Top Ten Facelift Questions and Answers

Top 10 FAQs for Facelifts and Neck Lifts.

1 – What Does a Facelift/Neck Lift Fix?

Also known as a Rhytidectomy, the Facelift provides correction for sagging lower facial skin, prominent jowls and loose soft tissue of the neck. Although Rhytidectomy literally means wrinkle removal, a Facelift does not treat fine lines or surface wrinkles, often found around the mouth. These superficial lines may respond better to surface treatments, like chemical peels, laser treatments or dermabrasion.

2 – How Long Will My Facelift Last?

Rhytidectomy results typically last 10 to 15 years, though natural aging and gravity continue over time. Good health, habits and genetics will prolong the results. Non-smokers, who have been good about avoiding prolonged sun exposure in good health make good candidates. If you do smoke, a minimum of four weeks without smoking before and after surgery, reduces your risks of complications by a factor of six.

3 – What is a Rhytidectomy and Mini-Rhytidectomy?

A Rhytidectomy is another word for Facelift/Neck Lift. It includes lifting the cheeks and jowls, tightening the jawline and lifting the skin of the neck. Separate procedures can be added to balance the forehead’s appearance and improve the eyelids if indicated, to maintain facial harmony.

A Mini Rhytidectomy is a Mini Facelift. It focuses on minor lower facial sagging with shorter scars. It provides benefit to the jawline and jowls, but is not as effective in improving neck skin laxity. A Mini Rhytidectomy is more superficial, while a Full Facelift also addresses deeper structures across the lower face and neck.

4 – Will I Look Unnatural or “Pulled” After my Facelift?

Modern Facelift Techniques focus on lifting deeper muscle layers rather solely than pulling the skin. This helps prevent a tight or fake appearance that can occur when the skin, exclusively, is used to provide all the tightening.

The first few weeks, you may appear over-tightened, due to normal postoperative swelling. As the swelling decreases, the tension on the skin relaxes and the natural contours return.

5 – What is the Recovery Time for a Neck Lift?

Initial swelling and bruising subside within two to four weeks after a Rhytidectomy. This is when most people feel ready to return to normal social activities. Individual results will vary. Giving yourself adequate time for recovery reduces stress and makes the experience more enjoyable.

Avoiding medications that promote bleeding, like aspirin, ibuprofen and many herbal preparations can reduce bruising and promote early healing. Smoking cessation also speeds recovery, and if you can quit for your facelift, you can quit forever. Your face will thank you.

6 – Where are the Facelift Scars Located?

Facelift Incisions are hidden within the hairline, around the natural contours of the ears and when needed under the chin. Initially, the scars are more visible, but normally fade with time. Sun avoidance, scar creams and good hydration all help the scars to fade quickly.

7 – Am I a Good Candidate for a Rhytidectomy?

Good candidates for Facelifts are non-smokers in general good health with realistic expectations about their outcome. Smokers have six times the risk of wound healing problems, so stopping around the time of surgery is a must.

If you have other medical problems, they must be under good control prior to surgery. Be certain to bring a list of your current medications, vitamins, herbs and supplements with you to your initial consultation appointment. Patients over 50 are expected to provide a recent EKG, to screen for heart problems.

8 – What is the Best Age for a Facelift?

Most patients undergo the procedure between ages 40 and 70 when skin laxity begins, and elasticity remains. The right age for you will vary with your goals and individual anatomy.

9 – Can a Rhytidectomy be Combined with Other Surgeries?

Yes, patients frequently combine Facelifts with Eyelid Surgery, Brow Lifts, or Facial Fat Grafting for balanced rejuvenation. Maintaining the natural balance of the face is an important part of a great result.

10 – What are the Risks of Facelift Surgery?

The Rhytidectomy is a safe and effective surgical procedure, but risks exist. Potential risks include bleeding, infection, visible scarring and temporary numbness. The discussion of surgical risks is an important part of your initial evaluation with a qualified Board Certified Plastic Surgeon.

Facelift Consultations

If you are considering Facial Plastic Surgery, and would you like to know more about how the procedure could work for you, call (925) 943-6353 today. My office will help you schedule a private consultation appointment at your convenience.

We are located in the San Francisco East Bay Area town of Walnut Creek, CA, serving our local Northern California community and beyond.

Gynecomastia Reduction, also known as Male Breast Reduction, is a surgical procedure designed to correct enlarged male breasts by removing excess fat and firm glandular tissue. Gynecomastia Reduction is a short, outpatient surgical procedure that provides immediate and lasting improvements to chest contours, boosting self-confidence.

Top 10 Gynecomastia FAQs

1 – Is Gynecomastia Surgery the Only Way to get Rid of “Man Boobs”?

While mild cases caused purely by weight gain might respond to diet and exercise, true gynecomastia involves dense glandular tissue that usually requires surgery to remove. There are no medications or herbs that can remove developed breast tissue; however, there are many that cause it. Careful, surgical removal by an experienced, board certified plastic surgeon, is currently the best option for gynecomastia reduction yielding safe and predictable results.

2 – What is Gynecomastia Reduction Surgery?

Gynecomastia Reduction usually combines Liposuction to remove excess fat with Direct Glandular Excision to take out the firm tissue behind the nipple. The incisions are discussed next.

3 – Will Male Breast Reduction Leave Scars?

