Mommy makeover in Paris

Women's surgery at Henri Mondor Hospital

Mommy makeover in Paris

Plastic, Reconstructive & Aesthetic Surgery in Paris East Créteil

Pregnancy is a turning point in a woman’s life. The after-effects linked to weight changes and distension of the skin and perineum can be moderate to very severe.

Mommy Makeover’ is a term coined in the USA to describe an aesthetic surgery procedure used to repair the after-effects of pregnancy. It combines treatment of the stomach and breasts, the areas most affected by pregnancy, the post-partum period and breast-feeding. In a single operation, the harmony of the figure can be restored. However, a combination of operations can be dangerous. Hospital treatment can be a good compromise for these combined operations, and the patient must be carefully selected.

Mommy Makeover specialist in Paris

Women's surgery after childbirth

Breasts: Mammary ptosis is defined as sagging of the breast and distension of the skin enveloping it. The breast is in too low a position and more frequently ‘undressed́’ in its upper part. Ptosis may exist from the outset but most often occurs after significant weight loss or following a pregnancy with breastfeeding. It may be isolated, in which case it is known as pure ptosis.

It can also be associated with a certain degree of breast hypertrophy, which can be reduced on request. Conversely, breast ptosis may be observed in the context of a breast that is too small (breast hypoplasia or hypotrophy), which may then be compensated for by the addition of a breast prosthesis or fat transfer. These aesthetic defects are not covered by the French health insurance system.

Research is currently underway into a custom-made prosthesis made from autologous fat (scalphold + fat cell seeding).

Mommy makeover specialist in Paris

Pr Hersant Reconstructive Surgery

Diastasis Definition: The term diastasis comes from the Greek word for separation. It is a frequent phenomenon, with a prevalence of 30-70%, characterised by an increase in the distance between the two rectus abdominis muscles.

Clinically, diastasis results in a ‘bulging’ abdomen, even in the absence of excess abdominal fat and skin, causing social and aesthetic embarrassment for patients. In addition, the spinal imbalance caused by the increased lumbar lordosis produced by the weakening of the abdominal muscular girdle is conducive to chronic, disabling low back pain.

In order to improve the aesthetics of the abdominal region and also to reduce the lower back pain associated with diastasis, surgical treatment may be proposed. This treatment is based on folding the anterior aponeurosis of the rectus abdominis muscles using sutures, which means that the approach is identical to that used for abdominoplasty, and the scar under the umbilical cord is therefore extensive.

The classic treatment is abdominoplasty, which consists of a tummy tuck and removal of stretch marks. This approach can be used to tighten the rectus abdominis muscles and, if necessary, treat an umbilical hernia. Liposuction can also be performed to treat excess fat. The navel is replaced in a new position at the end of the operation.

Robot-assisted surgery has many indications, particularly in abdominal wall surgery (cure of linea alba hernias by robot-assisted surgery).

It offers a minimally invasive approach to the abdominal wall, reducing the scarring to centimetric scars and reducing the width of the detachment required to approach the anterior fascia of the rectus abdominis muscles. This could reduce the volume of post-operative lymphorrhoea, the drainage time, the length of hospitalisation and the occurrence of thromboembolic complications.

During pregnancy and childbirth, the tissues of the perineum are stretched, distended, weakened and even torn by hormones and variations in weight and volume. Weakening of these muscles can lead to loss of urine and faeces, difficulty retaining intestinal gas, and reduced sexual satisfaction.

It can also lead to organ descent or prolapse. Thus, damage to the perineum muscles results in damage to one of the urinary, anorectal or sexual functions. Sexual function is complex and associated with many factors other than anatomy, particularly psychological factors. Impaired sexual function due to pelvic weakness leads to reduced sensation of penetration during intercourse, and can even lead to loss of self-confidence and depression. As part of a woman’s normal sexual response, the vagina must be able to dilate and ‘swell’. Perineal physiotherapy is therefore essential to restore tone to the perineum and restore comfort during sexual intercourse. If the response is insufficient, medical treatment by radiofrequency or even surgery may be suggested.

Vaginal and vulvar lifts are performed on patients complaining of vaginal hollowness and consulting either for reduced sensations of penetration at the level of the introitus, or for problems related to the permanent opening of the vagina (vaginal noises during intercourse, vaginal reservoir with liquid discharge after bathing). Vulvar hollowness may be secondary to poor episiotomy healing or perineal muscle diastasis.

Innovation in regenerative medicine after pregnancy: Biological tissue induction and the use of regenerative medicine for genital reconstruction and vulvovaginal restoration

Use of lipofilling combined with PRP-HA

In a case report, we described a new technique combining the use of lipofilling with PRP and hyaluronic acid (HA) (Cellular Matrix) in a woman with a history of episiotomy and vaginal laxity with symptoms of urinary incontinence and sexual dysfunction. During follow-up, we observed an improvement in vaginal trophicity and restoration of vaginal calibre without any complications.