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Darren M. Smith, MD, FACS

BREAST & BODY · NEW YORK CITY

Mommy
Makeover in NYC

Woman wearing a white top and briefs

A mommy makeover is a personalized combination of breast and body procedures that addresses changes following pregnancy. It may include a tummy tuck, breast augmentation or lift, and liposuction. Darren M. Smith, MD, FACS plans the combination around your anatomy, health, recovery needs and goals, including whether procedures should be performed together or in stages.

REQUEST A CONSULTATION

Start with your next decision

Choose the question that matters most to you:

Bring your priorities and questions to your consultation with Dr. Smith.

PEER-REVIEWED RESEARCH

By the Surgeon Who
Wrote the Book.

Dr. Smith co-authored two peer-reviewed papers on postpartum breast and body surgery.

Title and authors of Combined Breast Surgery and Abdominoplasty: Strategies for Success, by Alan Matarasso and Darren M. Smith.

Combined Breast Surgery and Abdominoplasty: Strategies for Success

Matarasso A, Smith DM. Plastic and Reconstructive Surgery. 2015;135(5):849e–860e.

Read the publication
Title and authors of Strategies for Aesthetic Reshaping of the Postpartum Patient, by Alan Matarasso and Darren M. Smith.

Strategies for Aesthetic Reshaping of the Postpartum Patient

Matarasso A, Smith DM. Plastic and Reconstructive Surgery. 2015;136(2):245–257.

Read the publication

Textbook chapter: Matarasso A, Smith DM. Establishing a Post-maternity Strategy. In: Post-maternity Body Changes: Obstetric Fundamentals and Surgical Reshaping. Springer, 2023. View chapter

01 / THE STARTING POINT

A plan shaped
around you.

Your consultation starts with the changes you want to address. The procedures fall into three categories: liposuction for remaining fat, skin removal for laxity, and restoring volume where it has been lost. Most patients need a combination, and loose skin is often the main concern. Dr. Smith examines your anatomy, reviews your health and goals, and discusses the benefits and limitations of each option.

Considering candidacy

  • Your overall health and readiness for surgery and anesthesia.
  • Weight stability, smoking or nicotine use, and future pregnancy plans.
  • Changes in breast volume or position, abdominal skin and contour.
  • Time and practical support for recovery, including help with children.

Timing after pregnancy and breastfeeding is an individual decision made during consultation.

02 / THE PROCEDURES

Considered
as a whole.

The abdomen

A tummy tuck addresses loose abdominal skin. Repair of abdominal muscle separation may be part of the plan when indicated. A full abdominoplasty is performed under general anesthesia, administered by a board-certified anesthesiologist. For suitable patients, surgery takes place in the practice’s QUAD A-accredited operating room.

Explore tummy tuck

The Rest

Liposuction can address localized fat and complement breast and abdominal surgery. When the buttocks have lost fullness, options include fat transfer or autoaugmentation. Autoaugmentation uses your own loose tissue, repositioned rather than removed, to rebuild fullness. The plan depends on the changes you want to address.

Explore Lipo 360

03 / PLANNING AHEAD

Recovery after a
mommy makeover.

Watch Dr. Smith discuss planning mommy makeover recovery with kids

Concierge recovery, shaped around you.

Personalized postoperative care is part of the practice’s boutique approach. Dr. Smith and his team coordinate your recovery plan, with one-on-one follow-up and recovery options tailored to your needs.

Recovery follows the procedures in your plan. You will receive instructions for wound care, medications, activity and follow-up. Dressings, support garments or drains may be used depending on the operation.

Planning pointDiscuss at consultation
Support at homeTransportation, household help and childcare.
Work and activityYour job demands and individualized restrictions on lifting and exercise.
Follow-upAppointments, incision care and whom to contact with concerns.

For help organizing childcare, work, commuting and follow-up, use our mommy makeover recovery and planning guide.

04 / COST & CONSULTATION

Understanding
mommy makeover cost.

A mommy makeover with Dr. Darren M. Smith starts at $40,000. The starting price includes the surgeon's fee, anesthesia, facility fees and follow-up care.

Your personalized quote reflects the procedures in your plan and the complexity of surgery. During consultation, Dr. Smith will also discuss whether combining procedures or a staged approach is appropriate.

Explore mommy makeover costs and what shapes your quote.

DISCUSS YOUR PLAN

05 / PERSONALIZED CARE

Thoughtful planning.
Individual care.

Dr. Smith performs most mommy makeover procedures in his office surgical facility for patients who are suitable for outpatient care. A hospital is used when medical conditions require care beyond an outpatient facility. Your health, the planned procedures and the needs of your recovery guide that decision.