Surgeons utilize a combination of strategic placement and incisions to minimize scarring. Incisions are usually very discreetly placed, often hidden in the armpit and in the natural color change along the lower edge of the areola. Over time, these fade considerably, but may be raised and red initially. Scar treatments and topical measures can help speed the recovery.

4 – Am I a Good Candidate for Gynecomastia Surgery?

Ideal candidates are physically healthy, non-smokers, at a stable weight and have realistic expectations. Gynecomastia should also be past the developmental stage, so that hormones have stabilized. Gynecomastia is common (2/3rds of young men), but for about half, the gland naturally reduces as adolescent hormone levels drop to adult levels. This can take 2-3 years.

5 – How Long is the Recovery After Gynecomastia Reduction?

Most men can return to sedentary desk jobs within a week. You will need to wear a compression vest for several weeks to minimize swelling and support the healing skin. Strenuous activity is limited for a few weeks after surgery to minimize swelling, soreness and the risk of bleeding.

6 – When Can I Exercise After Male Breast Reduction?

Light activity, such as walking, can typically be resumed immediately after surgery. You must avoid heavy lifting, strenuous cardio, and direct chest exercises for several weeks. The duration depends on the type of surgery you need, and your surgeon’s routine recovery protocol.

7 – Are the Results of Gynecomastia Surgery Permanent?

Yes, the results are generally long-term. Once the fat cells and glandular tissue are removed, they cannot grow back. However, future significant weight gain, certain medications, or steroid use can cause remaining fat cells to expand or tissue to redevelop.

8 – Can “Man Boobs” Grow Back if I Take Steroids?

Yes, taking anabolic steroids and other performance-enhancing drugs can cause gynecomastia to recur. Some life prolonging medications can also increase the risk of recurrence, so be sure to ask your physician about any medications you take. THC in Marijuana (Cannabis) can block gonadotropin-releasing hormone (GnRH), lowering testosterone production. If testosterone drops while estrogen remains steady, it can lead to the development of glandular breast tissue. Adolescents and men over 50 are at higher risk for developing gynecomastia.

9 – How Much Does Gynecomastia Reduction Surgery Cost?

The overall cost varies significantly based on geographic location (e.g., San Francisco Bay Area vs. national averages), the surgeon’s expertise, and whether the procedure requires general anesthesia. Most Plastic Surgeon’s offices will provide price ranges, but the exact cost is available at the time of consultation, after your case has been evaluated.

10 – How Do I Find a Qualified Plastic Surgery Near Me?

You want a qualified, Board Certified Plastic Surgeon, who is experienced with male breast reduction. When searching for a surgeon locally or nationally, you can check credentials through the Aesthetic Society (formerly the American Society for Aesthetic Plastic Surgery-ASAPS), the American Society of Plastic Surgeons (ASPS) or review physician profiles on the American Board of Plastic Surgery.

You can view a short, 5-minute video on my patient’s journey with Gynecomastia Surgery from initial consideration to consultation and completion, on my San Francisco Breast Gynecomastia Reduction Page and on the ASAPS’s web site here.

Gynecomastia Reduction Consultations

The decision to have Male Breast Reduction is one that men consider for months if not years before acting. If you want to learn how Gynecomastia Reduction can benefit you, give my San Francisco Plastic Surgery Clinic a call at (925) 943-6353. You can get your questions answered, and determine if you want to take the next step.

Blepharoplasty is used to reshape the eyelids. Today, I answer the top 10 Eyelid Surgery frequently asked questions.

Blepharoplasty (Cosmetic Eyelid Surgery) is a relatively short, outpatient surgical procedure that contours the upper or lower eyelids by removing excess skin, muscle, and fat. It corrects hooded upper eyelids and under-eye bags, with the goal of providing a more rested appearance. When excess skin is obstructing the visual field before surgery, blepharoplasty provides improved peripheral vision. While most patients experience minimal pain with cosmetic eyelid surgery, it can take a couple of weeks to recover from the normal amount of bruising and swelling.

Top 10 Blepharoplasty FAQs

Today, I review the top ten most commonly asked questions about Eyelid Surgery. While there is no substitute for an in-person consultation with a Board Certified Plastic Surgeon, I try to provide some ground-work for your journey from initial consideration to completion of your Blepharoplasty.

1 – What is the Difference Between Upper and Lower Blepharoplasty?

Upper eyelid surgery primarily removes excess, “hooded” skin and fat that can weigh down lashes and obstruct vision. Lower eyelid surgery targets “eye bags” or puffiness by removing or redistributing fat beneath the eye and tightening sagging skin.

2 – Will Eyelid Surgery Improve my Vision?

Eyelid surgery will not improve your visual acuity; however, blepharoplasty can significantly widen your field of vision. If sagging upper eyelid skin is severe enough to drape over your lashes and block your upper or lateral visual field, this can cause obstruction of the visual field. Upper blepharoplasty can significantly widen your field of sight, by removing the obstruction. Additionally, if your upper eyelid itself is sagging over your pupil (blepharoptosis), this can also be improved by tightening the upper eyelid.

3 – Does insurance cover Eyelid Surgery?

Rarely. Insurances typically only cover upper blepharoplasty, and only if it is deemed medically necessary to correct a documented visual field impairment. You will have to check with your insurance company directly for the details. Cosmetic procedures are out-of-pocket expenses, and are not usually covered.

