Tummy tuck · breast · liposuction · in one arc of treatment
Three components, one co-ordinated plan. A tummy tuck with correction of the diastasis, breast surgery of your choice, liposuction of the hips or outer thighs — bundled or staggered.
Treatment
What is Mommy Makeover?
The Mommy Makeover is a co-ordinated arc of treatment combining several plastic and aesthetic procedures, addressing the typical physical changes after pregnancy and breastfeeding. At the Ästhetik am Isartor practice in Munich, under the medical direction of Dr. Fabian Weinschenk, we bundle three components matched to one another: a tummy tuck with, where needed, restoration of the abdominal muscles (correction of a rectus diastasis), breast surgery (a lift, an augmentation with implants or fat transfer, or a reduction) and liposuction of the hips, outer-thigh fat pads or inner thighs. Depending on the findings, the procedures are combined in one session or staggered over time. Preconditions: completed family planning, a weight stable for at least six months, at least six to twelve months since the last birth, and non-smoker status or nicotine abstinence of at least four weeks. The operation takes place under general anaesthesia with one to three nights as an inpatient; in a combined session the surgery takes three to seven hours. Recovery: two weeks taking it easy, six weeks of compression with a compression bra and abdominal binder, full sporting activity after six to eight weeks, and the final result assessable after three to six months.
A Mommy Makeover bundles several plastic and aesthetic procedures — each individual component is subject to its own medical indication and informed-consent consultation under § 8 HWG (German Health Advertising Act). We use exclusively CE-certified materials approved in Germany (breast implants, fillers, hyaluronidase as an antidote). For legal reasons we carry no brand advertising on the website. Mandatory product information and the specific informed-consent documents under § 8 HWG are handed out in the personal informed-consent consultation.
Suitability
Who is Mommy Makeover suitable for?
Pregnancy, birth and breastfeeding change the body fundamentally. Typical changes — lax skin on the abdominal wall, a rectus diastasis, loss of volume and laxity of the breast, stubborn fat pads on the hips and outer thighs — often cannot be corrected by exercise and diet, because they are structural. A Mommy Makeover bundles several plastic-surgical procedures into a co-ordinated arc of treatment that addresses these changes specifically.
Suitable for
A Mommy Makeover is suitable with completed family planning, with a weight that has been stable for at least 6 months, with lax skin on the abdominal wall with or without a rectus diastasis, with loss of volume or laxity of the breast after breastfeeding, with stubborn fat pads on the hips, outer thighs or inner thighs that do not respond to exercise and diet, with a minimum interval of 6-12 months since the last birth and a break from breastfeeding of at least 3 months, and with a general condition sufficient for longer operating times and the strain of anaesthesia. Precondition: nicotine abstinence for at least 4 weeks beforehand and afterwards (critical for wound healing at the T-junctions of the tummy tuck).
Not suitable for
A Mommy Makeover is not appropriate with family planning that is not complete (a further pregnancy would markedly impair the result of the tummy tuck), with an unstable weight or a further planned weight loss of more than 5 kg, with less than 6 months since the last birth or breastfeeding that is still going on, with acute illnesses or underlying conditions that are difficult to control, with active nicotine use without a willingness to abstain, with a raised thromboembolic risk that cannot be addressed prophylactically, and with a BMI > 30, where a tummy tuck is as a rule associated with a raised risk of wound-healing problems (weight reduction recommended first).
Which components come into question, and whether they are combined in one session or staggered, depends on the initial findings, the operating time and your general condition. The indication is established in the medical initial consultation (€100). We calculate the specific costs individually.
Method
Three building blocks. One co-ordinated plan.
The Mommy Makeover is not a single procedure — it is a bundle of three (sometimes four) building blocks that are chosen according to the findings and then either combined in one session or staggered over time. Each component has its own indication, operating time and recovery — the table below gives an overview.
