Editorials

Post Partum Cosmetic Surgery

The Post Partum Aesthetic Aspect of Plastic Surgery

Dr. Fellows’ idea is one that resonates for many women today, particularly those who have had a baby. The toll that pregnancy and childbirth take on a woman’s body can be drastic. Some women regain their fitness, but not all of the physical changes can be helped with an exercise regimen and a healthy diet. Some of these changes, like a Cesarean section scar, can be unsightly and may affect the way a woman feels about herself. Many new mothers mourn the loss of their pre-pregnancy physique, but are unaware of the surgical options available to them.

These options include: breast augmentation and lift, abdominoplasty (tummy tuck), liposuction, Cesarean section scar revision and inverted nipple repair. Provided a woman is not breastfeeding, some of these procedures may be performed as early as two months postpartum.

Breast Augmentation or Lift

During pregnancy, the glandular tissue of the breast enlarges. After weaning (or sooner, if a woman chooses not to breastfeed), the glandular tissue shrinks, causing flattening and sagging of the breast. Breast augmentation or lift can help women achieve a more youthful, contoured appearance.

Abdominoplasty/Cesarean Section Scar Revison and Liposuction

For women seeking a tummy tuck, abdominoplasty surgery can typically be performed four to six months postpartum. It is important to note though, that for four to six weeks following surgery, a woman will not be able to lift her child, so this should be taken into consideration when planning the surgery. A consult with Dr. Fellows will reveal the degree of laxity of the abdominal musculature. It may be severe, or may be limited to just below the navel. Rejuvenation of the abdominal wall is possible, and depending upon the amount of extra skin and laxity, either abdominoplasty (tummy tuck), a minimally invasive “mini” tummy tuck or liposuction may be appropriate to achieve a flat profile.

Inverted Nipple Repair

Three percent of women have inverted nipples either on one or both sides, a condition that can be caused by postpartum mastitis. Dr. Fellows has co-authored a publication on a new technique for an integrated approach to inverted nipples. This technique also increases the chance of successful postoperative breastfeeding.

These postpartum procedures can help women regain their pre-baby appearance, and can be psychologically and aesthetically beneficial.

David Fellows, M.D., M.F.A.
Plastic & Reconstructive surgery
Master of Fine Arts Figurative Sculpturing