4 – How Long is the Recovery Time after Blepharoplasty?

You can generally return to light activities and work within 7–10 days after blepharoplasty. Activities that keep the head up and the heart rate down are typically ok, but check with your Plastic Surgeon to be safe. Visible bruising and swelling typically peak in the first 48 hours and taper off over a few weeks. Elevation of the head and intermittent ice compresses can speed healing.

5 – Is the Eyelid Surgery Painful?

Most patients report only mild to moderate discomfort which is easily managed with over-the-counter pain relievers or prescribed medications. Severe pain should be reported to your plastic surgeon. Ice, elevation and acetaminophen are typically all that are needed.

6 – Will Blepharoplasty Change the Shape of my Eyes?

The goal of blepharoplasty is rejuvenation—making you look refreshed—not fundamentally altering your eye shape. However, it does remove the tired, heavy appearance created by aging or genetics. If you expect your eye shape to change, be sure to discuss this with your plastic surgeon prior to having surgery.

7 – How Long do the Results of Eyelid Lifts Last?

The results are extremely long-lasting, with upper eyelid surgery often providing permanent benefits. While the natural aging process will continue, you will always look younger than you would have without the procedure.

8 – What are the Potential Risks or Complications of Blepharoplasty?

As with any surgery, there are risks including, but not limited to, infection, bleeding, scarring, asymmetry, dry eyes and difficulty closing the eyes. It is important to discuss the risks prior to surgery. Risks can be minimized by proper preparation. If you have any medical problems, these should be discussed and optimized prior to surgery. Many supplements and medications can interfere with healing. Be sure to disclose to your surgeon everything you take, including prescriptions, over-the-counter medications, vitamins, herbs and all supplements. Any preexisting eye problems including the use of contact lens, or preexisting dry eyes should be discussed.

9 – Can I Wear Contact Lenses after Cosmetic Eyelid Surgery?

You can; however, you will need to avoid wearing contacts during the initial healing phase, usually for about 1 to 2 weeks, as your eyes may be dry, sensitive, or swollen. Pulling on the eyelids is discouraged after surgery, so placing/removing contacts could disrupt the careful surgeon repair. Curnt prescription glasses are recommended for a few weeks after surgery, or until your surgeon clears you.

10 – Can I Combine Blepharoplasty with Other Procedures?

Yes, it is very common to pair eyelid surgery with other facial rejuvenation treatments such as a facelift, neck lift, brow lift or even body work. The risks and benefits of any combination surgery should be discussed prior to surgery.

Cosmetic Eyelid Surgery Consultations

Blepharoplasty surgery can be modified for individual needs. It is important to learn if you are a good candidate for the procedure by discussing your options with an experienced Board Certified Plastic Surgeon. To schedule a private consultation appointment in the San Francisco Bay Area call (925) 943-6353.

Otoplasty is used to reshape ears. Today, I answer the top 10 Otoplasty frequently asked questions.

Otoplasty, commonly known as Ear Pinning or Ear Reshaping Surgery, is a cosmetic and reconstructive procedure designed to reposition, reshape, or reduce the size of protruding or misshapen ears. The procedure primarily focuses on the external cartilage framework to bring the ears into better structural proportion with the rest of the face.

Here are the top 10 frequently asked questions about Otoplasty, and advice on who is qualified to perform Otoplasty for Children and Adults.

1. Who is the ideal candidate for otoplasty?

• Newborns: While newborns are not surgical candidates, in the first few days of life ear molding may be beneficial. It requires specialized helmets and continuous splinting for several months. This may be available through your local children’s hospital, but needs to be started quickly after birth.
• Children: Good candidates for Otoplasty are age five and older. By age five, the ears have reached 85% of their adult size, and are firm enough to hold surgical correction.
• Adults: Healthy adults of any age who feel self-conscious about their ears can undergo otoplasty. Sometimes additional techniques are needed if the cartilage is firm and has “memory” of the undesired shape.
• Expectations: Candidates must be in good health and possess realistic aesthetic expectations. Every ear is somewhat different, even on the same head. The goal is improvement, perfection is rarely possible, but is always the goal.

2. Will otoplasty affect my hearing?

• Short Answer: No.
• External Ear: Changes in ear shape and structure are limited to the external cartilage framework and skin. If you bend your own ear, your hearing does not change.
• Internal Ear: The ear structures that interpret sound are inside the ear canal, and remain completely untouched. So your hearing is unchanged.

3. Is the procedure painful?

• Sensation: Patients experience a variable amount of pain when the local anesthesia administered during surgery wears off. It can range from a dull throbbing ache to pressure. Rarely, patients experience sharp pain. Usually, this is still a normal response to the injury, but it could be the sign of bleeding, infection or too tight a dressing, and may require a quick return visit to your plastic surgeon to check the ear.
• Timeline: Discomfort is typically highest during the first one or two days after surgery.
  Management: Surgeons routinely prescribe oral pain medication or recommend over-the-counter options to manage this initial phase. Most patients are off all pain meds in a few days.

4. What type of anesthesia is used?

• Children: General anesthesia is preferred to keep young patients completely still during surgery.
• Adults: General anesthesia or local anesthesia with a mild sedative are both options for adults. Local anesthesia requires a little more motivation on the part of the patient as you will have some discomfort during the numbing process, and will hear the surgery due to its location on the external ear. Some surgeons do the procedure under general for all patients, and do not give the option of local anesthesia. In my office about half may patients request general anesthesia and half request local anesthesia.

