Abdominoplasty, Breast Surgery and Liposuction

The Brazilian Abdominoplasty or ''Brazilian tummy tuck'' has similarities to the traditional tummy tuck including:

• The same amount of tissue is removed (usually a melon slice of tissue is removed as an ellipse from the belly button to the pubic bone)
• The scar is the same length (ideally hidden as low as possible, so that its hidden with underwear)
• The tummy muscles pulled apart during pregnancy for example are brought back to their normal position (repairing any hernia if present)

The positive advances of the Brazilian tummy tuck include:

• Liposuction is used to sculpt and contour the tummy and flanks
• No drains are needed as a specialized layer of tissue on the tummy is preserved
• A better definition of the flanks is created
• Less pain and quicker mobilization (patients are expected to be up and walking within 3 hours post operation)
• Safe to perform as a day case procedure

Genetics plays the biggest role when it comes to breast shape and size, however, breasts can also fluctuate in response to changes in weight, hormones, pregnancy and breastfeeding. The consultants at Cadogan Clinic analyse the individual need of the patient to decide the optimal breast procedure for delivering the most effective results. Most popular breast surgery as part of the Mummy Makeover include:

Augmentation, the most popular cosmetic surgery procedure in the UK, is a straightforward procedure involving an implant or fat graft, which changes the size, shape or texture of the breast, restoring shape and confidence to women.
Uplift (also called a Mastopexy) when the patient has good volume of the breast but a change in the shape and position on the chest wall is desired e.g. the breast has dropped post pregnancy or breastfeeding. In these cases, the breast doesn't need extra volume but a lift and reshaping is required.
Augmentation combined with an uplift This procedure is undertaken when the patient feels that the current breast volume is too small and the position of the breast is too low. In these circumstances an implant would be used as a base on which the breast tissue is lifted and reshaped.
Reduction This is carried out with the patient feels that their breasts are too big or heavy. In these circumstances a reduction of the breast volume is performed and the remaining tissue is reshaped and lifted into a more youthful position.

 

Cadogan Clinic Founder Mr Bryan Mayou pioneered the introduction of liposuction to the UK over 30 years ago, and the clinic remains the home of liposuction in the UK. The liposuction procedure will address key concerns for the individual, including thighs, flanks and lower back.

During this fat removal surgery, a narrow tube is inserted through a small incision into the problem area and the fat is then sucked out of the body through the same tube.

Who is suitable? 

Mummy makeover surgery is a highly personal procedure and should only be undertaken if you feel strongly that you would like to restore the appearance of your pre-pregnancy body.

You may be a suitable candidate for mummy makeover surgery if:

  • You are in good psychological and physical medical health
  • You are at your ideal body weight
  • You have a positive outlook and realistic expectations of what can be achieved via surgery
  • You are a mother who has experienced body shape and contour changes following one or multiple pregnancies 
  • You are finished with childbearing

What to expect

CONSULTATION 

The first step for all of our patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation. At the consultation you will be able to discuss with your surgeon what your hope to achieve from the procedure, as well as discuss in detail what may or may not be possible given your existing anatomy.

Your surgeon will take you through the various combinations of procedures available to you, and which is most suitable and preferential for you given your stated ambitions. Having established this, several key measurements will be made and standard clinical photography will be taken.

Finally a comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding what to expect in the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery.

If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period.

Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.

PRE-PROCEDURE

If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure. Before admission the following behavioural changes are recommended / required:

  • In the 6 weeks before your procedure we recommend smoking is discontinued as patients who smoke have a higher risk of healing more slowly and complications (see FAQs)
  • In the week before your procedure you must cease taking Aspirin or any medication that contains Aspirin
  • In the 6 hours prior to surgery you must not consume food or any drink, other than small sips of clear fluid (e.g. still water, black coffee, black tea) which are allowed up to 2 hours before admission

DAY OF THE PROCEDURE

On the day of your procedure we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant vitals, you will meet with your anaesthetist and your surgeon who will make the final mark-ups.

The procedure itself takes place under general anaesthetic over the course of four to six hours. The exact procedure will vary depending on the precise combination of procedures selected, however it is most common for you surgeon to begin the procedure with the breast area and then move on toward the abdominal and genital area to minimize risk of infection. In almost all cases, you should expect to have all procedures done during a single surgery, although phased staging is also possible.

Following the procedure, you will recover in our ambulatory recovery rooms for between three to four hours, dependent on the scale of the procedure. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family.

POST PROCEDURE & RECOVERY

Once home you will have access to our dedicated on-call nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and pain control, and are there to field any questions you may have in the immediate post operative phase.

Post procedure pain can take one to two weeks to fully subside and abdominal tightness may be felt for several weeks. You will be fitted with a post surgical garment to provide support and help with bruising and swelling. This should be worn day and night for 4 – 6 weeks. Strenuous exercise should be avoided for 6 – 12 weeks, with results improving for up to 12 – 18 months after the procedure.

We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture we also recommend you meet with one of our on site aestheticians to discuss ongoing treatment to support the healing and scarring process.

We ask that you come in to see your surgeon after 6 - 8 weeks for a final check up.

Why come to the Cadogan Clinic

The Cadogan Clinic is the only cosmetic centre of excellence in the UK to offer the 'Mummy Makeover' with the cutting-edge Brazilian Abdominoplasty technique.

The Brazilian Abdominoplasty technique delivers a better tone and definition to patients, whilst reducing risk and recovery time.

