David B. Reath, MD
Knoxville, TN (865) 450-9253

Mommy Makeover

Realself Top Doc Mommy Makeover

It is important to understand that a Mommy Makeover is not for weight reduction and is best suited for women that are in relatively good shape. A Mommy Makeover is not recommended for you if you have many pounds to lose or if you plan on becoming pregnant again.

Here are before and after photos of Knoxville patients who have had Mommy Makeovers.

Before & After Photos

WARNING:

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Before & After Photos

Keep in mind that each patient is unique and your results may vary.
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    Before & After Mommy Makeover: She is 5’3” and weighs 139 pounds. Here is a 27-year-old mom who was concerned about excess skin in her abdomen which had stretched out during her pregnancies. She was also interested in a modest increase in the size of her breasts to achieve the figure she always wanted. Dr. Reath performed a full abdominoplasty along with a breast augmentation using 250cc silicone gel breast implants which he placed on top of her chest muscles. She is pictured before and six months after her procedure thrilled with her result.

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    Before & After Mommy Makeover:(Abdominoplasty and Breast Augmentation with Silicone Implants): She is 5’9” and weighs 153 pounds. Here is a 44-year-old mother of two who was unhappy with the changes in her body due to having very large babies. She had excess skin and separated stomach muscles in her abdomen and she wanted to restore volume to her breasts. She had not breastfed her children and did not have any excess skin and sagging in her breasts that would need to be corrected.

    After working with sizers, she chose 400cc silicone breast implants which Dr. Reath places underneath her chest muscles. Her breast augmentation was done at the same time as her abdominoplasty so she only had one recovery. She is pictured here six months after her surgery, about as happy as any patient we’ve ever had.

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    Before & After Mommy Makeover: She is 5’5” and weighs 128 pounds. Here is a 41-year-old mom who lost 125 pounds through diet and exercise. Although she was in excellent shape, she had excess abdominal skin leftover from her massive weight gain and she wanted to have larger breasts. Dr. Reath performed a Mommy Makeover which included a breast augmentation with 375cc silicone implants placed underneath her chest muscles and a standard abdominoplasty to improve the contour of her abdomen. She is pictured before and after her surgery looking like a new woman!

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    Before & After Mommy Makeover: She is 5'8" and weighs 143 pounds. Here is a 30-year-old mom who came to our office to correct the changes in her body after having two very large children. She noticed changes in her abdomen which became worse after her second child. In addition she was not pleased with the new laxity in her breasts. After working with sizers she chose silicone breast implants in a very modest size, 300cc. Dr. Reath performed a full abdominoplasty and a breast augmentation placing the implants on top of her chest muscles. She is pictured here before and six months after her Mommy Makeover looking like a new woman!

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    Before & After Mommy Makeover- She is 5’8” and weighs 128 pounds. Here is a 22-year-old mother of two who gained about sixty pounds her one of her pregnancies. Although she was happy with her weight when she came to our office, she was concerned about the appearance of her abdomen and the volume she had lost in her breasts. Dr. Reath performed a mommy makeover (full abdominoplasty with a breast augmentation) using 350cc silicone breast implants which he placed underneath her chest muscles. She is pictured six months later looking incredible. As you can imagine she is very pleased with her results.

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    Before & After Mommy Makeover:  She is 5'3" and weighs 135 pounds. This mother-of-four came to us with concerns about both her abdomen and her breasts. Through diet and exercise she lost over 30 pounds, which was great for her health but left her with some saggy skin which she wanted removed. Dr. Reath did a full abdominoplasty and a full mastopexy augment with 350cc silicone cohesive gel implants placed on top of the chest muscles, (subglandular position). What a difference!

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    Before & After Mommy Makeover: She is 5’4” and weighs 127 pounds. Here is a 29-year-old mom who came to us after having had twins. During her pregnancy she had gained over 50 pounds and her breasts increased to a D cup. She worked very hard to lose the weight she gained during her pregnancy, but in the process she lost volume in her breasts. Although her abdomen did not have excess fat, she developed separation in her abdominal muscles was unhappy with the way her skin was sagging on her stomach. Dr. Reath performed an abdominoplasty (in her case without liposuction) and a breast augmentation with 350cc silicone breast implants placed underneath her chest muscles. She is pictured here 6 months later with an incredible result.