5. Where are the incisions placed, and will I have visible scars?

• Location: The main incision is placed in the natural creases behind the ear. Sometimes a short incision is placed in the curve of the ear in the front to score the cartilage. This can help prevent recurrence in adults or children with stiff cartilage.
• Visibility: This placement ensures that any resulting scars remain well-hidden from direct view. In rare cases when a keloid or hypertrophic scar forms, revision of the scar may be necessary.
• Healing: Over time, these fine lines fade significantly into the surrounding skin tissue. For most patients it is difficult to see the final scar after a year of maturing.

6. What does the immediate post-operative recovery involve?

• Dressings: You will leave the procedure wearing a bulky turban-style compression bandage over your ears. It is important that this is not removed before your surgeon gives the okay, or you will have a greater risk of recurrence.
• Protection: This dressing must stay dry and remain in place for several days to support the new cartilage position. It also protects the otoplasty results while you are sleeping.
• Headband: Once removed, you will transition to wearing a soft headband, primarily at night, for three months.

7. How should I sleep after the surgery?

• Position: You must sleep flat on your back with your head elevated on a few pillows. The head wrap protects you if you occasionally turn to the side at night.
• Restriction: Side-sleeping is strictly restricted for the first few weeks to prevent frictional trauma or asymmetrical pressure on the healing ears. For strict side-sleepers, an airplane neck pillow can be used. The ear is placed over the opening for the neck, to prevent pressure on the ear.

8. How much time do I need to take off from work or school?

• Routine: Most patients can return to school or non-strenuous desk jobs within 1 week. After the dressing is removed, most activities with the head elevated are allowed.
• Exercise: Light physical activities can resume around 2 to 3 weeks.
• Sports: Heavy lifting and contact sports must be avoided for at least 6 to 12 weeks to protect the ears from structural damage. This is especially true of activities likely to lead to ear trauma like soccer, boxing or wrestling.

9. Are the results of an otoplasty permanent?

• Longevity: Yes, the results are structurally permanent. Occasionally, recurrence can occur. Normally, this is within a few months from surgery. If this happens, a touch-up surgery may help achieve the desired results.
• Stability: The cartilage is permanently reshaped and anchored using durable internal sutures.
• Relapse: While a tiny degree of natural cartilage relaxation can occur, major relapse rates are below 5%.

10. Does health insurance cover the cost of otoplasty?

• Classification: In the vast majority of cases, insurance companies view otoplasty as an elective cosmetic procedure.
• Exceptions: Coverage may occasionally apply if the surgery addresses congenital deformities or traumatic injuries.
• Financing: Many surgical clinics offer specialized medical financing plans to help patients break down out-of-pocket costs into monthly installments.

11. Who is a qualified surgeon to perform an otoplasty?

• Board Certification: Look for a surgeon certified by the American Board of Plastic Surgery (ABPS)
  or the American Board of Otolaryngology – Head and Neck Surgery (ABOHNS).
• ABMS Recognition: These boards are fully recognized by the American Board of Medical Specialties (ABMS), ensuring the highest standard of residency training and medical safety.
• Experience: Always verify the surgeon’s specific volume of ear surgeries and review their past casework.

Otoplasty Consultations

Are you or your child a good candidate for Otoplasty? Do you have questions related to the surgery? The best way to get answers and make an informed decision is by scheduling an in person consultation. In the San Francisco Bay Area, give Board Certified Plastic Surgeon Dr. Joseph Mele a call at (925) 943-6353. He has over three decades of Otoplasty Experience for children and adults.

Breast Augmentation remains one of the most frequently requested cosmetic plastic surgery procedures.

Today, we review the Top 10 Frequently Asked Questions about Breast Augmentation. These questions come from my patients and from inquiries on sites like the American Society of Plastic Surgeons (ASPS).

While the Internet cannot substitute for an in-person consultation, my goal is to provide you with accurate general information about Breast Augmentation and provide some background for you, prior to a detailed consultation with a Board Certified Plastic Surgeon.

1 – Am I a good candidate for Breast Augmentation?

This is the number one question I get from women seeking Breast Enhancement. A checklist for ideal candidates seeking to enhance breast size/shape includes:

• Good overall health
• Realistic expectations
• Naturally small breasts
• Asymmetry
• Volume loss after pregnancy/weight changes
• Stable weight
• Non-smoker
• A willingness to consider Breast Lift in cases with sagging

2 – What types of Breast Implants are available?

Saline Breast Implants are filled with sterile saltwater during surgery. They may wrinkle more and feel firmer. Silicone Breast Implants (including highly cohesive “gummy bear” implants) are pre-filled, feel softer/more natural, and are more popular. Both have silicone outer shells. Saline Implants flatten if they leak, while Silicone Implants require periodic high-definition ultrasounds or MRIs for surveillance.

3 – How do I choose the right sized Breast Implant?

Size is determined by:

• Your body frame
• Chest width
• Existing breast tissue
• Your size goal

Most patients select implants in the 200–450 cc range, aiming for natural proportions rather than dramatic changes. It is recommended that you purchase a soft bra of your desired goal size and stuff it as a trial. Ziplock bags filled with uncooked rice can be filled to varying sizes, and tried with clothing to give you an idea of what to expect.

