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History

History of mommy makeover

From the first abdominoplasty in 1899 to combined abdomen and breast operations: the steps that made the operation.

Timeline

Mommy Makeover timeline

1890

First dermolipectomy

The first documented removal of abdominal skin and fat, then called dermolipectomy, was done in France.[1]

1899

First US abdominoplasty

Kelly and a team of gynecologists at Johns Hopkins in Baltimore reported the first US cases of cosmetic abdominoplasty.[1]

1924

Navel kept in place

Thorek did what is believed to be the first abdominoplasty that preserved the navel, with a low transverse incision.[1]

1949

Wise pattern

The Wise pattern was introduced to plan breast reductions before surgery.[1]

1961

Silicone breast implant

Cronin and Gerow of Houston introduced the silicone gel implant, developed with Dow Corning.[1][2]

1967

Modern abdominoplasty

Pitanguy popularized abdominoplasty, first to support ventral hernia repair and then to improve the look of the abdomen.[1]

1976

Ptosis classification

Regnault defined pseudoptosis, partial ptosis and three degrees of true ptosis of the breast, still used to choose a lift.[1][2]

1977

Complication survey

958 surgeons answered a survey on abdominoplasty complications, which ranged from minor to fatal.[1]

1983

Liposuction

Illouz reported 5 years and over 3,000 cases of body contouring by suction through small tunnels.[1]

1991

Liposuction with abdominoplasty

Matarasso set out four types of abdominal contouring, from liposuction alone to full abdominoplasty with liposuction, with guidelines for combining them safely.[1][2]

1995

High-lateral-tension abdominoplasty

Lockwood moved skin resection and closing tension to the sides and repaired the superficial fascial system with permanent sutures.[1]

2001

Muscle-layer classification and lipoabdominoplasty

Nahas classified abdominal muscle deformities in four types, type A being diastasis from pregnancy. Saldanha described lipoabdominoplasty without undermining.[1][2]

2006

Abdomen and breast combined

In 415 abdominoplasties, 151 done with breast surgery had no more complications than abdominoplasty alone. The 2009 update covered 268 combined cases with no deaths or blood clots.[1][2]

2015

Insurance data and the term

Analysis of 25,478 insured abdominoplasties showed combined procedures raised major complications. Matarasso wrote that the combination was common enough to drive the term mommy makeover into common use.[1][2]

Pioneers

The surgeons who changed the operations

Their papers set the methods in use today.

1967

Pitanguy

Popularized abdominoplasty for hernia repair and then for the look of the abdomen.[1]

1977

F.M. Grazer

Surveyed 958 surgeons on abdominoplasty complications, with R.M. Goldwyn.[1]

1961

Thomas Cronin and Frank Gerow

Introduced the silicone gel breast implant.[1][2]

1976

P. Regnault

Classified breast ptosis by nipple position.[1]

1983

Y.G. Illouz

Reported over 3,000 cases of liposuction through small tunnels.[1]

1991, 2015

A. Matarasso

Classified combined abdominoplasty and liposuction; wrote on combining breast surgery and abdominoplasty.[1][2]

1995

T. Lockwood

High-lateral-tension abdominoplasty with superficial fascial system repair.[1]

2001, 2011

F.X. Nahas

Classified abdominal muscle deformities; showed PDS plication held at 32 to 48 months on CT.[1][2]

2001

O.R. Saldanha

Lipoabdominoplasty without undermining.[1]

2006, 2009

W.G. Stevens

Single-practice series of abdominoplasty combined with breast surgery.[1][2]

2003

S. Spear

Described the conflicting goals of augmentation mastopexy.[1]

2015, 2017

J. Winocour and K.K. Higdon

CosmetAssure analyses of abdominoplasty, combined procedures and blood clots.[1][2]