Risks depend on the procedures in your plan and can include bleeding, infection, fluid collections, wound-healing problems, changes in sensation, asymmetry, anesthesia complications and blood clots. Scars are permanent, and further surgery may be needed. Breast implants have additional device-specific risks. Dr. Smith assesses your health, the extent of surgery and recovery support when recommending a combined or staged plan. Your consultation covers the benefits, alternatives and individual risks.

Discuss your goals at a consultation and explore a plan tailored to you.

06 / RESULTS & EXPERIENCE

A personal
perspective.

Before-and-after photographs can help you discuss your goals. Each case reflects an individual starting point and surgical plan; photographs do not predict another person's result.

View mommy makeover cases

Read patient experiences on the original platforms:

Dr. Smith on RealSelf

In the media

Dr. Smith on ABC News Nightline

ABC News Nightline featured Dr. Smith in a segment on older women choosing body contouring surgery. He describes what a mommy makeover usually involves and what he sees among older patients in his New York City practice. A patient interviewed by the network speaks about her own decision. The segment is reproduced here with permission, and a full transcript is below. Individual experiences and results vary.

Read the video transcript

Narrator: Now, Carrie Bradshaw and friends are being fabulous in their 50s in "And Just Like That".

Clip audio: Carrie, party of three? Nice! That's us.

Narrator: It seems that everywhere you turn, older women are taking center stage. Now 64, Maria, who has two grown kids, says the saggy skin on her stomach began to bother her.

Maria: A lot of women forget about their bodies because you cover with clothes, right? But to me, even if I don't have to wear a bikini again, I would have done the tummy tuck, because, uh, it's me. I can take care of it.

Narrator: So Maria turned to Dr. Darren Smith, a plastic surgeon in New York City.

Dr. Darren Smith: Plastic surgery is continuing to become more accepted, and I think that people are feeling more empowered to do what they want for themselves at any age.

Narrator: Dr. Smith specializes in the so-called "mommy makeover," documenting the before and afters on Instagram.

Dr. Darren Smith: A mommy makeover almost always involves abdominal surgery, usually a tummy tuck or abdominoplasty, and some form of breast surgery, which could be anything from a breast augmentation to a breast lift or a combination of those things.

Narrator: But increasingly, he's doing similar surgeries on even older women.

Dr. Darren Smith: We've seen a 20 to 30% uptick in women over 50 over the past year or so, and I think that's a pretty interesting change in trends.

Narrator: In patients over the age of 70, the American Society of Plastic Surgeons is reporting a 30% increase in body surgeries like tummy tucks and butt lifts from 2022 to 2023. In patients ages 55 to 69, the increase is 15%.

Dr. Darren Smith: I really think it's a new, a newfound freedom to be able to take the reins and say, "Hey, I might be a little older, but I still have the power to look the way that I want to look, for me."

Narrator: Plastic surgery used to be something people hid. Now, many are talking openly about their decision to go under the knife.

Maria: I think once you accept yourself, you know, you say, "Hey, I'm 64 years old, yeah. What am I gonna do? I am. But I can do this and this and this for myself, and why am I gonna hide that?" You know? That's, uh, that's very empowering.

Narrator: Some are still choosing to get by with a little help from their surgeon friends.

Dr. Darren Smith: Aging gracefully means different things to different people, and a large part of that is personal satisfaction and comfort.

Maria: And coming back here soon. I've been talking to Dr. Smith for my next procedures, and happily I've, every time I come, I come in the morning, I said, "Wow. What a way to start the day."

YOUR SURGEON

Darren M. Smith, MD, FACS.
A published perspective.

Darren M. Smith, MD, FACS is a board-certified plastic surgeon in New York City specializing in the mommy makeover. Chosen to lead by his peers, his leadership includes the 2025-2026 presidency of the New York Regional Society of Plastic Surgeons.

His work includes over 200 peer-reviewed publications, lectures and book chapters. He co-authored two peer-reviewed papers in Plastic and Reconstructive Surgery, on combined breast surgery and abdominoplasty and on aesthetic reshaping of the postpartum patient.

Read Dr. Smith's biography and research

THE CONVERSATION CONTINUES

Your mommy makeover
questions.

What does a mommy makeover include?

The plan may combine a tummy tuck with breast augmentation, a breast lift or both, with liposuction when appropriate. The combination is chosen around your anatomy and priorities; it is not a fixed package.

Should I finish having children first?

Future pregnancy can change the breasts and abdomen again. Discuss your plans for pregnancy, breastfeeding and weight stability with Dr. Smith when deciding when to proceed.

What is the best age for a mommy makeover?