4 – What are the different incision used for Breast Augmentation?

The most common incision is the inframammary fold beneath breasts (IMF). Many surgeons prefer this for the precise placement and ease of revisions. Periareolar incisions, placed around the areola from 4 to 8 o’clock were very popular when Saline Implants were the only option. Transaxillary (armpit) incisions can be used with saline implants, placement of silicone implants is more difficult with this approach, and can lead to higher rates of complications (asymmetry and deflation). Rarely a transumbilical incision (belly button) is used. Silicone Breast Implants cannot be placed with this approach. In general, Breast Augmentation scars are usually well-hidden and fade over time.

5 – Should Breast Implants be placed over or under the muscle?

Breast Implants placed in the submuscular plane (under the pectoralis major muscle) often look more natural, have reduced rippling, lower rates of capsular contracture risk and improve mammogram visibility. Breast implants placed in the subglandular (over the muscle/ subfacial) can have shorter recovery, less motion with muscle flexion, fuller upper poles, but will show the edges of the implants in thinner patients.

6 – How long is recovery after Breast Augmentation, and what does it feel like?

Most patients return to light activities in a few days to a week. Driving is often possible in 3-4 days after stopping narcotic pain medications. Full exercise/ heavy lifting is delayed 4–6 weeks. Initial discomfort, swelling, and tightness are managed with medication; many describe it as soreness or pressure rather than severe pain. A surgical bra and breast band are typically worn for support for a few weeks after surgery.

7 – After Breast Augmentation, will I lose nipple sensation or be unable to breastfeed?

Temporary or (rarely) permanent changes in nipple sensation occur about 15% of the time. The most common change is temporary hyper-sensitivity that may take several months to resolve. Nipple sensation can also be decreased. While sensation returns in most cases, it is possible to lose nipple sensation permanently.

Breastfeeding is usually still possible, though some women report reduced milk production, especially with oversized implants. Inform your surgeon if planning future pregnancies, so that they can provide specific guidance.

8 – How long do breast implants last? Do they need replacement every 10 years?

Breast Implants are not lifetime devices. They may need replacement due to rupture, capsular contracture, or desired changes (often 10–15+ years). Many last longer with modern materials and manufacturing. Routine monitoring (high definition ultrasound or MRI for silicone) is recommended rather than automatic replacement at 10 years.

9 – What are the main risks and complications of Breast Implants?

Risks of Breast Augmentation include

• Capsular contracture (hardening)
• Rippling
• Asymmetry (especially if preexisting)
• Bleeding
• Infection
• Changes in sensation
• Implant rupture
• Anesthesia issues

Serious complications are uncommon with board-certified plastic surgeons. Regular follow-ups and choosing an experienced provider help minimize risks.

10 – Will insurance cover Breast Augmentation, and what does it cost?

Breast Augmentation for cosmetic reasons is not covered by insurance Currently, the out-of-pocket cost ranges from $7,000–$10,000+ depending on location, implants, and surgeon. Costs are higher if ancillary procedures are needed, like a Breast Lift. Financing options are often available.

Breast Reconstruction after breast cancer treatment (e.g., post-mastectomy) is covered by insurance. Consult your insurance company for details including co-payments, in-network or out-of-network coverage.

These are ten of the most common concerns patients have when considering Breast Augmentation. Individual results vary based on anatomy, implant choice, and surgical technique. For the best advice, consult a board-certified plastic surgeon (check ASPS.org) who can provide personalized recommendations, before/after photos, and a full risk discussion.

Breast Augmentation Consultations

If you would like to schedule a private consultation appointment in the San Francisco Bay Area call, (925) 943-6353, today.

These are the most frequently asked questions I get regarding Mommy Makeovers. Include these during your consultation with a Board Certified Plastic Surgeon.

The Mommy Makeover remains one of the most commonly performed Cosmetic Plastic Surgery Procedure combinations in the San Francisco Bay Area. Today, on the San Francisco Plastic Surgery Blog, I answer the top 10 Mommy Makeover FAQs (frequently asked questions).

1 – What is a Mommy Makeover?

What is a Mommy Makeover? – The procedure is actually two procedures: one enhances the breasts while the other addresses the abdomen. Since both the belly and breasts are affected by pregnancy, this combination of repairs is coined the Mommy Makeover; however, the combination is also frequently used after weight loss for women and men (Daddy Do-over).

Mommy Makeover most commonly refers to Breast Augmentation with a Tummy Tuck, but the procedures can be customized to your specific goals and needs. For the breasts, a Breast Lift can be included with insertion of Breast implants when the breasts are deflated, or Breast Reduction can be performed when the breasts are too large. For the Abdomen: an Abdominoplasty, Paniculectomy, Mini-Tummy Tuck or even Liposuction can be substituted.This creates a personalized Mommy Makeover combination which will provide your best results.

2 – Am I a Good Candidate for a Mommy Makeover?

Ideal Mommy Makeover candidates are in good health, have finished having children, and are at a stable weight. Since the Mommy Makeover is an elective procedure, good health is the number one priority. Having no medical problems is ideal. If you have medical problems, like diabetes or high blood pressure, they need to be well controlled to reduce the risk of complications.

