Latest Plastic Surgery Articles



Mommy makeover surgery by definition is a body contouring procedure in which the goal is to reverse the effects of pregnancy. Perhaps the most common examples include tummy tuck, abdominal liposuction, and breast enhancement.

Aside from selecting a qualified surgeon, mommy makeover Beverly Hills expert Dr. Tarick Smaili says preparations will also play a crucial role in the success of your surgery.


Image courtesy of KEKO64 at

These are the top five ways to prepare for mommy makeover surgery, as suggested by Dr. Smaili.

1. Nutrition. The goal is to nourish the body well in advance of the surgery to promote good healing. The general rule of thumb is to eat more fresh fruits and vegetables, whole grains, and lean meat or plant-based protein, and stay away from empty calories and highly processed foods.

Because the typical American diet lacks “diversity,” it is not uncommon for surgeons to recommend multivitamin, iron, and protein supplementations.

2. Weight. Your weight must be within normal range (or at least within 10-15 lbs. of your weight goal) that you can maintain long term, allowing you to achieve optimal results from tummy tuck or any type of mommy makeover surgery.

However, a month or two before the surgery you should not lose a significant amount of weight, which can lead to malnutrition and eventually poor healing after your mommy makeover.

3. Recover from childbirth. It is important that you have fully recovered from the trauma of childbirth before any body contouring surgery is attempted. While the general rule of thumb is to wait at least six months after giving birth, you may want to further postpone your mommy makeover if you choose to breastfeed your baby.

Keep in mind that breastfeeding involves the release of hormones, which can affect the elasticity of your skin.

4. Emotional health. Most patients focus on their physical health without realizing that they should also mentally and emotionally prepare themselves prior to the surgery, which involves temporary symptoms such as pain, swelling, and bruising. For this reason, postop blues are not uncommon during recovery.

Aside from taking care of your emotional health, you must also build a support system who will be there throughout your “journey.”

5. House preparation. Do all the house chores and buy all the “recovery period” supplies that you will need before your mommy makeover to avoid being stressed out during the healing phase in which your sole responsibility is to take care of your wellbeing.

Also, arrange an in-house care for at least three days postop. 



Facial implants such as those used to correct the near absent chin, weak jaw, and gaunt cheeks are supposed to provide results that feel and look natural. But for this to be possible, renowned Beverly Hills plastic surgeon Dr. Karan Dhir says the patient’s underlying anatomies should always be taken into account.

Dr. Dhir says a surgeon’s facial implants before and after photos can reveal a lot about his artistic skills, or lack thereof. Not only should they appear natural, they must also rejuvenate the face and improve facial symmetry based on the patient’s gender and aesthetic goals.


Chin implants

Chin implants can provide natural results if they are customized based on the patient’s underlying anatomies. For most people, these are used to improve the chin’s profile rather than increase the height of their face.

These implants, which are usually made of solid silicone, must be attached to the bone so they will act and feel like its extension. Also, they should not move or migrate for them to appear natural that no ordinary observer can tell if a patient has had the surgery.

Cheek implants

They should be fastened to the cheekbone so they will not move and will feel like its extension. However, during the initial healing stage they might appear slightly palpable until a scar tissue forms around them and prevents them from moving.

Aside from sculpting the cheek implants so they can fit into the underlying anatomies, it is equally important to take into account any slight asymmetry of the face.

Most cheek implants today are made of semi-firm silicone that blends well with the cheekbone if they are positioned correctly. However, some plastic surgeons remain partial to dermal fillers and fat grafting, which are both injected into the cheeks.

Proponents of fat grafting and dermal filler injections believe that they provide a more natural outcome than cheek implants because they are as soft as the surrounding tissue. But one downside is that their results do not last as long as the silicone implants’.

Jaw implants

These are commonly used in men whose near absent jaw makes them look effeminate, although some women can also benefit from these implants if they are bothered by their overly narrow, long face.

To achieve natural results, jaw implants must be resized and reshaped based on the underlying anatomies and in a way that they will widen the angle of the jawline, thus improving the facial balance.



Male breast reduction surgery is supposed to provide a near permanent result. However, this is only possible with proper patient selection in which his health, weight, motives and expectations, and lifestyle are all taken into account.

