Having children is one of the most wonderful experiences of a lifetime. The effects on the body of the mother after one or more pregnancies may not be so wonderful. In the past, most women accepted the changes in their bodies as an acceptable tradeoff for motherhood. I have noticed in my practice that over the last fifteen years women are not as willing to accept these changes, and seek help in getting their bodies back to the appearance they had prior to pregnancies. In many cases they can get an even better look than they ever had.The changes women experience after childbirth are usually in the breast, abdominal, and thigh regions. Their breasts may become smaller, sag more, and lose fullness and firmness. Their abdominal muscletone may decrease. They may develop loose, hanging skin, and stretch marks, as well as fatty deposits on the hips and thighs.The concept that diet and exercise can correct these conditions is false. Surgery is the best way to correct these post partum changes, hence the term “Mommy Makeover”.A Mommy Makeover is not one single operation. It must be individualized to each specific patient. The concept of the Mommy Makeover is combining both breast and abdominal enhancement at a single operative setting.To rejuvenate breasts, an implant is usually needed to provide volume and firmness. If there is minimal ptosis (sagging), an implant may also correct this. The implant can either be saline or silicone. For higher degrees of ptosis, it may be necessary to do a mastopexy (breast lift) at the same time as the breast augmentation. The mastopexy can be designed to minimize scarring, and often, the only incision for the mastopexy is one around the areola. The implant can easily be placed through this incision. The recovery time for the combined lift with implant surgery is usually the same as for a breast augmentation.Abdominal changes can be corrected with either liposuction, a lower abdominoplasty, or an abdominoplasty, depending on the amount of excess fat, loose skin, and the condition of the abdominal muscles. Fatty deposits on the hips and thighs are usually easily correctable with liposuction.The proper combination of procedures is best decided after a personal consultation. The results of a Mommy Makeover can be dramatic, restoring both an excellent appearance and confidence to the patient.