There is no single best age for a mommy makeover. Timing depends on your health, weight stability, the changes you want to address, plans for future pregnancy and your ability to arrange recovery support. Dr. Smith evaluates candidacy individually; age alone does not determine whether surgery is appropriate.

Will I have scars?

Yes. A tummy tuck, breast lift and other surgical procedures leave scars. Your consultation includes the likely incision locations and the trade-offs involved.

How does Dr. Smith decide whether to combine procedures or stage them?

Dr. Smith considers your health, the anticipated operating time, the extent of each procedure and how the recovery requirements fit together. Combining breast and abdominal surgery may be appropriate for some patients. Others benefit from separate operations. Risks include bleeding, infection, wound-healing problems and blood clots, so the decision goes beyond convenience or having one recovery period. Your consultation addresses the benefits, alternatives and risks of the complete plan.

Read about a combined or staged mommy makeover
How long does mommy makeover surgery take?

A mommy makeover typically takes about four to six hours, depending on the combination and extent of the procedures. Dr. Smith may recommend separate stages when appropriate for your health and surgical plan. Ask at consultation about the expected operating time and the additional time needed for preparation and recovery before discharge.

Should I finish losing weight before a mommy makeover?

Ideally, reach a healthy weight you can maintain before surgery. Dr. Smith generally looks for at least three months of weight stability, preferably six. A tummy tuck or breast lift shapes the skin around your current body volume. Significant weight loss afterward can create new looseness or change breast fullness. If you are using a weight-loss medication, discuss your progress and long-term treatment plan during consultation.

How much does a mommy makeover cost?

A mommy makeover with Dr. Darren M. Smith starts at $40,000. The starting price includes the surgeon's fee, anesthesia, facility fees and follow-up care. Your personalized quote reflects the procedures in your plan and the complexity of surgery.

Explore mommy makeover costs and your quote

Is there a non-surgical mommy makeover?

Non-surgical treatments can address selected concerns such as skin quality or localized fullness. They do not replace surgery that removes excess abdominal skin, repairs abdominal muscle separation or lifts sagging breasts. The appropriate choice depends on which changes you want to address, your anatomy and the limits of each treatment.

A staged approach is reasonable: some patients start with non-surgical treatments and move to surgery later once they are finished having children or have the time to recover. Dr. Smith will tell you honestly which of your concerns a device can address and which need an operation.

How long after pregnancy or breastfeeding should I wait for a mommy makeover?

Timing depends on recovery from pregnancy, the end of breastfeeding and weight stability. Dr. Smith generally recommends waiting three to six months after delivery for patients who are not breastfeeding, or three to six months after breastfeeding ends for those who are. You should also be at a healthy, stable goal weight and ready for the practical demands of recovery. These milestones guide an individual assessment; reaching a particular month does not automatically mean you are ready for surgery.

What BMI do I need for a mommy makeover?

Most surgeons prefer a BMI under 30 and a weight within roughly 10 to 15 pounds of your goal. A higher BMI increases surgical and anesthesia risk, wound-healing problems and blood clots, and makes the result of a tummy tuck less predictable. BMI is an imperfect measure, since muscle mass raises it, so Dr. Smith also considers body composition and where you carry weight. Liposuction in a mommy makeover is for contouring, not weight loss. If you are not there yet, gradual loss of one to two pounds a week with good nutrition and exercise is the safest path, and a stable weight after surgery protects the result.

Does a mommy makeover include a BBL?

No. Buttock fat transfer, often called a Brazilian butt lift, is an option when restoring buttock volume is one of your goals; it is not part of every mommy makeover. Autoaugmentation may be another option, using your own loose tissue to rebuild fullness. Dr. Smith considers your anatomy, health and the recovery needs of the other procedures when deciding whether buttock surgery belongs in the same operation or a separate stage. Walking and positioning instructions are planned around the complete operation.

What are the financial advantages of combining procedures?

When appropriate, combining a tummy tuck, breast surgery and liposuction in one surgical plan can offer financial efficiencies through a single anesthesia and facility arrangement, with one coordinated recovery period. Dr. Smith weighs total operating time against your health and the extent of surgery, and will stage procedures when that is the safer plan. A mommy makeover with Dr. Smith starts at $40,000; the personalized quote you receive at consultation reflects the specific procedures in your plan.

What is the difference between a mini and a full tummy tuck in a mommy makeover?

A full tummy tuck treats the entire abdomen; a mini tummy tuck treats only the area below the belly button. In a full abdominoplasty, Dr. Smith makes a low horizontal incision, removes excess skin and fat, stitches the separated abdominal muscles back together and repositions the belly button. A mini tummy tuck uses a shorter incision and addresses loose lower-abdominal skin, stretch marks and fat without moving the belly button. Liposuction is often added to either version. Which one suits you depends on how much skin excess and muscle separation you have.