The Brazilian tummy tuck is a safe and improved surgical technique that combines liposuction (to the upper abdomen and flanks) with tissue removal and repair of tummy muscles. This modified technique has less pain, negates the need for drains and creates a better sculpted shape.

Mr William Van Niekerk is amongst only a very small handful of surgeons in the UK trained and qualified to perform the very specialist Brazilian Abdominoplasty and he was also one of the first surgeons to perform this procedure as a day case surgery in the UK. The extensive experience of Mr Van Niekerk, combined with his meticulous, exacting standards makes him one of the best and most exciting practitioners in the country.

"The Mummy Makeover is hugely popular amongst women seeking to reclaim their pre-baby bodies, and target areas of the body where, despite the best intentions after dieting and exercise, are not going to improve. Mummy Makeover procedures at the Cadogan Clinic are bespoke to each patient, addressing unique concerns in order to re-sculpt the body back to its natural shape,"

Mr William Van Niekerk

The consultants at the Cadogan Clinic take a truly holistic view of each patient prior to the procedure, considering their individual body shape and proportions, goals and expectations in order to achieve optimal, natural and complementary results. The practitioners work together with the patient (and other consultants if required) to plan the best course of treatment for the individual.

Due to the skill of the surgeons and anaesthetists and the type of anaesthesia used, patients are able to return home on the same day as having the Mummy Makeover procedure, with minimum side effects. This approach is designed to enhance the recovery, minimise risk of infection and reduce the impact on the individual's life. Patients will also benefit from free aftercare from the dedicated nursing team 24 months after the procedure.

What are the risks 

Your surgeon will explain the risks associated with mummy makeover surgery in detail at your consultation.

Although the risk of complication is limited, as with all surgical procedures there are some common risks to be aware of.

The majority of these are general surgical complications, and include:

  • Nausea 
  • Bleeding or Infection 
  • Poor healing of incisions and scarring
  • Haematoma
  • Seroma
  • Fat necrosis or embolism
  • Loss of sensation or numbness 
  • Pain

Frequently Asked Questions

Your consultation is designed to be perfect opportunity to ask all the pressing questions that you have to your consultant, ahead of making a decision on surgery. It is vital that you are fully informed before making your final decision, and the consultation is therefore a key part of the education and decision making process.

Some good examples of questions to ask, include:

+ Am I a good candidate for this procedure?
+ Do you think my goals are realistic given my existing anatomy?
+ Can I have my combination procedure as a single surgery?
+ Can I see some before & after pictures of mummy makeover procedures you have done previously?
+ How long will my recovery take?
+ Is it true that Cadogan offers 24/7 on call nursing service?
+ What can I expect in terms of bruising, swelling and scarring?
+ What are my options if I am unhappy with my results?

After your surgery, you will be asked to come in for a post-operative appointment to come back and see our nursing staff at the Clinic between 1 and 2 weeks after your surgery. At this point your incision sites will be reviewed, and your preliminary healing will be assessed.

After 6 weeks your surgeon will personally review your progress – again at the Clinic - and make sure you are recovering as expected. In addition, they will remove any stitches and advise you on the need for further dressings.

Throughout the recovery period you will have full access to our 24/7 on call nursing service, and full access to the Clinic and our post-operative facilities.

Our aim is to make you feel as comfortable as possible during the entirety of your recovery period.

As your anaesthetic or sedation wear off you will wake up in our recovery facilities at the Clinic. You may feel a little drowsy but this often wears off within a few hours. After several hours in recovery, you will eat and hydrate. At that point, you will be allowed to leave the Clinic by our nursing staff.

It is common to feel a little pain and discomfort in the immediate aftermath of surgery. This will wear off in due course. Our 24/7 on call service is open to all patients for any question or query they may have at this time.

You will not be able to drive yourself home after the surgery. You should arrange for someone to pick you up and take you home. In addition, you will need to ask someone to stay with you for the first 24 hours after your procedure.

As each procedure in the mummy makeover is different, the recovery times for each varies too. The amount of time you will need to take off work will also depend on the type of job you have; inevitably, administrative jobs will be more swiftly resumed than occupations that require more strenuous activity.

Likewise, you will be able to return to low impact activities like walking and cycling before you are able to reintroduce lifting heavy weights and doing intense aerobic activities. In general we recommend at least three weeks off work, and eight weeks off exercise.

Final results are typically first seen six or so weeks after your procedure, with ongoing improvements beyond this point likely as the healing process fully completes over the coming 12 to 18 months.

Your surgeon will be able to give you specific guidance at your consultation, once the precise combination of procedures is understood.

Certain lifestyle factors can increase the risk of complications during and after your surgery. These include smoking, drinking alcohol, being overweight and taking drugs (for medical or recreational use.)

The most common impact of smoking before your surgery is that it increases your chances of developing an infection and inhibits your body's natural healing processes. We insist that all patients stop smoking and using nicotine products at least six weeks before surgery. Reducing alcohol intake is also strongly advised.

Your doctor will discuss your current BMI and drug use at your consultation and advise you further on this.

The results of the procedure will last for many years but are not fully permanent. This is because the body continues to change shape as we age, and skin elasticity continues to deteriorate. The results will be meaningful and last a number of years, but will not be completely permanent.

We do not recommend having a mummy makeover if you plan to get pregnant again, as this will materially impact any results achieved. We also recommend that any significant weight loss occurs before surgery and not afterwards.

This is because excessive weight loss can negatively impact your results by leaving excess, inelastic skin in treated areas.

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