A mommy makeover is an individualized combination of procedures addressing concerns after pregnancy and breastfeeding. It is not one fixed operation. The breast and abdominal procedures discussed in this episode depend on which tissues have changed and what the patient wants to address.
In this June 29, 2020 episode of Plastic Surgery: Before and After, board-certified New York City plastic surgeon Darren M. Smith, MD explains why the same procedure list will not fit everyone.
Key takeaways
🔎 Breast changes differ.
The episode distinguishes volume loss, drooping, increased volume and combinations of those changes.
🔎 The breast procedure follows the concern.
Dr. Smith discusses augmentation, a lift, augmentation with a lift, and reduction as different possibilities.
🔎 Assess three abdominal components.
He explains the roles of fat, skin laxity and separation of the rectus muscles, known as rectus diastasis.
🎯 The plan can extend beyond the breasts and abdomen.
The recording also discusses other fat deposits and changes involving the nipples, areolas and genital tissues. These are optional topics for an individualized consultation.
💬 Questions answered
Does every mommy makeover include breast implants?
No. In the episode, implants are considered when additional breast volume is desired. A lift, reduction or another plan may better match a different concern.
Does everyone need a tummy tuck?
No. Dr. Smith describes examining abdominal skin, fat and muscle separation before selecting a procedure. The discussion contrasts a tummy tuck for substantial skin or abdominal-wall concerns with less extensive options for selected patients.
Is a mommy makeover the same combination for every patient?
No. The episode's central point is that pregnancy affects people differently. The term alone does not specify which procedures are appropriate or promise a return to a previous body shape.
🎧 Episode chapters
00:00 — What the term mommy makeover means
01:06 — Breast changes and procedure choices
02:26 — Abdominal muscle, fat and skin changes
03:48 — Matching abdominal treatment to the anatomy
05:03 — Additional areas and the individualized plan
🔗 Related information
Explore mommy makeover information, breast lift surgery, tummy tuck surgery, or request a consultation with Dr. Smith in New York City.
About the host — current biography
Darren M. Smith, MD, FACS specializes in mommy makeover surgery, breast surgery, and body contouring in Manhattan. He was named to Newsweek’s America’s Best Plastic Surgeons 2026 and has co-authored authoritative peer-reviewed publications on combined breast surgery and abdominoplasty and the surgical care of postpartum patients.
Originally released June 29, 2020. Show notes updated September 30, 2026. This is general education. Current recommendations, suitability, risks and expected results require an individual assessment.
Full transcript and related resources