Not having more children after a Mommy Makeover is important for maintaining your results. Pregnancy after a Mommy Makeover is certainly possible; however, pregnancy may reverse some, if not all, of the benefits achieved, and may require additional surgery to restore your results.

Weight stability also helps improve the predictability of your results. Large increases in weight naturally stretch the abdominal skin and muscles; while weight loss leads to laxity of the abdominal wall. A stable weight allows for maximal correction and minimal recurrence.

3 – Can I get Pregnant After a Mommy Makeover?

Yes, but as mentioned above, future pregnancy can reverse the results of the surgery. Recurrent weight gain can stretch both the skin and the muscles of the abdomen. leading to laxity of the abdominal skin and muscle, and loss of the flattening that a Tummy Tuck provides.

4 – How Long is the Recovery After a Mommy Makeover?

Initial recovery takes one or two weeks, but full recovery, including the ability to lift heavy objects or exercise, often takes six weeks. The time line is determined by how you feel, and how active your lifestyle is. Excessive lifting, especially before the surgery has healed, can lead to loosening of the muscle, and loss of some of the benefits of abdominal contouring.

5 – Can I Combine a Mommy Makeover With Other Procedures?

Yes. The Mommy Makeover itself is a combination of breast and tummy enhancing procedures. Other procedures, like Liposuction, can be added, but this should be discussed with your chosen Board Certified Plastic Surgeon to review both the benefits and the risks of a longer surgery.

6 – When Can I Have a Mommy Makeover?

It is recommended to wait at least six to twelve months after childbirth, or massive weight loss and at least three months after you have finished breastfeeding before your Mommy Makeover. This is to improve the predictability and safety of the procedure. By waiting, you become a better candidate for the procedure.

7 – Will I Lose Weight?

Yes. You may lose a small amount of weight due to the removal of excess fat and skin. You may also gain a little weight from your breast implants. It is important to remember, a Mommy Makeover is not a weight loss procedure like Bariatric Surgery. Its primary goal is to reshape the body.

8 – How Much Does a Mommy Makeover Cost?

The cost of a Mommy Makeover depends on the extent of the surgery and the surgeon’s expertise. More extensive procedures take longer, and require more skill, and will generally cost more. A price range is available by calling my office; however, an in person consultation is required to judge what procedures are best, and thus a more precise estimate will be provided during your consultation.

When comparing costs, be certain your estimate includes: fees for the surgeon, anesthesia, facility, implants, garments and any prescriptions.

9 – Will I Have Visible Scars?

Yes. All surgery requires cutting the skin and thus the creation of a scar. For most cosmetic surgery, scars are placed strategically. They are typically hidden by underwear or swimwear. Scars do fade over time, and they tend to improve for a year or two. Care is taken in the planning and performance of the surgery, and there are treatments that are recommended after the Mommy makeover to reduce the appearance of scar. Compliance with these can improve your results.

10 – Do I Need to Stop Breastfeeding?

Yes. Since Mommy Makeovers are frequently performed for women who have young children, breast feeding needs to be considered. There are two reasons to stop. The cosmetic reason to stop has to do with the size of your breasts. In most cases, breast volume decreases during the months after breast feeding is stopped. This is important when adjusting breast volume is part of the Mommy Makeover. The second reason is to decrease complications. Milk producing breasts are not operated to decrease the risks of infection and milk leaking from the incisions. In general, you should stop breast feeding months before surgery, and ideally should have no milk production for three months before surgery for the best results.

Mommy Makeover Consultations

Mommy Makeovers are one of my specialties. The combination of breast and belly enhancement is one of the most rewarding procedures I perform. If you are in the San Francisco Bay Area, give my office a call at (925) 943-6353, and schedule a private consultation appointment. This gives us a chance to define what needs to be done and choose the procedures that can provide the safest and most predictable results.

GLP1-s cause weight loss, but do they complicate post-weight loss cosmetic surgery?

More and more patients are using GLP-1 medications to successfully lose weight. The advantage of GLP-1 treatment is the ability to maintain weight loss and improve the associated medical conditions, like diabetes and hypertension, that can lead to complications. Since this class of drugs is relatively new, the risks are still being worked out.

Many patients seek body contouring procedures for loose skin after successful weight loss from GLP-1 treatment, therefore it is important to further examine these novel weight loss therapies. What are GLP-1 medications, and how do they affect cosmetic plastic surgery are what we will discuss today on the San Francisco Plastic Surgery Blog.

What Are GLP-1 Medications

The GLP-1 hormone stimulates insulin release when blood sugar is high, slows digestion (gastric emptying), and signals the brain to reduce appetite. GLP-1 receptor agonists work by mimicking the effects of GLP-1, thus increasing satiety and lowering blood sugar, promoting weight loss and improving metabolic health.

Common GLP-1 Medications include:

• Semaglutide:
  • Ozempic (Injection): Approved for Type 2 diabetes
  • Wegovy (Injection): Approved for weight loss
  • Rybelsus (Oral Tablet): Approved for Type 2 diabetes
• Tirzepatide (Note: Dual GLP-1/GIP receptor agonist):
  • Mounjaro (Injection): Approved for Type 2 diabetes
  • Zepbound (Injection): Approved for weight loss
• Liraglutide:
  • Victoza (Injection): Approved for Type 2 diabetes
  • Saxenda (Injection): Approved for weight loss
• Dulaglutide:
  • Trulicity (Injection): Approved for Type 2 diabetes
• Exenatide:
  • Byetta (Injection, short-acting)
  • Bydureon BCise (Injection, long-acting)
• Lixisenatide:
  • Adlyxin (Injection)

Do GLP-1 Medications Help Cosmetic Surgery?

