You will be under general anesthesia when undergoing a mommy makeover, and you will not feel any pain. After surgery, you will experience soreness and discomfort as the body heals. Dr. Motykie provides prescription painkillers that you will take during the first week of recovery. After that, you will be able to switch to over-the-counter pain medications like Tylenol. Most patients feel that the risk of discomfort is tolerable in light of the tremendous benefits that a mommy makeover can bring in terms of confidence, energy, and quality of life.

A mommy makeover eliminates the need for multiple surgery dates. All procedures will be performed on the same day. However, you may need to come into our West Hollywood offices multiple times during the recovery process to have your sutures and drains removed and for Dr. Motykie to evaluate your healing process.

Depending on the exact procedures you undergo as part of your mommy makeover, you may immediately see some results. For instance, if you underwent a breast reduction, you may be able to notice improvements in your figure immediately. However, residual swelling may persist for up to 3 months, obscuring your newly sculpted curves. At one year post-op, your full changes will be apparent, and most swelling will have completely disappeared.

Dr. Motykie does everything possible to minimize the appearance of post-surgical scars by placing incisions in inconspicuous regions. For instance, with a tummy tuck, incisions are usually well-hidden by the bikini line. With breast surgery, incisions typically run along the inframammary fold, where the bra line can hide scars.

Patients can typically resume their normal exercise regimens after 4-6 weeks. Dr. Motykie will provide the exact timeline for resuming exercise as part of your detailed aftercare plan.

A mommy makeover is the ultimate combination procedure, allowing patients to enjoy head-to-toe rejuvenation in multiple areas of the body. However, to optimize results, it can also be paired with non-surgical facial rejuvenation techniques, such as fillers and injectables.

Dr. Motykie will go over the risks of surgery with you in more detail during your private consultation in West Hollywood, CA. Risks may include:

• Bleeding
• Swelling
• Infection
• Poor wound healing
• Asymmetry
• Hematoma
• Seroma
• Loss of nipple sensation
• Loss of breastfeeding ability
• Implant leakage
• Capsular contracture
• Poor scarring
• Fat necrosis
• Deep venous thrombosis
• Pain
• Anesthesia risks

When selecting a plastic surgeon for your mommy makeover, it is critical to take note of their training, credentials, specialized techniques, testimonials, before and after photographs, and contributions to medical literature. However, nothing can substitute for meeting the surgeon in person and establishing a rapport. You should feel comfortable asking questions and always feel like you are patient and relaxed. Dr. Motykie welcomes you to schedule a private consultation with him and his compassionate team in West Hollywood, CA so that you can learn more about his extensive experience with body contouring and see if working together is a good fit. Call today to set up your initial meeting.

Pre-Operative Marking

Prior to your surgery, you will have the opportunity to speak with Dr Motykie about any part of your surgical procedure and/or recovery process. You will be asked to change into a surgical gown and Dr Motykie will place detailed surgical markings on the specific areas of your body that are undergoing surgery. All markings are performed in the standing position to ensure properly placed markings. You may want to bring a pair of your own swimwear or underwear to help keep your incisions in well hidden locations for you personally. Lastly, wear loose fitting clothing the day of your surgery that is easy to get in and out of such as sweat pants and a shirt that zippers in the front.

Anesthesia and Operating Facility

For you Mommy Makeover procedure you will most likely receive general anesthesia (you are asleep) for your own personal comfort, safety and surgical ease.  It is my opinion that the safest and most effective way to perform these types of procedures are under general anesthesia.

Dr. Motykie uses only Board Certified Anesthesiologists to administer anesthesia and monitor your safety during your surgery. You may be given medication before reaching the operating room so you will feel relaxed before surgery. The surgery takes approximately 2-5 hours to perform depending on the complexity and amount of surgery being performed. Every surgery that I perform is done in a fully accredited, state of the art (AAAASF) surgical facility where your safety, comfort and privacy are of the utmost importance.   Deep vein thrombosis (blood clots) precautions are taken with every patient and include a minimum of anti-embolic stockings and sequential compression devices (SCDs) on the lower extremities during the entire length of your procedure.

Surgical Procedure

With pregnancy a woman’s body goes through major changes physically, emotionally and hormonally. Many of these changes are brought on by hormonal shifts and the effects of gaining weight, giving birth and breast feeding. The areas most commonly affected are a women’s breasts, abdomen and any other areas of excess weight gain. All of these areas can be addressed after the body has stabilized at least six months after giving birth. The term “mommy makeover” encompasses some or all of these procedures and it can result in a particularly dramatic change in a woman’s overall body contour and image.

If breast surgery is going to be included in the Mommy Makeover, the surgery most commonly includes a breast lift with or without a breast implant. There are several different types of breast lifts available that all add a different amount of lift and reshaping to the breasts. With all breast lifting procedures, the areolas are typically reduced in size and moved superiorly on the breast mound. The breast volume will actually decrease with most breast lifts because, although the breast is perkier, it is also now in a smaller skin envelope. Therefore, it is common for a breast implant to be added at the same time as the lifting procedure.

