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Mommy Makeover

San Francisco Mommy Makeover

Having a child is a beautiful, natural experience for most women. The profound act of nurturing a new life and bringing it into the world is a uniquely rewarding process that only mothers can understand. But in addition to forever changing the way a woman relates to the world and herself, pregnancy can leave an unwanted impression on a woman’s body, with issues like muscle separation and loose skin which can negatively affect core strength, urinary incontinence, the way that clothes fit, and ultimately, self esteem. For these women, a mommy makeover may be the answer.*

Even for new mothers who are able to quickly return to regular exercise and continue healthy eating, the reality is that for many women, pregnancy results in permanent changes to the body. In fact, according to a survey of new moms by Baby, a popular online parenting resource, 87 percent of mothers surveyed said their abdomen hadn’t returned to normal, and 43 percent of women with two or more kids said losing the weight after their second pregnancy was more difficult than for the first.

A mommy makeover is a combination of procedures designed to help restore a woman to her pre-baby body.* Although each person’s bundle of needed procedures is different, mommy makeovers typically consist of a tummy tuck, liposuction, and a breast augmentation, breast lift, or breast augmentation with a lift.

The skin and muscles of the abdomen, which stretch for nine months to accommodate the baby during pregnancy, often don’t return to their pre-pregnancy state even with a healthy diet and regular exercise. The result often includes excess skin and stretch marks. Changes in the volume of breasts due to breastfeeding can also leave a woman’s breasts deflated and sagging, which is something a mommy makeover can address as well.

During your initial mommy makeover consultation, Dr. David Sieber will assess your current anatomy, take measurements, and discuss the areas you are concerned about. Dr. Sieber also utilizes Vectra 3D imaging technology to help his patients visualize what their body may look like after the mommy makeover. You’ll talk about your desired outcome and may reference photos of yourself before you became pregnant. Together, you will determine the best combination of procedures to achieve your ideal body.*

With a collection of pregnancy-related physical effects as unique as your new baby, your mommy makeover will be designed with you in mind, and the goal will be to address what is causing discomfort and restoring a more youthful, lifted, and firm contour to your body. In fact, some women find their bodies look better after a mommy makeover than they did even before they got pregnant.*


While the best way to determine whether you’re a candidate for a mommy makeover procedure is to consult one-on-one with Dr. Sieber, women in good health who want to improve their body contours, whether in their abdomen or elsewhere, are often good candidates.

While it’s possible to sustain a pregnancy after having a tummy tuck or other abdominal procedure, the pregnancy likely will undo any of the positive impacts the procedures could have, meaning you could need another mommy makeover. Therefore, it’s best to only consider having a mommy makeover when you are certain you’re not going to become pregnant in the future and are done breastfeeding your kids.

Each woman’s anatomy and medical history are different, so San Francisco Double Board Certified Plastic Surgeon, Dr. Sieber, will conduct a thorough examination of you to determine which combination of procedures is best to address all of your concerns.

Mommy makeover surgery is able to improve:*

  • Removing excess, saggy abdominal skin
  • Tightening abdominal muscles stretched during pregnancy (diastasis recti)
  • Alleviating stretch marks on the stomach and other areas
  • Restoring volume of saggy and deflated breasts
  • Reshaping and contouring the abdomen and other areas of the body

Quick Facts

  • Length: 4-5 hours
  • Anesthesia: General
  • Surgery Type Outpatient (overnight stay possible in some cases)
  • Side Effects: Swelling, bruising, tightness, numbness
  • Recovery: 2+ weeks

To find out more about a mommy makeover with San Francisco Plastic Surgeon Dr. David Sieber, call us today at: 415-915-9000 or schedule a consultation here.

Mommy Makeover Technique

While each patient’s needs are unique, most mommy makeovers include some combination of breast augmentation and/or lift and a tummy tuck, which may include liposuction. These procedures can be performed all in one day in an outpatient setting. Dr. Sieber is double board certified plastic surgeon specializing in the Mommy Makeover technique. He operates out of the fully accredited surgical suite adjacent to his office, which is very convenient for his patients as they are already familiar with the location after having visited his office..