Body Contouring is one of my specialties. The term describes a range of surgical procedures, which remove excess skin and soft tissue in patients after major weight loss. One common type of body contouring procedure is the Panniculectomy. Tummy Tucks and Panniculectomies are among the most common procedures performed after weight loss.

Panniculectomy is a procedure that removes loose, hanging skin and fat (pannus) from the lower abdomen. The Tummy Tuck also tightens the underlying muscles to flatten the foundation of the abdomen. These are commonly problems after weight loss, but can also be seen after pregnancy. Previous studies have suggested possible effects of GLP-1 medications on wound healing, which is especially important after Panniculectomy, because of the extent of surgery, the length of the incision, and the fact that many of these patients have, or are taking GLP-1 medications..

Do GLP-1 Medications Affect Surgical Risks?

According to a recent article on the ASPS website, the results are mixed. “Patients using GLP-1 medications were at a higher risk of delayed wound healing: 18.5%, compared to 7.5% in the non-GLP-1 group. In contrast, GLP-1 users had a lower rate of seroma, or fluid build-up under the wound: 4.9% versus 14.0%. Both differences remained significant after adjustment for other factors. Other complications – including reopening of the surgical wound (dehiscence), infection, and rehospitalization rate – were similar between groups.”

The Body Mass Index was not significantly different between groups; however, the populations were not identical, and other factors may be causal. The population taking GLP-1 medications were more likely to have type 2 diabetes, high blood pressure, and chronic obstructive pulmonary disease.

Should GLP-1 Medications be Stopped Before Surgery?

In general, GLP-1 medications should be stopped before surgery. The drug’s ability to stop the stomach from emptying can lead to aspiration pneumonia, hospitalization, and in rare cases death. Be certain to tell your doctor about every medication (prescription and over-the-counter), vitamin, mineral, supplement and herb you take. Pretty much everything that goes on or in your body, even food if you have a restrictive diet, should be disclosed to your surgery for your safety.

Plastic Surgery Consultations

Always consult an experienced and qualified Board Certified Plastic Surgeon for you plastic surgery needs. If you are considering cosmetic plastic surgery in the San Francisco Bay Area, call (925) 943-6353, and schedule a private consultation appointment.

In the above Arm Lift Before and After Pictures, it is easy to see the loose excess skin before and the tight firm arm after Brachioplasty.

The Top 5 Indications for Brachioplasty

1. Significant Weight Loss — This is one of the top reasons. After major weight reduction (through bariatric surgery, medications like GLP-1 agonists, or lifestyle changes), the skin often doesn’t shrink back fully, leaving behind loose, hanging folds on the upper arms.
2. Natural Aging — As people get older, skin loses elasticity due to reduced collagen and elastin production, leading to drooping or sagging in the upper arms—even in those who maintain a healthy weight and fitness routine.
3. Genetics or Hereditary — Some individuals are predisposed to excess skin, fat accumulation, or poor skin elasticity in the arms, regardless of diet, exercise, or body weight.
4. Aesthetic and Confidence Concerns — Many seek the procedure to achieve slimmer, more youthful-looking arms, reduce self-consciousness (e.g., avoiding sleeveless clothing or feeling uncomfortable in social settings), and improve overall body proportions.
5. Functional or Medical Issues — In some cases, excess skin causes practical problems like chafing, rashes, irritation, hygiene difficulties, discomfort during movement, or restricted arm mobility.

Who is a Good Candidate for an Arm Lift

Candidates for Brachioplasty are typically at a stable weight, in good health and bothered by the appearance or feel of their arms. Results are often described as dramatic, especially after weight loss, though it involves a scar (usually along the inner or back of the arm). If you’re considering this, consulting a Board-Certified Plastic Surgeon is key to discuss if it’s appropriate for your situation.

Arm Lift Consultations

If you are considering Brachioplasty in the San Francisco Bay Area, and want an experienced, board certified plastic surgeon, call (925) 943-6353. My Walnut Creek plastic surgery clinic has 30 years of experience with Post Bariatric Plastic Surgery, and can schedule a private consultation appointment.

Fifteen years in a row, we received the 2026 Talk Award for Plastic Surgery Patient Satisfaction.

15 Consecutive Years

I am proud and humbled to receive the 2026 Talk Award for Service Excellence again this year. Awarded for excellence in patient satisfaction as rated online by The Talk Awards, we have received 5 stars for fifteen years in a row.

The plaque above says it all:

• “Fifteen consecutive years of service excellence presented to Joseph A. Mele, MD, FACS, Cosmetic Plastic Surgery. Award category: Plastic Surgeons | Walnut Creek, California. Five stars awarded for excellence in patient satisfaction as rated online by the Talk Awards.”

What is a Talk Award?

The Talk Awards were created to calculate service satisfaction ratings for a variety of businesses, industries and professionals, including Plastic Surgeons, based on independent research. Receiving the award for Patient Satisfaction is amazing, because this means that my patients’ expectations are matched by their actual experience in our Walnut Creek Plastic Surgery Clinic.