- Standard
Abdomen
Tummy tuck (W-shaped incision, with correction of the diastasis)
- How it works
- Excess skin + diastasis after pregnancy corrected
- Strength
- Restoration of the function and the contour of the abdominal wall
- Areas
- Abdominal wall below the navel (W-shaped incision)
Breast
Breast surgery (lift · augmentation · reduction)
- How it works
- Change of shape after breastfeeding addressed medically
- Strength
- A lift alone, or combined with an implant or fat transfer
- Areas
- Both breasts
Lipo
Liposuction (hips · outer-thigh fat pads · inner thighs)
- How it works
- Contouring of circumscribed fat pads
- Strength
- Addresses areas that do not respond to exercise and diet
- Areas
- Hips, outer-thigh fat pads, inner thighs (1-2 areas)
- Additional
Renuvion
Renuvion® (optional, additional to the liposuction)
- How it works
- Subdermal helium-plasma skin tightening
- Strength
- Where skin laxity is moderate, as a complement to the liposuction
- Areas
- additional to the liposuction areas
Which components come into question, and whether they are combined in one session or staggered, depends on the initial findings, the operating time and your general condition. The indication is established in the medical initial consultation (€100). A combination can have organisational advantages over separate appointments (one anaesthetic, a bundled recovery); staggering spreads the recovery time and shortens the individual operations.
Planning
Bundling or staggering — the decision is a medical one.
Where the starting point is moderate and the general condition good, we combine several components in one session (3-5 hours of operating time). The advantage: a shared recovery, one anaesthetic, a single inpatient admission. With more extensive procedures or a raised risk profile we spread the procedures over 2-3 sessions across several months. The advantage: shorter individual operations, less strain from anaesthesia, a staggered recovery. Safety has priority — the plan is set medically in the initial consultation, after a clinical examination and, where appropriate, an additional assessment in internal medicine.
Three components in one session — or staggered over time. Safety decides, not speed.
Procedure
How the procedure works
Four steps across several months — from the medical initial consultation with the choice of components, through preparation and the day of surgery with 1-3 nights as an inpatient, to the six-week recovery with compression around the clock.
Schritt 01approx. 60–90 min.Initial consultation & bundle planning
In the personal initial consultation (€100) we clarify what you would like, the initial findings (abdominal wall, breast, fat pads), your family planning, the stability of your weight and your general health. We mark the planned components on paper (a three-zone sketch with a peach ellipse for the breast, a horizontal line for the W-shaped tummy-tuck incision and two outward-curving lines for the hip / outer-thigh liposuction) and decide medically whether the procedures are combined in one session or staggered. Mandatory product information under § 8 HWG is handed out.
Schritt 02Preparation
Full blood count and ECG. Mammography / ultrasound recommended from the age of 35. Nicotine abstinence for at least 4 weeks before the operation. No blood-thinning medication in the 14 days before the operation (after consulting your GP). Organise the recovery garments in advance — a compression bra and abdominal binder for 6 weeks, and with additional liposuction of the inner thighs also compression tights for 4-6 weeks. Make sure of support from the family for the first 2-3 weeks (a babysitter or family help for heavy tasks).
Schritt 033–7 h (combined)Day of surgery
Inpatient admission on the day of surgery or the day before. General anaesthesia. Marking of the bundle zones with an ergonomic marker. In a combined session: a tummy tuck with correction of the diastasis (W-shaped incision), breast surgery of your choice, liposuction of 1-2 areas — 3-5 hours of operating time where the extent is moderate, up to 7 hours with more extensive procedures. Close anaesthetic monitoring, thrombosis prophylaxis with low-molecular-weight heparin. Inpatient stay of 1-3 nights.
Schritt 04Recovery (6 weeks + 3-6 months)
Taking it easy for 2 weeks, light office work possible after 1-2 weeks. Compression bra and abdominal binder around the clock for 6 weeks; with liposuction of the inner thighs, compression tights for 4-6 weeks in addition. Avoid heavy physical work for 6 weeks. Lift the baby carefully and with help — we discuss practical tips for lifting out of a high chair or buggy in the informed-consent consultation. Sporting activity after 6-8 weeks. Final result assessable after 3-6 months.