To rejuvenate the appearance of the breasts*, Dr. Sieber may perform a breast augmentation, which involves making a small incision, typically under the breast, and inserting either a silicone or saline breast implant. Breast augmentation is often done in conjunction with a breast lift, which is a procedure that lifts the breasts to a higher point on the chest wall.  In the event that existing breast volume is adequate, a breast lift without an implant can improve breast sagging. It’s important to note that certain types of incisions made during a breast lift could potentially disrupt milk glands, which is another reason to ensure you are through having children before proceeding with your mommy makeover.

To re-contour the abdomen, a tummy tuck procedure is often the next step after breast rejuvenation. A tummy tuck, also called an abdominoplasty, involves lifting and removing excess skin and repairing the muscles in your abdomen. Abdominal muscles that have stretched apart during pregnancy are also repaired during this procedure, resulting in a stomach that appears flatter and firmer. The procedure may also include liposuction if your body has areas, such as in the abdomen, hip, or flanks, that have excess fatty deposits.

Preparing for Mommy Makeover Surgery

At least two weeks before surgery, you should stop all supplements and medications that could increase your risk of bleeding. Be sure to check with your primary care physician before stopping any prescribed medications. See our list of medications and supplements if you’re unsure, and contact San Francisco plastic surgeon Dr. Sieber with any questions.

Many popular over-the-counter health supplements, including fish oil, Ginkgo biloba and St. John’s wort, have been found to raise the risk of bleeding in some people. Of course, you should not smoke at all for a variety of reasons, but smoking and vaping can increase the risk of post surgical complications and make recovery more difficult.

Regardless of the combination of procedures that you and Dr. Sieber decide on, a mommy makeover is a major surgery. As such, it will also be essential that you have help around the house, at least for the first week after surgery, and adequate time off of work. Depending on how many procedures you undergo and how extensive they are, you will need at least one full week  to begin to feel up to doing all the mom things you were doing before. Realistically, it will take longer. Recovering from a mommy makeover can be a long process, so be sure to have the support and necessary time off to make sure you are prepared well before surgery day.

Recovery from Mommy Makeover Surgery

Because mommy makeovers typically include a combination of surgeries, recovery could be quite complex, but many women are able to fully resume all normal activities in as few as six weeks after their surgery.

Although Dr. Sieber’s tummy tuck is typically drainless, in certain cases they may be necessary for optimal recovery.  If that’s the case, then directly after surgery, you may wake up with drains placed in your abdomen to help remove fluid that accumulates after the surgery. After surgery, you will be placed in a compression garment, which is critical to wear for the first several weeks to help with swelling. While the drains will be removed about a week after surgery, you will need to wear this compression garment for at least six to eight weeks to ensure adequate healing and help maintain the new contours of your body.

In the first two weeks to month after the surgery, you will probably be very swollen. While this could be startling, it’s not a reason for concern. Swelling after a tummy tuck is very common and will lessen over time. You also may experience abdominal muscle spasms and tightness; this is also normal, since a typical tummy tuck involves reconstructing those muscles.

Because excess abdominal skin is removed and the remaining skin is pulled taught, most patients feel most comfortable resting in a slight bent angle and feel the need to walk in a slightly hunched position. This will lessen as your skin and muscles begin to relax and stretch allowing you to walk fully upright. If liposuction was part of your mommy makeover, you will likely have some areas of bruising where the fat was removed.

Full recovery from a mommy makeover is far from an overnight process. The worst pain and discomfort will likely begin to subside after the first week or so, but you will feel sore and uncomfortable frequently, especially the first few days. You’ll probably feel pulling, tugging, tightness, tingling and some numbness throughout your abdomen.These are a sign of your body healing and although they can last for months after surgery, they will gradually improve with time.*

Do not lift anything heavier than 10 pounds for at least the first month. For those with small children at home, having someone around to help at all times is a must. It’s important to refrain from rigorous activity for at least two weeks after surgery, but you can return to moderate exercise after a couple of weeks and be released to all normal activities after six weeks. Still want to know more about the mommy makeover?


Q: When is the best time to consider a mommy makeover?

A: A few variables go into deciding the right time for you. One, you should be sure that you are done having children. Second, your youngest child should be weaned from the breast for at least six months before your procedure. Typical procedures included in mommy makeovers, such as breast lifts and tummy tucks, can complicate pregnancy and breastfeeding. You also will need to ensure you have constant help at home at least for the first 2 weeks, as you will be unable to lift weight of more than 10 pounds during that time.