As far as the abdomen there are three areas to address- skin, muscle and fat. Diet and exercise can only do so much. Stretch marks, loose skin, separated muscles, hormonal changes lead to fatty deposits and bulges that never existed before surgery.  If the only problem is related to excess fatty deposits, liposuction alone can be used to help slim the body. If there is excess, loose skin and/or separated abdominal muscles, an abdominoplasty will usually be needed to correct the contour abnormalities of the abdomen as well as remove any damaged skin.

Liposuction is extremely effective in contouring troublesome areas such as the thighs, hips and back. These areas are commonly liposuctioned to reduce bulges and produce a slimmer more fit contour of the body. As an added benefit, the fat removed form liposuction can be used to rejuvenate other areas of the body such as the face, hands and buttocks. Two areas known to give away a woman’s age are the face and back of the hands. Both of these areas can be successfully rejuvenated through fat grafting in which fat that has been extracted by liposuction is purified and re-injected into the designated area that may have become “deflated” after pregnancy. More recently, the Brazilian buttock lift has become more popular as patients have begun to realize that there is a way to rejuvenate and lift the buttock without the use of implants, artificial fillers or incisions. During this procedure, fat obtained from liposuction is re-injected into the buttocks in order to both lift and reshape the buttocks. This procedure is becoming more and more popular because it can give a fuller, perkier look to the buttocks with a low risk of complications and a quick recovery period.

Overall, any combination of these procedures is equal to more than the sum of its parts. For example, the combination of a breast lift and an abdominoplasty lengthens the torso and narrows the waistline at the same time. This combination leads to a more dramatic result from the surgery and the appearance of more extreme weight loss than either procedure performed alone. When these two procedures are combined with liposuction of remaining trouble areas, the results are even more dramatic, refined and beautiful.

Lastly, although any combination of these procedures can be done to create a more “extreme” Mommy Makeover, Dr Motykie’s first rule is always “safety first.” Therefore, Dr Motykie will only allow combinations of surgery that he feels are safe to do together because there is a limit as to how much surgery your body can handle at one time. As a general rule for all plastic surgery, “you can always do more” so make sure any surgery you are considering is safe, effective, well planned and skillfully performed.

Recovery Room

After surgery you will be brought to the recovery area where you will be allowed to rest and completely recover from anesthesia. Nurses will be on staff by your bedside to make sure you are recovering properly as well as being able to provide you with pain medications and small amounts of water and/or ice chips while you are becoming more awake and alert. After you have fully recovered from anesthesia, you may be released to home with a responsible adult although we highly encourage our Mommy Makeover patients to stay overnight in an outpatient recovery retreat where there are nurses on staff 24hrs/day to assist you with post-operative care and medications.

The most comfortable recovery position after surgery is a reclining chair with your knees in a slightly flexed position.  Over the first night you will most likely find yourself having to use the bathroom frequently. This is normal and is due to the intravenous fluids you received during your surgical procedure. Leave all garments intact until the next morning when you will return to Dr Motykie’s office to have your dressings changed and receive further instruction for the rest of the week. The night following your surgery, you may experience some pain and discomfort that can be controlled with your prescribed pain medication. The majority of the sutures used during your surgery will be dissolvable and all of them are covered by thin surgical tape that should be left in place for the first week after your surgery.

Mommy Makeover Beverly Hills | Los Angeles

Mommy makeovers can help restore areas of a mother’s body that just aren’t the same as they were before childbirth. Some of the most common procedures requested by mothers are listed below and many moms will combine several of these procedures in order to get their pre-baby bodies back.

• Breast augmentation and/or  breast lift: add volume and rejuvenate breasts after breastfeeding
• Breast reduction: lift and reduce the size of breasts
• Abdominoplasty (tummy tuck): tighten abdominal muscles and remove excess skin and fat from the abdomen
• Liposuction: remove areas of excess fat that are resistant to exercise and diet
• Brazilian Buttock Lift: Add fat obtained through liposuction to reshape and lift the buttock

During your consultation, Dr Motykie will address your desires and concerns and he will give you a clear understanding of which combination of procedures will best meet your expectations. Your long-term goals as well as your plans after surgery will also be discussed. If you are not currently on a diet and/or in an exercise program, Dr Motykie may advise you to do so prior to undergoing surgery in order to better define your trouble areas and improve your overall health.

Dr Motykie will give you an opportunity to ask him any questions you may have about your Mommy Makeover surgery as well as its possible benefits in your particular case. When going into your consultation, it is wise to come with questions written down and have a general understanding of the overall procedure so you can be prepared to learn as much as possible during your visit with Dr Motykie. Your overall health will be discussed as well as any surgical procedures you may have had previously.  It is important to let Dr Motykie and/or his staff know about any pre-existing medical conditions you may have as well as any possible drug allergies or past surgical procedures. It is also important to disclose the use of any current medications, vitamins, herbal supplements, alcohol or tobacco.