Facts
Key facts
- Procedure
- combined or staggered, surgical
- Components
- tummy tuck + breast + liposuction (Renuvion® optional)
- Anaesthesia
- general anaesthesia
- Surgery time
- 3–5 h moderate · up to 7 h extensive
- Stay
- 1–3 nights as an inpatient
- Precondition
- completed family planning
- Weight
- stable for at least 6 months
- Interval since birth
- at least 6–12 months · breastfeeding finished at least 3 months
- Nicotine
- abstinence at least 4 weeks before + afterwards
- Compression
- bra + binder 6 wks · tights 4–6 wks where needed
- Taking it easy
- 2 weeks · light work after 1–2 wks
- Sporting activity
- after 6–8 weeks
- Final result
- after 3–6 months
- Consultation
- €100 · required before every treatment
Recovery
Recovery & final result
DAY
0–3.
Inpatient. Thrombosis prophylaxis.
Inpatient stay of 1-3 nights with close monitoring, pain management, thrombosis prophylaxis (low-molecular-weight heparin) and early mobilisation. The compression bra and abdominal binder are already fitted in hospital and worn continuously.
WEEK
1–2.
Take it easy. Compression 24/7.
Taking it easy at home. Compression garments around the clock. Light mobilisation: short walks, no heavy lifting (not the baby either — organise help). Outpatient wound checks after 5-7 days and after 10-14 days, with stitches or clips removed according to the findings.
WEEK
3–6.
Getting back in.
Light office work possible from week 2. Compression continues around the clock until week 6. Lift the baby carefully — we discuss lifting technique from a high chair or buggy in the informed-consent consultation. Wound healing at the T-junctions of the tummy tuck progresses; from week 4 a silicone gel sheet on the scar is typical.
WEEK
6–8.
Sport returns.
Where healing is good, compression can be loosened at night. Resume sporting activity step by step: light cardio from week 6-8, strength training from week 10-12. Sauna from week 8. Heavy physical work from week 8-10.
MONTH
3–6.
Scar + final result.
Intensive scar care for 6-12 months. The final result can be assessed after 3-6 months (swelling subsiding, the scar maturing, the final contouring). With breast surgery: implants settle into the chosen pocket position; with fat transfer part of the injected tissue is resorbed — the final volume is stable after 3 months.
Endergebnis
Final result after 3–6 months — scar care for 6–12 months. Check-ups after 3 and 12 months.
Lifting the baby is the central challenge in the first 6 weeks — we discuss practical lifting techniques from a high chair, buggy and bed in the informed-consent consultation, and recommend organising family or a babysitter in advance for the first 2-3 weeks. No procedure is "urgent" enough to put safety at risk — we decide medically whether to operate in a combined or a staggered way, on the basis of the findings and the general condition.
First weeks
Compression around the clock. Lifting with help.
Six weeks of compression bra and abdominal binder around the clock; with liposuction of the inner thighs, compression tights for 4-6 weeks in addition. Lift the baby carefully and with help — we discuss practical lifting techniques from a high chair or buggy in the informed-consent consultation. Organise support from the family for the first 2-3 weeks. Outpatient wound checks after 5-7 and 10-14 days. Scar care with silicone gel from week 4 for 6-12 months.
Consultation
100€
approx. 45 min · medical · mandatory before every treatment (§ 8 HWG)
Let us establish the indication together.
Which method suits your situation can only be established reliably in a personal examination and consultation.
What is included
- Examination & establishing the indication
- Choice of method, risks & alternatives
- Written cost estimate afterwards
Risks
Risks & informed consent
With combined procedures the operating time and the strain of anaesthesia are higher than with separate appointments — we take that into account when establishing the indication. Specific risks are documented in detail in the informed-consent consultation under § 8 HWG, for each component individually and for the combination together.
- General
Swelling, haematomas, tenderness to pressure and temporary changes of sensation in the operated area are the typical post-operative courses. They subside completely within the first 2-6 weeks; temporary changes of sensation can last for months, but usually resolve completely. Scarring at the T-junctions of the tummy tuck and at the incisions of the breast surgery is supported by a silicone gel sheet from week 4 and by consistent sun protection.
- Specific
Delayed wound healing at the T-junctions of the tummy tuck is the most specific risk — critically increased by active nicotine use, which is why nicotine abstinence of at least 4 weeks before and after the operation is required. Seroma formation (a collection of wound fluid) in the liposuction or tummy-tuck areas is possible and can easily be aspirated as an outpatient. Asymmetry after the breast or liposuction component can be adjusted where needed in a smaller follow-up correction after 6-12 months.