Dr. Tarick Smaili, a renowned Upland plastic surgery expert, explains the reasons why your weight matters prior to male breast reduction or any type of body contouring procedure.


  1. Predictable results. Take note that overweight and obese patients are poor candidates for this surgery because there is a good chance that shedding the extra is enough to correct their enlarge breasts.

Also, being near one’s ideal weight can help his doctor make proper assessment, thus reducing the risk of over- or under-correction.

Aside from correcting the enlargement, the surgery must also provide results that look natural rather than “operated-on.” For this reason, it is important to maintain some fat and skin to prevent the hollowed look and unfavorable scarring.

  1. Lower risk of complication. One recent study published in Plastic and Reconstructive Surgery journal has suggested that obese patients who had plastic surgery were 35 percent more likely than normal weight individuals to have emergency visit or hospital admission within 30 days after their operation.

Experts suggest that the increased complication risk is due to obese patients’ predisposition to high blood pressure, diabetes, heart problem, and other medical conditions that can compromise their healing.

Also, adipose or fat tissue has been found to be poorly vascularized—i.e., low blood supply—that makes obese patients susceptible to infection, delayed healing, and poor scarring.

  1. Less medical expenses. Being near your ideal weight prior to surgery means less hospital admission or emergency visit due to postop complications. This means a lot if you are paying out of pocket for the procedure.

Also, remember that most insurance companies rarely cover the cost of complications associated with [elective] plastic surgery.

  1. Results can last a lifetime. Once the excess soft tissue has been removed, there is a very small chance that breast enlargement will recur. Nevertheless, it is only true for normal weight patients who are able to keep the extra pounds at bay through long-term weight management.

On the other hand, anyone who is experiencing yoyo weight is not a good candidate for any type of body contouring surgery because the real underlying problem is not the redundant skin or excess breast tissue and fat, but his inability to keep a healthy weight long term.



The success of plastic surgery after weight loss is determined by several factors such as patient selection, surgical planning, doctor’s skills and qualifications, postop care, and long-term weight management through healthy lifestyle choices.

The preparations also play a crucial role in its long-term success, as suggested by Riverside plastic surgery expert Dr. Tarick Smaili.


Dr. Smaili explains the basic ways to prepare for body contouring surgery after weight loss, which typically involves combining two or more procedures (e.g., tummy tuck and thigh lift) to achieve a near normal appearance or to address non-healing irritations caused by the redundant skin.

  1. Reach your ideal weight first. After reaching your ideal body weight, it remains helpful to wait at least six months to ensure that you can sustain your lifestyle long-term, meaning no yoyo dieting and “unbearable” exercise routine.
  1. Make sure you are not suffering from nutritional deficiencies. It is not uncommon for massive weight loss patients to have anemia and other similar conditions due to the sudden change in their diet and calorie intake, level of physical activities, and other aspects of their lifestyle.

Prior to surgery, most MWL patients are instructed to take vitamin supplements, change their diet (daily protein intake should be at least 50-70 grams), and work with nutritionists and behaviorists to prepare them not just physically but also emotionally and psychologically.

  1. Stop smoking. If you are a smoker and/or using smoking cessation products such as “the patch” and nicotine gum, avoid them for at least four to six weeks to reduce the risk of complications such as skin necrosis (death of skin tissue), poor healing, unfavorable scarring, and less-than-optimal results.
  1. Establish a reliable support network. In the first few days of your recovery, you will need someone to help you with your basic needs and allow you to focus on your healing rather than stress over your daily responsibilities such as house chores and childcare.
  1. Make the necessary preparation. Take note that you will need at least a three-week off, or sometimes even longer if your surgery is quite extensive. For this reason, it might be ideal to clean your house, buy your medical supplies and easy-to-prepare meals, do the laundry, etc. days before your operation.



Body sculpting surgery is a broad term used to describe any procedure that improves the contour of the body—e.g., arm lift, tummy tuck, lower body lift, breast enhancement, and thigh lift.

The aforementioned procedures are also commonly used as a plastic surgery after weight loss in which the goal is to remove the redundant skin, stubborn fat rolls, and tissue laxity with the use of incisions beneath the bikini area and within the natural skin folds so the scars remain hidden.


Dr. Tarick Smaili, one of the leading Beverly Hills plastic surgeons, explains the variables affecting the body sculpting surgery cost.

