Mommy Makeover: Reducing Tummy Tuck Complications

Mommy makeover and  tummy tuck in Beverly Hills by Dr. Kevin Brenner.

Are tummy tuck complications affected by the level of fascia layer dissection?


Mommy makeover with tummy tuck in Beverly Hills by a board certified plastic surgeon. Tummy tucks procedures come in all shapes and sizes. One thing is for sure, no one tummy tuck operation works for all patients who present requesting abdominal contouring.  Some women require a full abdominoplasty, which consists of a bikini incision, full tightening of the abdominal wall muscles and relocation of the belly button. Some women require a modified mini abdominoplasty which utilizes a shorter incision, leaves the belly button untouched, and still tightens the full length of the abdominal wall muscle. And some women need something in between the two.

The one common theme that is consistent across all abdominoplasty patients is that it should be done safely, and with the lowest amount of complications as possible. A new journal article investigates if there is a benefit for patients when their plastic surgeon preserves the Scarpa Fascia during this abdominal procedure (Costa-Ferreira, et al. Scarpa Fascia Preservation during Abdominoplasty: Randomized Clinical Study of Efficacy and Safety, Plastic and Reconstructive Surgery, Vol 131, No 3, Mar 2013, p645.). In this study, the investigators note that preservation of the Scarpa Fascia (the deep layer of connective tissue that exists in the abdominal wall) led to a few beneficial outcomes:

1) Reduced drain output.

2) Earlier removal of suction drains.

3) Elimination of long period suction drain use.

4) Reduction in seroma rates.

Further, the investigators noted no difference in aesthetic results of this procedure when compared to traditional abdominoplasty techniques. Although this is not the first time that plastic surgeons have looked at this type of technique, they do note that this approach may be more beneficial for certain high-risk patient populations such as: men, obese patients, and patients who have lost massive amounts of weight. The reason that underlies these reduced complications probably relates to this techniques preservation of more of the lymphatic vessels and networks that naturally exist in the abdominal tissues at this location.

Learn more about Mommy makeover and tummy tuck procedure by an expert plastic surgeon in Beverly Hills.

New Silicone Breast Implants on the Market

Sientra New Silicone Breast Implant FDA Approval

Sientra New Silicone Breast Implant FDA Approval

This week the FDA announced approval of Sientra Silimed new silicone breast implants for use in the United States. The Silimed breast implant is the only silicone breast implant to be approved in the United States since the FDA approved the use of Mentor’s and Allergan’s silicone breast implants for cosmetic breast surgery in November 2006. Like the approval in 2006, the Silimed line of breast implants was approved for use for cosmetic breast enhancement (in women 22 years and older) and for breast reconstruction. The Silimed line consists of both smooth and textured implants in moderate and high profile designs.

The Ultimate Mommy Makeover: Breast Augmentation & Liposuction for your Daughters

Mommy Makeover in Beverly Hills

Sometimes the confidence obtained from a Mommy Makeover comes from the ones who made you a mom in the first place; your kids. Recently, a mom in my Beverly Hills Plastic Surgery practice decided to “one-up” her own surgical rejuvenation when she brought her daughters in for a tandem makeover all their own. This Mommy Makeover package was designed to give two young sisters the self-confidence that they were craving. These sisters underwent same day plastic surgery for mommy makeover in Beverly Hills, that included breast augmentation, breast augmentation with crescent lift and liposuction of their necks.

Breast Augmentation: Mommy Makeover Procedure with Sibling Breast Augmentation

Breast Augmentation Sister 1 Before

Sibling Breast Augmentation

Breast Augmentation Sister 1 After

Los Angeles Breast Augmentation

Breast Augmentation & Crescent Lift Sister 2 Before

Los Angeles Breast Augmentation

Breast Augmentation & Crescent Lift Sister 2 After

Mommy makeover must be performed by a board certified plastic surgeon like Dr. Kevin Brenner in Beverly Hills.

Each Mommy Makeover experience with Dr. Brenner is unique and is tailored to the patient’s individual needs. For more information, call Dr. Brenner’s office at 310-777-5400.

Mommy Makeover after Divorce aka Revenge Plastic Surgery

Mommy makeover, tummy tuck Plastic Surgery after Divorce

Plastic Surgery after Divorce

What is Revenge Plastic Surgery (Mommy Makeover)?

Quite simply, Revenge Plastic Surgery is surgery that people undergo in order to exact revenge on an estranged spouse. Although I do not condone such reasons for undergoing Mommy Makeover surgery, it is an increasingly popular trend across the country.

Most of the patients that I see for Mommy Makeover surgery are young moms who miss having the sexy figure that they had prior to having children. The majority of these patients have tried, albeit unsuccessfully, every other non-surgical means of “abdominal  rejuvenation,” and failed. This commonly includes topical treatments such as creams, and laser treatments for stretch marks on the abdomen and thighs. Frequently, young moms are quite fit physically and exercise frequently. However, even the best private trainers may not be able to help women lose extra, sagging skin. Further, severe cases of Diastasis Rectus (separation of the abdominal muscles) may actually get worse with excessive abdominal core training. These types of patients require surgical abdominal rejuvenation.

When I consult with female patients for Mommy Makeover surgery, my primary focus is to design an operation that specifically addresses the patient’s concerns. Part of my discussion with patients also revolves around their desires and motives for moving forward with the operation. For women who are new moms, they frequently bring their spouses to our surgical consultation.  However, with new statistics placing the national divorce rate upwards of 50%, there is a growing number of new divorcees who are presenting for surgery. This has given rise to new terminology: Revenge Surgery. There is growing sentiment in Los Angeles, that recently divorced new moms are increasingly having plastic surgery procedures as a means of revenge against their estranged spouses.  However, in my Mommy Makeover practice, patients’ motivations usually revolve around a desire to restore self confidence. Restoration of self confidence is an excellent reason to seek out many types of plastic surgery procedures, including tummy tucks (Abdominoplasty), breast augmentation and breast lifting. Mommy makeover in Beverly Hills will completely rejuvenate the way you look.

New Belly Button Made During L.A. Mommy Makeover

Los Angeles Belly Button Scar

Before Mommy Makeover: Patient w/ Acquired Loss of Belly Button from previous surgery; Note Piercing of Scar

Los Angles Loss of Native Belly Button

With loose skin lifted, note old scar from previous surgery. (belly button has been removed surgically)

LA Belly Button; Created with Skin Graft

After New Belly Button Created with Skin Graft; Note old scar piercing (prior to excision)

This patient presented to Dr. Brenner for a Mommy Makeover with very specific complaints about her abdomen. Although she was very thin and had excellent abdominal wall/muscle tone, she had noticed an increased laxity to her lower abdominal skin when sitting and moving around. In particular, she noted excess hanging skin over her belly button. The interesting part, however, is that this patient did not have a belly button. She had her belly button removed when she was a baby following repair of a very large umbilical hernia (ventral abdominal defect/omphalocele) and was left with nothing but a thin linear scar. After she had children, she developed increased laxity of the skin which created a somewhat natural appearing fold. To help make it look more natural (i.e. more like a belly button), the patient decided to have the extra skin pierced. If you note in the picture, the piercing was just to the right of midline.

Because of this patient’s very unique complaints, Dr. Brenner designed a very customized operation for her. In addition to silicone implant breast augmentation and “donut mastopexy,” she underwent a modified abdominoplasty (without muscle tightening). This included only excision of redundant skin and fat. The skin that was excised was fashioned into the shape of a belly button. The third photo (on the botton) shows the patient one month after Mommy Makeover surgery with her brand new belly button.