- Very rare
Thromboembolic events are more likely with a longer combined operating time — we minimise this risk with low-molecular-weight heparin as thrombosis prophylaxis, with compression garments and with early mobilisation on the day of surgery. Anaesthetic complications are more likely with combined procedures because of the longer time under anaesthesia, which is why the indication is established medically, where appropriate with an additional assessment in internal medicine before the operation. Implant-specific risks with breast augmentation (capsular contracture, implant position) are covered in detail on the dedicated breast augmentation page.
All individual risks are documented in detail during the personal informed-consent consultation in accordance with § 8 HWG (German Health Advertising Act).
Costs
Costs at a glance
The cost of a Mommy Makeover depends on the number and the extent of the components chosen. Bundling them in one session can reduce anaesthetic and clinic fees compared with separate appointments; staggering spreads the recovery time. Specific calculation individually in the initial consultation (€100).
Costs
On request
Costs are calculated individually in the personal initial consultation (€100), based on the indication, the chosen method and the inpatient effort involved.
Building blocks in the bundle
Which components come into question?
| Building block | What for | Surgery time | Main recovery point |
|---|---|---|---|
| Tummy tuckW-shaped incision, with correction of the diastasis | excess skin + diastasis after pregnancy | 2–5 h | 6 weeks of abdominal binder |
| Breast surgerylift · augmentation with implant / fat transfer · reduction | change of shape after breastfeeding | 1–3 h | 6 weeks of compression bra |
| Liposuctionhips · outer-thigh fat pads · inner thighs | contouring of circumscribed fat pads | 1–3 h | 4–6 weeks of compression |
| Renuvion® (optional)additional to the liposuction where skin laxity is moderate | additional subdermal skin tightening | +30–60 min. | as for the liposuction |
| Price | calculated individually · clinic billed separately | — | — |
Which components come into question, and whether they are combined in one session or staggered, depends on the initial findings, the operating time and your general condition. The indication is established in the medical initial consultation (€100). The specific costs are calculated individually; clinic and anaesthetic fees are shown separately.
All starting prices are net · plus 19% VAT · excluding clinic fees for anaesthesia and overnight stay. Individual cost estimate in the personal initial consultation (€100).
Questions
Frequently asked questions
What is a Mommy Makeover?
A Mommy Makeover is a co-ordinated arc of treatment made up of several plastic and aesthetic procedures that address the typical physical changes after pregnancy and breastfeeding — typically a tummy tuck with correction of the diastasis, breast surgery (a lift, an augmentation or a reduction) and liposuction of the hips or outer thighs. Depending on the findings, the components are combined in one session or staggered over time.
What does a Mommy Makeover cost in Munich?
The cost depends on the number and the extent of the components chosen. We calculate the whole package individually and transparently in the initial consultation (€100). Bundling them in one session can reduce anaesthetic and clinic fees; a staggered approach spreads the recovery time.
When is the right time for a Mommy Makeover?
The preconditions: completed family planning, a weight that has been stable for at least 6 months, at least 6-12 months since the last birth, and breastfeeding finished for at least 3 months (hormone levels must have returned to normal). A further pregnancy after a tummy tuck would markedly impair the result — hence the timing.
Are all the procedures carried out in one session?
Where the starting point is moderate and the general condition good, we combine several components in one session (3-5 hours of operating time). The advantage: a shared recovery, one anaesthetic, a single inpatient admission. With more extensive procedures or a raised risk profile we spread the procedures over 2-3 sessions across several months. Safety has priority — the plan is set medically in the initial consultation.
How long is the recovery time after a Mommy Makeover?
The inpatient stay is typically 1-3 nights. Two weeks taking it easy at home, light office work after 1-2 weeks, and avoid heavy lifting (including the baby) for 6 weeks — we discuss practical tips for lifting in the informed-consent consultation. Full sporting activity after 6-8 weeks. The final result can be assessed after 3-6 months.
What risks does a Mommy Makeover carry?