Q: Can I have liposuction at the same time as my mommy makeover?

A: Absolutely; in fact, San Francisco cosmetic surgeon Dr. Sieber routinely performs liposuction as a part of his tummy tuck and mommy makeover procedures. When used in combination with a tummy tuck, liposuction can often provide the best results in contouring the waist and hips to match the newly flattened and contoured abdomen.*

A: How long will I need help around the house after surgery?

Q: This depends on what procedures you had and how old your children are, but it can take as little as two weeks to as long as six weeks for you to be able to care for children alone again. Many patients are able to return to work and childcare within two to three weeks, but it will take at least 6 weeks to return to exercise.

Q: I’m still trying to lose my baby weight; when should I plan to schedule my mommy makeover?

A: This depends on which procedures you’re planning to get. For example, procedures that involve skin contouring should not be done if you are more than 10-15 pounds from your goal weight, as any additional weight loss could cause sagging even after you fully heal from surgery. It’s best to have an open, honest conversation with San Francisco plastic surgeon Dr. Sieber during your consultation about your weight journey and goals so that you can come up with a plan that will have the most successful outcome.

Q: In addition to stopping medication that can cause bleeding, what else should I do to prepare for my surgery?

A: Eat a healthy, nutritious diet and continue your regular exercise routine so that your body is healthy and strong for the procedures. For the most optimal recovery process, you should ensure your home is a stress-free setting. That means arranging for child and pet care, preparing food in advance, setting up your recovery area, and having someone to help with chores and tasks while you heal. You’ll need to focus on yourself, which is a challenge for most moms.

Q: Are mommy makeover procedures always done all at once?

A: While these procedures are usually done in one day to limit the number of times a mother will need to arrange for help around the house or take time off work, it is possible to stagger procedures in some cases. You can discuss this with Bay Area plastic surgeon Dr. Sieber during your consultation to determine whether what will be the best course of action for you.

Q: Is it possible to have more children after a mommy makeover?

A: If you are planning on having additional children, you should wait to undergo your mommy makeover until you are certain you’re not going to have any additional pregnancies, as that can negatively impact or totally undo the results of your mommy makeover. Additionally, some mommy makeover procedures, such as a breast lift, may prevent you from being able to breastfeed in the future. Also, while mommy makeover procedures like tummy tucks aren’t likely to keep you from successfully carrying a child, pregnancy is unpredictable, so it’s best to wait until you are certain your childbearing years are over.

External References

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.


I couldn’t be more pleased and excited about the refresh Dr. Sieber did on my face using a combination of botox and fillers. I had a baby a year ago and my face looked completely deflated. It felt to me that I looked like I had aged 5 years instantly by having a baby over 40. Dr. Sieber looked closely at my face and listened to my desires and fears in terms of the results I was seeking. I really liked that he took a conservative approach and followed up to check in and tweak things once the fillers and I had time to settle in.*

Dr. Sieber is a caring, friendly and talented doctor. I had two long consultations (free of charge) before scheduling my BBL (Brazilian butt lift). The staff and Dr. Sieber made me feel calm and relaxed the day of surgery. The results are amazing. Dr. Sieber understands a woman’s body and totally changed the shape of mine. I could not recommend him highly enough. I now go to him for my Botox and Juvederm.*

Dr. Sieber was fantastic throughout the entire process. From the beginning, he was patient with my questions and never made me feel pressured about making a decision. Once deciding that I was going to move forward with a breast augmentation, he made sure that I understood the process of the procedure and what I could expect post-surgery. I could not be happier with the results!*

Dr. Sieber is the best. I interviewed with numerous doctors. He pays close attention to detail. He called and checked on me and my results on a regular basis. My tummy procedure exceeded my expectation.*

Dr Sieber was very kind, knowledgeable and patient. He was able to answer all of my questions and put me completely at ease during the consultation as well as during the actual procedure. He made sure that I understood each part of the process which went a long way in alleviating my fears…after all, this is my face!*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results. All images feature models except for before and after images.

450 Sutter St #1432, San Francisco, CA 94108

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Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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