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    Before & After Mommy Makeover: This is a mother-of-three who had gained around 70 pounds with her pregnancies and had excess skin as a result. She was close to her ideal weight before her surgery and Dr. Reath performed a full tummy tuck procedure which is known as a lipoabdominoplasty, that repairs the abdominal muscles and removes excess fat and skin. She also had a breast augmentation at the same time as her tummy tuck for a true "mommy makeover". She chose 400cc Mentor saline implants which were placed underneath her chest muscles.

Mommy Makeover: Dr. Reath Explains What You Need To Know

“Any woman who has been through it, knows that changes take place as a result of pregnancies.  And, it’s no secret that the breasts and abdomen are affected more than any other areas.  Sometimes these changes are minimal, but for some of the women I see from the Knoxville area as well as Johnson City, Cookeville, and Cleveland, these changes can be profound. Take for instance, a small framed woman who has had twins, or someone who had a large amount of weight gain because of pregnancy induced hypertension (pre-eclampsia). Their shape will be totally changed by the pregnancy.  Since most of these women are still quite young, it’s understandable that they will feel strongly about getting their figure back.”

David B. Reath, MD

Board-certified plastic surgeon David B. Reath, MD is renowned for his surgical skills and his commitment to public education. Practicing in Knoxville, Tennessee since 1986, his personal approach with patients is what truly sets him apart.

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You Don’t Bounce Back Entirely
“What about diet and exercise, you say? There is no question that these can help.  And, getting back to your desired weight is the first step. But, this won’t take care of many of the changes.  Take the tummy for example, as fat diminishes the skin becomes more loose and can even look worse!  Hardly fair, and quite discouraging. If you have loose or excess skin, the only solution is to have this skin removed, as in surgically removed (think tummy tuck).  Likewise, the muscles of the abdomen become separated over the course of the pregnancy.  While you can strengthen these muscles, you can not bring them back together in the midline without surgery. I have seen some women with rock hard abs after children and a six pack that makes me jealous, but there is still a significant separation between the muscles that they have not been able to exercise away.

As noted above, there can be significant changes in the breasts as well.  Some women have little or none.  Others can end up with breasts that are saggier than they want, smaller than they want, or even larger than they want.  (This is one of the things that makes it hard for me to tell women how pregnancies will affect their breasts.) Changes can be more profound with multiple pregnancies, prolonged breast feeding, or large changes in breast size as a result of the pregnancies.

How about taking care of the breasts and the abdomen at the same time?  Seems like a good idea right? Right, thus “Mommy Makeover”  (there, I said it again).  This can be a great way of taking care of both areas.  But, the operations can be done in stages as well.  I have many patients who have done it both ways, and some that have chose only to deal with one area.  The bottom line, here, is that as long as it is medically safe and reasonable, do what works best for you.”

Recovery Time: The Major Advantage
“The advantage of doing this all together is primarily that you will have only one operation, and more importantly one recovery. Now the recovery can be a little longer if both the breasts and abdomen are re-contoured. Abdominal work requires a longer recovery time than breast work because the core muscles that you use for sitting and standing are the ones repaired during an abdominoplasty.

While there may be some cost savings, that is not the main thing.  It’s all about the time off. And this will usually be a little less when the operations are done together. When combining the operations, they are sometimes done as an outpatient, and sometimes with a night in the hospital. Again, this is affected by how much is being done, and the overall health of the patient. We will always look for the safest way to do these.”

Alternative Routes
“Other women want to take it one step at a time.  No problem here. Some want to take care of the breasts first, and others the tummy.  One advantage of doing it in this way, is that you know that you are going to be going to the operating room twice.  And if there is a minor revision of the scar from the first operation ( or something else like that), this can be addressed at the second operation. Also, you are looking at two somewhat shorter operations rather than one longer one. Doing them separately will almost always allow them to be done as outpatient operations.

So this process can lead to great and gratifying results.  But a couple of things to point out again.

  • Partner with your surgeon. The best results occur when you do all that you can do (usually getting rid of the pregnancy weight, and getting back into shape), and then the surgeon does what he/she can to reshape these areas.
  • Wait until you are finished having children. Another pregnancy can undo much of what is achieved surgically.
  • Make sure that you allow enough time for the recovery. Giving this enough time will allow you to get back to where you want to be sooner than if you really push it too hard.

So, if you are done having children, and you are not happy with how the process has changed your body, let’s talk. Because there is a lot that we can achieve together.”

Safety First

You should have a BMI of 30 or less to be a good candidate for these procedures. Here’s a handy BMI calculator so you can see if you are in the safe range to consider plastic surgery.

