Patient Details
This patient presented to Dr. Mihail Climov seeking comprehensive body and breast rejuvenation. Her goals were to improve waist definition, reduce unwanted fat around the torso and bra-line areas, enhance the shape of the buttocks, improve skin firmness, and restore a more lifted breast position.
At the time of surgery, she weighed 159 lbs with a BMI of 27.3.
Rather than focusing on a single area, Dr. Climov designed a customized Mommy Makeover to improve the breasts and reshape the torso as a whole. Her procedure combined circumferential 360° power-assisted liposuction, bilateral bra-line liposuction, Renuvion subdermal tissue coagulation, ultrasound-guided Brazilian Butt Lift (BBL), and bilateral mastopexy (breast lift).
These before and after photographs were taken just 6 weeks after surgery, representing an early stage in the healing process.
Procedures Performed
What Is a Mommy Makeover?
A Mommy Makeover is not one specific operation. It is a customized combination of procedures designed to address multiple areas of the body during a coordinated surgical plan.
Pregnancy, breastfeeding, aging, and weight fluctuations can affect different parts of the body in different ways. A woman may develop breast sagging, loss of waist definition, stubborn abdominal or back fat, changes in skin firmness, and changes in buttock volume or shape.
A Mommy Makeover allows Dr. Climov to evaluate these concerns together rather than treating each area in isolation.
For this patient, the treatment plan focused on three major components:
Sculpting the torso with 360 liposuction and bra-line liposuction.
Enhancing body proportions with ultrasound-guided fat transfer to the buttocks.
Restoring the breasts with a bilateral breast lift.
Renuvion was also incorporated into the trunk contouring procedure to address soft-tissue contraction in selected areas following liposuction.
360 Liposuction: Sculpting the Entire Torso
A major component of this patient's Mommy Makeover was circumferential 360° power-assisted liposuction.
Unlike isolated abdominal liposuction, Lipo 360 approaches the torso as a three-dimensional structure. Instead of concentrating only on the front of the abdomen, Dr. Climov strategically contours around the midsection to improve the relationship between the abdomen, waist, flanks, back, hips, and buttocks.
The goals of 360 liposuction can include:
The goal is body sculpting—not simply removing the maximum amount of fat possible.
Bra-Line Liposuction for a Smoother Back
This patient's body contouring also included bilateral bra-line liposuction.
Fullness along the upper back can remain noticeable even after the abdomen and waist have been sculpted. It can also create bulges around bras and fitted clothing.
Treating the bra-line area together with Lipo 360 allows the upper and lower torso to be considered as one continuous contour.
For the appropriate patient, this can create a smoother transition from the upper back into the waist.
Renuvion with 360 Liposuction
Liposuction addresses fat, but it does not directly remove loose skin.
For this patient, Dr. Climov incorporated Renuvion subdermal soft tissue coagulation into the trunk portion of her surgery.
Renuvion delivers radiofrequency energy with helium plasma beneath the skin to create controlled thermal effects within the subdermal tissues. It may be used as an adjunct to liposuction when additional soft-tissue contraction is desired.
For selected patients, combining the technologies allows the surgeon to address two different components of body contouring:
Power-assisted liposuction → reduces and sculpts subcutaneous fat
Renuvion → provides subdermal tissue coagulation and contraction
Patient selection is important. When substantial redundant abdominal skin is present, a tummy tuck may provide more appropriate correction than liposuction and skin-tightening technology alone.
Ultrasound-Guided BBL for Improved Body Proportions
The fat harvested during this patient's liposuction was used to perform an ultrasound-guided Brazilian Butt Lift (BBL).
A BBL uses the patient's own fat to enhance selected areas of the buttocks and improve gluteal shape and proportions.
However, the transformation produced by a BBL is not solely about adding volume.
For many patients, sculpting the waist is just as important as augmenting the buttocks. Reducing fullness around the waist while strategically enhancing the lower body can create greater contrast between the waist and hips.
This patient's combination of 360 liposuction + BBL was designed with that relationship in mind.
Why Ultrasound Guidance Matters During BBL
Dr. Climov performs the fat-grafting portion of BBL surgery using real-time ultrasound guidance.
Ultrasound allows visualization of the cannula relative to the gluteal fascia during fat placement. Fat is placed within the subcutaneous tissues above the gluteal fascia rather than intentionally within the gluteal muscle.