Can breast reduction be part of a mommy makeover?

Yes. The breast component of a mommy makeover is usually augmentation, a lift or both, but a reduction is an option for women whose breasts became larger and heavier after pregnancy. A reduction removes glandular tissue and skin and lifts the breast at the same time, relieving neck, shoulder and back strain. Dr. Smith chooses the breast procedure around your anatomy and what you want your proportions to be.

How much childcare and time off work should I arrange?

Arrange substantial help for the first two to three days, then plan ongoing support around every procedure in your operation. Time off work depends on your healing, job demands and commute. Childcare planning should distinguish holding a baby from lifting a toddler, loading a stroller or using a carrier; these activities may have different restrictions. Returning to desk work does not mean you are cleared for lifting, exercise or unrestricted childcare. Use the Recovery Planner and your individual instructions to organize help, and obtain clearance before resuming restricted activities.

Use the Recovery Planner

Read the mommy makeover recovery guide

How can I make a well-informed decision about a mommy makeover?

Start with the changes that matter most to you, then discuss what surgery can realistically improve and what it cannot. Review cases with a similar starting point, understand the permanent scars and arrange sufficient help during recovery. Dr. Smith’s goal is a result that fits your body and priorities. Discuss the possibility of complications or further surgery before deciding; careful planning improves understanding but cannot guarantee satisfaction.

Can I have a mommy makeover without breast implants?

Yes. Breast implants are optional. A breast lift can reshape and raise the breasts using your existing tissue. In selected patients, Dr. Smith can reposition that tissue to improve fullness without an implant. Fat transfer may also be considered for a modest increase in volume. The right approach depends on your breast position, available tissue and whether your goal is reshaping, additional fullness or both.

Explore breast lift options

Explore breast fat transfer

Do I need a tummy tuck as part of a mommy makeover?

No. A mommy makeover is a personalized plan, and not every patient needs abdominal skin removal. Some patients achieve their goals with breast surgery and liposuction. A tummy tuck becomes relevant when loose abdominal skin or abdominal muscle separation needs to be addressed. Dr. Smith evaluates the skin, fat distribution and abdominal wall to explain which procedures would meaningfully contribute to your result.

See Case 3: breast augmentation and flank liposuction

What could make me unsuitable for a mommy makeover—or mean I should wait?

Surgery may need to be postponed if your weight is still changing, you are still recovering from pregnancy or breastfeeding, or health concerns need to be addressed first. Nicotine use and inadequate recovery support also matter. Dr. Smith considers your overall health, anatomy, nutrition, goals and the extent of the proposed surgery. Sometimes the appropriate recommendation is to wait; sometimes it is to choose fewer procedures or separate stages.

Can a mommy makeover address breast and abdominal changes after GLP-1 weight loss?

Yes. Depending on your anatomy, treatment may address loose abdominal skin, changes in breast position or volume, and remaining localized fat. Dr. Smith assesses how much weight you have lost, whether your weight has stabilized, your nutritional readiness and the extent of surgery required. Medication use alone does not determine the operation. Your surgical plan and any medication changes are coordinated individually.

Explore surgery after GLP-1 weight loss

See Case 2: surgery after Mounjaro weight loss

Planning beyond the procedure

Follow-up and revision planning.

Follow-up visits are scheduled the next morning, then at 1 week, 2 weeks, 1 month, 3 months, 6 months and 1 year. That is the minimum schedule, and patients are seen as often as they want beyond it. Dr. Smith leads post-operative care. He and the practice's physician assistant see post-operative patients together, and he is present for every major visit.

Revision surgery within one year of the original procedure carries no surgeon's fee. The patient remains responsible for the anesthesia and facility fees. Whether a revision is appropriate is discussed at these follow-up visits.

Selected cases

No items found.

Individual results may vary.

Explore all before & after galleries

Patient perspectives

Watch one patient explain how she chose a mommy makeover practice

Explore patient reviews using the links below.

Individual experiences and results vary.

Explore all patient reviews

A closer look

Explore patient reviews using the links below.

Individual experiences and results vary.

Explore all patient video stories

YOUR NEXT CHAPTER

Care begins
with listening.

Before deciding, ask how the proposed procedures fit together, which alternatives deserve consideration, where surgery would take place and who would help during recovery. Ask how complications or an unsatisfactory result would be handled. Bring examples to explain your priorities, while remembering that another person’s result cannot predict your own.

Our practice is located at the Ritz Tower, 111 East 57th Street in Midtown Manhattan. We welcome patients from the five boroughs and the surrounding tri-state area. If you are traveling for care, explore our guide for out-of-town patients.

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