With combined procedures the operating time and the strain of anaesthesia are higher than with separate appointments — we take that into account when establishing the indication, where appropriate with an additional assessment in internal medicine. Specific risks: delayed wound healing at the T-junctions of the tummy tuck (critical with nicotine use, hence the required abstinence), seroma formation, temporary changes of sensation, and thromboembolic events with a longer operation (minimised by heparin prophylaxis and early mobilisation). All risks are documented in the informed-consent consultation under § 8 HWG.
How does lifting the baby work after the operation?
Heavy lifting — including the baby — is to be avoided for 6 weeks. In the informed-consent consultation we discuss practical lifting techniques from a high chair, buggy and bed; ideally the high chair is set up at chest height, so that the child can be lifted between your own arms without straining the abdominal wall. Organise support from the family for the first 2-3 weeks — a partner, parents or a babysitter for heavy tasks.
Can I still breastfeed after a Mommy Makeover?
With a breast lift or reduction the function of the mammary gland can be affected — which is why the precondition of "completed family planning" matters. With a tummy tuck and liposuction alone, the ability to breastfeed is not affected. We discuss your individual findings and the implications of each component in detail in the informed-consent consultation.
Do I have to be smoke-free?
Nicotine abstinence of at least 4 weeks before and 4 weeks after the operation is required — nicotine considerably impairs wound healing at the T-junctions of the tummy tuck and raises the risk of necrosis. With active nicotine use and no willingness to abstain, we do not operate. Where useful, we support patients with information about smoking-cessation programmes.
When is a Mommy Makeover NOT suitable?
Contraindications: family planning that is not complete (a further pregnancy would markedly impair the result of the tummy tuck), an unstable weight or a further planned weight loss of more than 5 kg, less than 6 months since the last birth, breastfeeding that is still going on, acute illnesses or underlying conditions that are difficult to control, active nicotine use without a willingness to abstain, and a BMI > 30 (weight reduction recommended first). We establish the indication in the initial consultation.
Why don't you show before-and-after photographs on your website?
For two reasons — one legal, one ethical. First, the German Heilmittelwerbegesetz (§ 11 HWG, the Health Advertising Act) prohibits advertising surgical plastic procedures with before-and-after photographs on publicly accessible websites — a rule in force since 2012 that protects patients from distorted promotional depictions. Second, we respect our patients' privacy: even where written consent exists, many would rather intimate photographs of their body did not circulate on the open web. What you can expect instead: in the personal initial consultation (€100) we show you anonymised examples from our own practice documentation — matched to your indication, your build and your aesthetic goal. Those images are shown with the written consent of the patients concerned, exclusively within the protected setting of the consultation, and are never published online. You get a realistic sense of what to expect without anyone having to give up their privacy for someone else's advertising.
What should I look for when choosing a doctor for aesthetic plastic surgery in Munich?
Three objective criteria help you get your bearings. First, the specialist qualification: "Facharzt für Plastische und Ästhetische Chirurgie" is a legally protected German specialist title requiring several years of specialist training — unlike general, unprotected descriptions such as "cosmetic surgeon". Second, membership of a medical professional society such as the DGPRÄC (the German Society of Plastic, Reconstructive and Aesthetic Surgeons), which requires binding professional standards and continuous further training. Third, the quality of the consultation: a reputable practice takes its time, is honest about risks, alternatives and realistically achievable results, and does not push you towards a decision. At Ästhetik am Isartor the medical direction lies with Dr. Fabian Weinschenk, specialist in plastic and aesthetic surgery (Facharzt) and a member of the DGPRÄC. Procedures are carried out personally by the specialist, and every treatment is preceded by a detailed medical informed-consent consultation (chargeable at €100).
Related
Related treatments
Tummy tuck
A tummy tuck with correction of the diastasis — the central component for the post-pregnancy abdominal wall.
Learn more
Breast lift
A breast lift as a frequent component of the bundle after breastfeeding.
Learn more
Liposuction
Liposuction of the hips / outer thighs / inner thighs as a component of the bundle.
Learn more
In the consultation we establish what is possible — and what is not. In person at the Isartorplatz, unhurried, with no sales pressure.
Dr. Fabian Weinschenk
Specialist in plastic and aesthetic surgery (Facharzt)