This provides an additional method of confirming the anatomical plane during gluteal fat grafting.
Breast Lift Without Implants
The breast component of this patient's Mommy Makeover consisted of a bilateral mastopexy, or breast lift.
A breast lift is designed to reshape and reposition existing breast tissue rather than simply adding volume.
During mastopexy, excess skin is removed and the breast envelope is reshaped to create a more elevated breast position. The nipple-areolar complex can also be repositioned as part of the procedure when appropriate.
Because this patient underwent a breast lift without implants, her transformation relied on reshaping her own natural breast tissue.
This can be an excellent option for women who are satisfied with their existing breast volume but want improvement in sagging, shape, nipple position, and overall breast contour.
Breast Lift vs. Breast Augmentation
A breast lift and breast augmentation solve different problems.
Some Mommy Makeover patients benefit from a lift alone, while others require a breast lift with implants to achieve their desired volume and upper-pole fullness.
The correct approach depends on existing breast volume, degree of ptosis, skin quality, nipple position, and the patient's aesthetic goals.
A 360° Approach to Mommy Makeover Surgery
What makes this patient's procedure a true comprehensive Mommy Makeover is that multiple areas were addressed with a coordinated plan.
Rather than treating each concern independently, Dr. Climov considered how the breasts, upper back, waist, abdomen, flanks, hips, and buttocks contributed to the patient's overall silhouette.
Upper Body
Breast lift restored a more elevated breast contour.
Upper Back
Bra-line liposuction reduced localized fullness.
Torso
360 power-assisted liposuction sculpted the abdomen, waist, flanks, and back.
Skin & Soft Tissue
Renuvion was incorporated for subdermal soft-tissue coagulation and contraction.
Lower Body
Ultrasound-guided BBL used the patient's own fat to enhance gluteal shape and proportions.
The result is a Mommy Makeover focused not on one isolated feature, but on overall body balance.
Mommy Makeover Results at 6 Weeks
These photographs were taken only 6 weeks after surgery.
At this point, the patient is still relatively early in the recovery process. Swelling after extensive liposuction and fat transfer can persist, breast shape continues to settle after mastopexy, and surgical scars are still in the early phases of maturation.
Even at six weeks, the patient demonstrates early improvement in:
Her appearance at six weeks should not be considered the final surgical result. The body will continue to evolve as swelling resolves and the tissues settle over the following months.
Who Is a Candidate for This Type of Mommy Makeover?
A customized Mommy Makeover combining body contouring and breast surgery may be appropriate for women who:
Not every patient requires all of these procedures.
A Mommy Makeover should be customized to the individual patient rather than performed as a standard package.
Mommy Makeover vs. Tummy Tuck: What's the Difference?
A Mommy Makeover does not automatically mean a tummy tuck.
Some women have significant loose abdominal skin or abdominal wall concerns that require an abdominoplasty. Others have good enough skin quality that their primary concerns can be addressed with liposuction and selected adjunctive technologies.
For this patient, the abdominal component consisted of 360 power-assisted liposuction with Renuvion rather than an abdominoplasty.
During consultation, Dr. Climov evaluates skin laxity, fat distribution, abdominal anatomy, previous pregnancies and surgeries, and the patient's goals before determining whether Lipo 360, tummy tuck, or a combination of the two is most appropriate.
Why Choose Dr. Mihail Climov for a Mommy Makeover?
Dr. Mihail Climov is a fellowship-trained aesthetic plastic surgeon performing advanced breast and body-contouring procedures in the Houston area.
His Mommy Makeover approach focuses on the patient's entire silhouette rather than treating the breasts and abdomen as unrelated areas.
Each surgical plan is customized according to the patient's anatomy and may incorporate procedures such as breast lift, breast augmentation, tummy tuck, 360 liposuction, bra-line liposuction, ultrasound-guided BBL, and other body-contouring techniques when appropriate.
The goal is to create a balanced transformation that complements the patient's natural proportions.
Schedule a Mommy Makeover Consultation in Houston
If pregnancy, breastfeeding, aging, or weight changes have affected multiple areas of your body, a customized Mommy Makeover may allow several concerns to be addressed within one coordinated surgical plan.
Schedule a consultation with Dr. Mihail Climov to discuss which combination of breast and body-contouring procedures is appropriate for your anatomy and goals.
