Washington, D.C. (202) 785-4187

Mommy Makeover

Many of the women at our Washington, D.C. practice considering a Mommy Makeover want a personal transformation to address unwanted physical changes after pregnancy, childbirth, and breastfeeding. Our Mommy Makeover patients span a lot of age groups, but they share a common goal of wanting to reclaim confidence in their bodies.

If you're looking for a plastic surgeon in Washington, D.C. who specializes in Mommy Makeover procedures, request a consultation to meet with Dr. Paul G. Ruff IV at West End Plastic Surgery. You can also call our office at (202) 785-4187 to schedule an appointment.

Mommy Makeover Before-and-After Photos

Before Photo
After Photo



You can see more before-and-after photos of our patients on our photo gallery.

Are You a Good Candidate for a Mommy Makeover?

Motherhood is perhaps an obvious prerequisite, but the procedure — combining cosmetic breast surgery with body contouring procedures — can benefit patients who haven't been pregnant. This is because many of the same changes seen after having children, such as lost breast volume and sagging abdominal skin, can also occur as you age.

A Mommy Makeover can reshape your breasts and restore their volume, and create a flatter tummy. A good candidate is in good overall health and is unsatisfied about the appearance of her body. Many of our patients say they want to feel comfortable wearing tight clothes or bikinis.

Your Consultation With Dr. Ruff

Discussing aesthetic concerns about your body is very personal. Dr. Ruff strives to help patients feel relaxed during the consultation. Establishing a patient-surgeon relationship based on trust and honesty is one of the keys to getting results that meet and exceed his patients' expectations.

During the consultation, Dr. Ruff asks about your specific cosmetic goals and he performs a thorough physical exam. This is a great time for you to ask questions about the procedures involved in a Mommy Makeover.

Dr. Ruff and staff will do several things during your visit:

  • Clearly discuss the potential risks of the procedure
  • Outline, in detail, how the surgery is performed and what you can expect before, during, and after the procedure
  • Provide detailed cost and payment information
  • Explain current FDA regulations governing the use of implants (if breast augmentation is part of your Mommy Makeover)

You will be asked to provide the following:

  • Details about your medical history
  • A list of all medication you currently take, including over-the-counter medications such as aspirin, vitamins, and herbal supplements
  • Information regarding your tobacco and alcohol use

Mommy Makeover Procedures

Dr. Ruff creates a customized surgical plan for your Mommy Makeover based on the concerns you describe during your consultation and his physical examination. The most common procedures involved in a Mommy Makeover include breast augmentation (with or without a breast lift), a tummy tuck, and liposuction. Many patients are also now asking about having surgical or nonsurgical vaginal rejuvenation (using ThermiVa®) as part of a Mommy Makeover.

Breast Augmentation

Women who breastfeed often want breast implants to restore the lost breast volume. In many cases, implants can create the perky, more youthful breast shape desired. When breast sagging is significant, though, the best approach is likely to combine a breast lift with augmentation. Dr. Ruff's expertise in cosmetic breast surgery helps patients make the decisions associated with the procedure.

Cohesive silicone gel or saline implants?

Silicone gel implants are chosen by most patients because they tend to look and feel more like natural breast tissue. Both silicone gel and saline implants are safe, and the choice is primarily based on patient preference.

Incision Location

Dr. Ruff customizes each procedure based on the preferred incision location. Incisions can be made at the base of the breast (inframammary incision), on the lower edge of the areola (periareolar), or in the armpit area (transaxillary). He explains the benefits and limitations of each choice to help you make a decision.

Implant Location

During the procedure, Dr. Ruff creates small pockets where he inserts the implants. Those pockets can be either above or under the pectoral muscles, and you'll discuss which one is your best option during your consultation. Women with very little existing breast tissue typically get better results by having implants placed under the muscle to help prevent visible rippling or wrinkling.

Tummy Tuck

A tummy tuck, or abdominoplasty, removes excess skin and can repair muscles separated by pregnancy. In many cases, it can minimize the appearance of stretch marks and result in a more cosmetically pleasing belly button. Dr. Ruff makes a horizontal incision just above the pubic area that stretches from hip to hip. Some women whose concerns are limited to the area below the navel may be good candidates for a mini tummy tuck, which involves a much shorter incision.


As a body contouring specialist, Dr. Ruff uses liposuction not only to remove excess fat but to sculpt smooth, contoured results. For women who need just a little liposuction to trim thighs, back fat, or love handles, VASER® LipoSelection is another option that can be done alone or as part of the Mommy Makeover.

Mommy Makeover Recovery & Results

Each patient at our practice receives detailed postoperative instructions to help promote a quick healing process and minimize any risks of complications. One of the benefits of combining procedures in a Mommy Makeover is not having to make arrangements for multiple recoveries.

For most patients, the abdomen requires the most time to heal. It's important that you follow Dr. Ruff's instructions to avoid lifting anything heavy, including small children, during your recovery.

Depending on the extent of the surgery, recovery typically takes 4 to 6 weeks. Swelling and bruising gradually resolve during this time, and the results of your Mommy Makeover will slowly emerge. However, it can be several more months before the final results are apparent.

Frequently Asked Questions

How much does a Mommy Makeover cost?

As with all aesthetic surgery procedures, the cost of a Mommy Makeover is difficult to pinpoint until you've had a thorough consultation. The price is influenced by several different factors, including the combination of procedures involved, the extent of each procedure, and the type of implants used (if you're getting breast augmentation). We provide a specific price quote at the end of the consultation.

Are there other Mommy Makeover procedures?

Yes. "Mommy Makeover" is simply a term for a combination of procedures, and while most Mommy Makeovers involve a tummy tuck and breast enhancement, some patients may wish to improve other areas of their bodies. For women wishing for a perkier bottom to fill out shorts or swimsuits, a buttock lift can firm and lift the bottom. Vaginal rejuvenation is also a common request.

Should I get a Mommy Makeover if I plan to have more children?

It isn't a good idea to get a Mommy Makeover until you're finished having children. A pregnancy and childbirth will likely undo all the work that's performed. There are alternative treatments, including VASERlipo, which can be used to reduce fat in targeted areas, even when you're still planning to have more children.

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West End Plastic Surgery 2440 M Street Northwest #200
Washington, District of Columbia 20037 (202) 785-4187 Monday–Friday: 8 a.m.–4:30 p.m. Get Directions