Body Mass Index (BMI)

Calculator for Adults

BMI is a number calculated from a person's weight and height. BMI provides a fairly reliable indicator of body fatness for most people and is used to screen for weight categories that may lead to health problems.

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pounds

Your BMI is

  • Underweight (Below 18.5)
  • Normal (18.5 - 24.9)
  • Overweight (25.0 - 29.9)
  • Obese (30.0 and above)

Your weight ( pounds) is in the category for adults of your height ( feet, inches)

To learn more, visit the CDC's Healthy Weight website

Mommy Makeover Pricing

Figuring out the cost of a Mommy Makeover before your consultation can be a bit tricky because there are different combinations of procedures for everyone. Below we will list the information for the most popular procedures separately so you can get a general idea of what to expect. There will be a slight price break on the surgery and anesthesia fees when you combine two procedures together. On the other hand, the price break could be offset by a possible overnight stay in the hospital.

During your consultation, you will be given a surgical quote which will detail these costs based on your particular needs. It will include surgery fees, anesthesia, any overnights, all follow-up visits, implants if you want them and our exclusive recovery kit.

Cash Discount: Great news! We offer a 5% discount for patients who pay with cash or check rather than using a credit card or financing.

Step One: The Breast Procedure.

The cost of a breast procedure with Dr. Reath includes both surgical and anesthesia fees, post-surgical bra, implants if you want them, our exclusive recovery kit and all follow-up visits.

Note: The pricing below is for silicone implants because they are by far our patient’s choice. If you want saline implants, just subtract $1,000 from the silicone implant price. If you want form-stable silicone implants (aka gummy bear implants) you’ll add $1,000 to the silicone implant price.

Breast Procedure Cost Cash Price
Breast Augmentation Silicone Implants $5,865 $5,572
Breast Lift No Implants $6,383 $6,064
Breast Lift Silicone Implants $8,636 $8,204
Breast Reduction $7,924 $7,528

Step Two: The Tummy Tuck Procedure

The cost of a tummy tuck with Dr. Reath includes both surgical and anesthesia fees, our exclusive recovery kit with silicone scar prevention shapes, post-surgical garments and all follow-up visits.

When reviewing tummy tuck pricing please keep in mind that the overwhelming majority of women we see are candidates for a full abdominoplasty. Some very lucky patients only need the area below their belly buttons fixed. For them a modified (mini) abdominoplasty is just the ticket. If you have a large amount of excess skin to be removed from major fluctuations in weight, you may need an extended procedure which takes more time in the operating room and could require a hospital stay.

Tummy Tuck Procedure Cost Cash Price
Full Abdominoplasty $7,985 $7,586
Modified Abdominoplasty $5,411 $5,140
Extended Abdominoplasty $8,943 $8,620

Our Surgical Recovery Kits are a great personal touch.

Patients tell us that the recovery kits we include with their surgeries are an area that really sets us apart. Each recovery kit contains items hand-picked to make your recovery faster and more pleasant. People who have had surgery with other doctors are amazed that we include these kits at no charge for all of our surgery patients.

Not our patient? No problem! We have lovingly put together a kit of everything you’ll need during your tummy tuck recovery specifically for patients of other plastic surgeons. You’ll appreciate the extra post-surgical binder because you won’t be feeling like doing much laundry. Even better, the price of the kit is much less than if you bought each item separately.

For a Mommy Makeover, you’ll want the tummy tuck recovery kit and then add the silicone scar strips of the breast procedure you’re having plus an extra surgical bra or two.

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Great Resources for Your Research

Our staff has written an amazing eBook based on suggestions from some of our mommy makeover and tummy tuck patients. The Plastic Surgery Planner is 40-pages of best practices with everything you need to know about planning for your plastic surgery and recovery. It’s a must-read for anyone planning to have a Mommy Makeover. It’s a free download.

Plastic Surgery Planner Tips to Manage a Speedy Recovery Download Now
  • So you can be better prepared for your consultation, we have prepared a list of important plastic surgery questions you will want to ask your doctor before you have your surgery. If your consultation is with Dr. Reath, please feel free to print this out and he will be happy to go over everything with you during your visit. Top Ten Questions to Ask your Plastic Surgeon
  • Even though the majority of cosmetic surgery patients are pleased with their results, the decision to have a procedure is a big one. It is normal to have questions, and it’s important to answer them honestly. In the end, you want to be completely comfortable with your decision.So, are you clear about your motivations for surgery? Are your expectations realistic? Test yourself by answering these important questions. How to Know if You Are  Ready for Plastic Surgery.


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