Cost is always a consideration in elective surgery. At the conclusion of your consultation you will have the opportunity to meet with Dr Motykie’s surgical consultant who will be able to explain to you the possible cost and timing of your Mommy Makeover procedure. Cost may include surgeon’s fee, surgical facility costs, anesthesia fees, prescription medications, post-surgery garments, and medical screening tests. Dr Motykie’s consultant will also be able to explain to you all of your possible financing options. Remember, a surgeon’s price for surgery will vary based on their experience, the type of procedure being performed as well as the geographic location of their office. Please do not bargain shop for your plastic surgery but also make sure that you are not overpaying for your procedure by doing your home work, online research and obtaining several opinions from different board certified plastic surgeons before making your final decision about having your own Mommy Makeover procedure.

For your own personal and confidential consultation, contact Dr. Motykie’s office today. Dr Motykie will answer all of your questions and together you can determine which liposuction procedure best fits your desires and needs. Out of town patients can also send photographs in order to have a online consultation performed by Dr Motykie prior to traveling for surgery.

Dr. Motykie will meet with you during your pre-operative appointment and he will take the time to answer any questions you may have about your surgery as well as to discuss your personal surgical plan in detail. Several different photographic views will be taken of your body during this visit for inclusion in your medical record. These photographs are used to discuss the current contour of your body as well as the planning of your surgery. These photographs will also be used for reference during your actual surgery as well as to show you the difference in your body contour before and after your surgery.
“Safety first” is Dr. Motykie’s motto so you will be required to give a thorough medical history, undergo a complete physical examination, and obtain certain laboratory tests in order to evaluate your general, overall health prior to any surgery. If you are on a weight-loss plan, it is best to be close to your target weight prior to having your surgery. Some patients ask if it is better to start an exercise and diet program before or after surgery; Dr. Motykie’s answer is always both. If you start your wellness program prior to your surgery, your body will be in better health for surgery and if you have already begun a health and wellness program prior to surgery, it will be easier for you to resume that same lifestyle program after surgery.
You will also receive all of your post-operative instructions and prescriptions for medications to be taken during your post-operative course. It is advised that you fill these prescriptions prior to your surgical date and bring them with you on the day of your surgery. In this way, you will have all of the medications you need prior to your surgery and any questions and/or concerns you may have can be addressed prior to your actual procedure. Included in these medications are pain medication and antibiotics. You will be instructed to avoid taking drugs containing aspirin, ibuprofen, blood-thinning medication, anti-inflammatory drugs, and any herbal supplements that are associated with an increased risk of bleeding during surgery. A complete list of medications, vitamins, and herbs to avoid prior to your surgery will be given to you at your pre-operative appointment and it can also be downloaded by following this link (Medications to Avoid List). Depending on your health, you may be asked to take certain medications or adjust your current medications. Be prepared to discuss your use of any current medications, vitamins, herbal supplements, alcohol, tobacco, and/or drugs.

If you smoke cigarettes, you absolutely must stop smoking well in advance of surgery. If you are a smoker, plan to quit at least two weeks prior to your surgery and not to resume smoking for at least two weeks after your surgery in order to avoid the increased risks of complications associated with smoking. It is absolutely imperative for smokers to follow these guidelines if they do not want to risk any healing complications after surgery. The nicotine in cigarette smoke causes the blood vessels necessary for proper healing to shrink, which can lead to healing problems after surgery. It is also important to avoid sunlight exposure before and after your surgery because sunlight exposure can cause permanent darkening of post-operative bruising.

Guidelines on eating and drinking the night prior to surgery as well as everything you need to prepare and/or bring with you the day of surgery will also be explained and given to you in your pre-operative packet (Link to Pre-operative packet). Do not go on a stringent diet before or after surgery, as this can inhibit your ability to heal. If you develop a cold or infection of any kind prior to surgery, let Dr. Motykie’s office know as soon as possible because your surgery may need to be postponed for safety reasons. Lastly, the consumption of alcohol prior to surgery can lead to an increased risk of bleeding during your surgery and you are therefore advised to limit your alcohol intake for the week prior to surgery. In addition, alcohol can interfere with your post-operative medications and should therefore be avoided as long as you are taking prescription medications (usually the first week after surgery).

During your recovery period, post-operative retreats with full-time nursing staff are available. (Link to Retreat page). Reservations for these retreats should be scheduled in advance of your surgery. These retreats will offer personalized shuttle service to and from Dr. Motykie’s office after your surgery. If you choose not to stay at a retreat after your surgery, be sure to arrange for someone to drive you home after surgery and to take care of you for at least the first day or two after your surgery. (You may also need to have someone drive you back and forth for your first few follow-up visits). You will also be given several post-operative visit dates and specific times that you will need to follow up with Dr. Motykie during your recovery process.