  1. Type of procedure. “Isolated” procedures such as tummy tuck, upper arm lift, and breast-related surgery typically cost between $6,000 and $9,000, while full body lift or multiple procedures can range from $15,000 to $30,000, depending on the extensiveness of the “makeover.”

Despite the hefty fee, several studies have shown that plastic surgery after weight loss help patients stick to their healthier lifestyle to maintain their new contour.

Nowadays, insurance companies are becoming more and more restrictive that plastic surgery after weight loss is rarely covered, even though it can improve the patient’s quality of life.

As of this writing, only the panniculectomy is labeled as a reconstructive surgery and thus covered by health insurance. This involves removing just the apron-like skin in the abdominal area, without tightening the deeper muscle that also contributes to the saggy appearance.

  1. Location. The demand for plastic surgery in metropolitan regions is higher compared to less populated areas, thus city dwellers may have to pay premium. It all boils down to the supply and demand.

However, renowned doctors (e.g., Beverly Hills plastic surgeons) typically choose to practice their craft in large cities so it is not uncommon for patients from “more remote” areas to travel long distances for surgical enhancements.

  1. Hospital versus accredited outpatient surgery center. While a hospital privilege shows that a certain plastic surgeon has been thoroughly screened, having one’s procedure in an ambulatory surgical facility can slightly lower the overall cost.

Aside from the lower fees, outpatient surgery centers might also reduce the risk of contamination because they do not handle infectious diseases unlike most hospitals.

  1. Doctor’s fee. Plastic surgeons with impressive qualifications, good reputation, and extensive experience generally demand higher fees than someone who is still new in his craft.

Nevertheless, it is not uncommon for non-specialists (i.e., doctors practicing plastic surgery despite the lack of certifications and training) to ask for hefty fees to create an illusion of “exclusivity.” For this reason, a prudent patient should always conduct a thorough background check.



Breast augmentation recovery has several definitions: complete disappearance of pain and discomfort, return to physical activities and social routine, breast implants settling into their final position, scar maturity, and skin redraping to the new contour.

For most patients, the pain after breast augmentation surgery is mild to moderate that oral painkillers are only needed in the first few days. In fact, some women have been able to return to their “quiet” work just three days postop, although it remains imperative to avoid strenuous activities for at least three weeks.


On average, patients are able go back to work a week after surgery if their tasks are not physically demanding. For this reason, women whose jobs require them to move around or carry heavy things may have to wait for another week or two to avoid persistent swelling and other untoward side effects.

Leading breast enhancement surgery expert Dr. Tarick Smaili says avoiding or at least minimizing physical and emotional stress can help the body recover faster from the surgical trauma. For this reason, it is not uncommon for patients to work part-time until their preoperative energy level goes back, a process that can take three to four weeks.

While pain can easily dissipate, lethargy might persist for several weeks because it takes time for the body to heal from any surgery, so some patients may find themselves going to bed earlier than their normal routine because they can easily tire out, explains Dr. Smaili.

But the postop lethargy is not a reason to remain in bed for too long as prolonged immobility after any type of surgery can lead to increased risk of blood clotting in the legs, persistent swelling, chronic fatigue, weight gain, and delayed recovery. As a result, Dr. Smaili instructs all his patients to take a short, gentle walk several times a day to promote good circulation of blood.

The residual swelling also takes time to dissipate, although about a month most of the symptom will be gone. For this reason, the leading Beverly Hills plastic surgeon recommends his patients to buy just a few cotton bras (without underwire) because the breast size and shape will change over the course of their recovery.

In addition, the breast implants will take up to six months to settle into their final position and the skin to fully redrape to the new contour, making it ideal to purchase just a few bras to anticipate minute to moderate changes during the entire healing process, explains Dr. Smaili.

California Surgical Institute

9025 Wilshire Blvd, Suite 411, Beverly Hills, CA 90211

Brea: 910 E. Birch St, Suite 350, Brea, CA 92821

Upland: 930 W. Foothill Blvd. Upland, CA 91786

Riverside: 7120 Indiana Ave. Riverside, CA, 92506

By Phone: 866-372-3288

By Email:

Follow Us On Social Media: 

Contact Us


Breast Augmentation Questions