Excellence in Plastic Surgery

Plastic Surgery Consultations

If you would like to experience Personalized Plastic Surgery from an award winning Cosmetic Plastic Surgery Team, call (925) 943-6363 today. My team and I are motivated to give you a five star experience. More information about specific procedures is available here on the San Francisco Plastic Surgery Blog and on my main site DrMele.com.

Who Are We?

We are a private, Plastic Surgery Clinic specializing in Cosmetic Plastic Surgery. For almost 30 years we have provided San Francisco Bay Area plastic surgery patients with our unique combination of the latest techniques and the tried and true cosmetic procedures. You will find us in the East San Francisco Bay Areas city of Walnut Creek, California, by appointment only.

After massive weight loss, Abdominoplasty tightens the skin and muscle of the abdominal wall. In this case, a Tummy Tuck was combined with a Thigh Lift for more complete lower body contouring.

The Tummy Tuck remains one of the most frequently requested cosmetic plastic surgery procedures. About 175,000 Abdominoplasties are performed in the US each year, making it the third most popular cosmetic surgery. 98% Tummy Tucks are performed for women, with 2% performed for men after weight loss. If you are considering a Tummy Tuck, what do you need to know? Today, I am answering the top 10 frequently asked questions about Abdominoplasty.

The Top 10 Frequently Asked Questions About Abdominoplasty

Below are answers to the top 10 frequently asked questions about Tummy Tucks (Abdominoplasty), based on common patient inquiries in my Walnut Creek Plastic Surgery office, the American Society of Plastic Surgeons (ASPS), and The Aesthetic Society (ASAPS):

#1 – Am I a Good Candidate for a Tummy Tuck?

Ideal candidates are in good health, at a stable weight (close to their goal), non-smokers (or willing to quit at least 4 weeks before surgery), and have excess skin, stubborn fat, and/or separated abdominal muscles (diastasis recti) from pregnancy, major weight loss, aging, or prior surgeries. It’s not a weight loss procedure; however, it’s best for those who can’t achieve a flat abdomen through diet and exercise alone.

#2 – What Does Abdominoplasty Actually Involve?

The procedure removes excess skin and fat from the abdomen, tightens weakened or separated abdominal muscles, and maintains the belly button for a natural look. A full tummy tuck uses a horizontal incision low on the abdomen (often hidden in underwear/bikini lines).

#3 – What’s the Difference Between a Full and a Mini Tummy Tuck?

A full Abdominoplasty addresses the entire abdomen (above and below the belly button), repairs muscles throughout, and removes more skin/fat. A mini tummy tuck focuses only on the lower abdomen, often with a shorter incision and no (or limited) muscle repair—it’s for milder cases with good upper abdominal tone.

#4 – Will I Have Visible Scars after Abominoplasty?

Yes, scarring is inevitable. The main scar is horizontal and low (bikini-line level), often hidden by underwear or swimsuits. A second small scar may be around the belly button. Scars typically fade significantly over 12–18 months with proper care, but they don’t disappear completely.

Abdominoplasty smooths the abdominal wall by tightening the muscles and removing excess skin and fat. In this case, fat from the belly was used to augment the curves of the buttocks with a BBL.

#5 – How Long is the Recovery After a Tummy Tuck?

Most patients need 2–4 weeks off work (longer for physical jobs). Walking is encouraged early, but full activity (including heavy lifting and intense exercise) usually resumes in 6–8 weeks. Swelling and bruising peak in the first 1–2 weeks and can linger for months; final results often take 6–12 months.

#6 – How Painful is Abdominoplasty Recovery?

Moderate to significant discomfort is common in the first week (managed with pain medication), due to muscle tightening and incision healing. Many describe it as tightness rather than sharp pain. Pain decreases steadily, and most patients feel much better after 7–10 days.

#7 – Does Insurance Cover a Tummy Tuck?

Rarely. Tummy Tucks are usually considered cosmetic. Exceptions may apply if excess skin causes medical issues (e.g., rashes, infections, or mobility problems after massive weight loss), but most cases are out-of-pocket.

#8 – How Long Do Abdominoplasty Results Last?

Results are long-lasting if you maintain a stable weight, healthy lifestyle, and avoid significant future pregnancies or major weight fluctuations. Aging and gravity continue naturally, but the improved contour and muscle repair typically endure for many years.

In this case, a Tummy Tuck is combined with Liposuction to both tighten the abdominal wall and contour the back fat.

#9 – What are the Main Risks of a Tummy Tuck?

Like any surgery, risks include bleeding, infection, poor wound healing, seroma (fluid buildup), numbness, asymmetry, or blood clots. Careful surgical technique and following post-op instructions minimize problems.

#10 – Can I Combine Abdominoplasty With Other Procedures?

Yes, Abdominoplasty is often part of a “Mommy Makeover” with Liposuction, Breast Augmentation/Lift, or other body contouring as shown throughout this post. Combining procedures can enhance overall results but may extend recovery time.

Tummy Tuck Consultations

The questions above represent the recurring topics which patients ask about. If you’re considering a Tummy Tuck (Abdominoplasty), a consultation with an experienced and Board Certified Plastic Surgeon is the best next step. For personalized answers based on your anatomy and goals, call (925) 943-6353, today, and schedule a consultation appointment.