Skip to procedure
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

PEER-REVIEWED RESEARCH

By the Surgeon Who
Wrote the Book.

Dr. Darren Smith co-authored two of the most highly cited peer-reviewed papers on mommy makeovers in the plastic surgery literature.

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 begins with what you want to change and what matters to you. Dr. Smith reviews your health, examines the areas of concern 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 mommy makeover that includes a full abdominoplasty is performed under general anesthesia, administered by a board-certified anesthesiologist in the practice’s QUAD A accredited operating room.

Explore tummy tuck

The Rest

Liposuction may be included to address localized fat and complement the breast and abdominal procedures.

Explore Lipo 360

03 / PLANNING AHEAD

Recovery after a
mommy makeover.

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.

Your health, goals and the procedures you choose guide your surgical plan. Dr. Smith considers which combination of procedures is appropriate for you.

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.

Can breast and abdominal surgery be combined in one operation?

Some plans combine breast and abdominal surgery; others are staged. Dr. Smith considers anticipated operation length together with your health, anatomy and aesthetic goals. Each plan receives an individualized risk-benefit assessment. The procedures' names alone do not determine whether they should be combined. Your consultation is the place to discuss the recommendation for you.

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.

What will my recovery involve?

Recovery depends on the procedures performed. Plan support at home, time away from work and childcare arrangements, especially when lifting is restricted. Follow the instructions given for your individual operation.

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.

Is there a non-surgical mommy makeover?

Non-surgical treatments can soften some post-pregnancy changes, but they cannot do what a mommy makeover does. Injectables, radiofrequency skin tightening, non-invasive fat reduction and microneedling for stretch marks produce mild, temporary improvement and need to be repeated to maintain the effect. None of them removes excess abdominal skin, repairs separated abdominal muscles or restores breast volume and position.

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 soon after pregnancy can I have a mommy makeover?

Most patients should wait at least three to six months after giving birth, and until breastfeeding has ended, before mommy makeover surgery. The abdominal wall and breasts continue to change for months after delivery, and operating too early makes the result less predictable. Weight should also be stable, and future pregnancies can undo the results of a tummy tuck or breast lift, so Dr. Smith generally recommends waiting until you have finished having children. The exact timing is decided with him at consultation.

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. A Brazilian butt lift is not a standard part of a mommy makeover; it is an elective add-on. A BBL harvests fat by liposuction from the abdomen, flanks, back or thighs, purifies it and grafts it into the buttocks in layers; with careful technique a large share of the graft survives. Adding it to a mommy makeover means three to four more hours of surgery, more pain and swelling, and a recovery that can run past two months. It also creates a conflict: you must keep pressure off the buttocks for three to six weeks while also recovering from abdominal and breast surgery. Candidates should be healthy nonsmokers at a stable weight for six to twelve months who have finished childbearing and can follow strict post-operative rules. For these reasons a BBL is often better planned as a separate 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 long does mommy makeover recovery take?

Initial healing takes two to four weeks, most normal activities resume by four to six weeks with lifting limits, and the final result appears over three to six months. Swelling, bruising and discomfort are greatest in the first two weeks. You will wear compression garments on the abdomen and breasts to control swelling and support the new contours, and activity is restricted at first and then increased gradually. Breast implants add volume immediately but take up to six months to settle; the abdomen becomes more defined as swelling recedes. Attending follow-up visits matters, and emotional ups and downs during recovery are common, so plan for support at home.

How do I avoid regretting a mommy makeover?

Good planning cannot guarantee satisfaction or eliminate the risk of complications. Before deciding, discuss the possible benefits, permanent scars, recovery demands and the possibility of an unwanted result or further surgery. Choose a board-certified plastic surgeon, ask for an honest assessment of what surgery can and cannot change, and make sure you are physically and emotionally ready for several weeks of recovery. Wait until you have finished having children and reached a stable weight, and line up childcare and household help before surgery. Understand that scars are permanent, that revision surgery is sometimes needed, and that results depend on maintaining your weight. Dr. Smith’s consultation is designed to surface these issues before you decide.

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

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.

Discuss your priorities, ask questions and explore a personal surgical plan with Dr. Smith.

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.

Request a consultation
CONTACT US212.633.0627