When Twyla, a 43-year-old mom of two, realized her dedication in the gym wasn’t delivering the results she wanted, she turned to New York plastic surgeon Kevin Tehrani, MD for a solution. What followed was a comprehensive Mommy Makeover that included a tummy tuck and a breast lift with added volume courtesy of her own fat.
Mommy Makeover Choices
Not all Mommy Makeovers are the same, and Twyla’s was customized to fit her body and goals. Her procedure included repairing abdominal separation, performing liposuction 360 for full-body contouring, and using her own fat to enhance the shape and volume of her breasts instead of opting for implants.
“I had just been in the gym for so long and I wasn’t getting the results that I wanted,” Twyla says. She walked into her consultation open-minded, letting Dr. Tehrani guide the plan. “Other than telling him I wanted to keep my thighs the way they were; I trusted him to sculpt me. For my breasts, I didn’t want humongous breasts. I didn’t want an implant either, but I wanted a change in shape that looked natural and reminded me of what I had before kids. He recommended transferring some of my natural fat, and I love them now.”
As Dr. Tehrani notes, the planning process is always tailored: “It’s a discussion I have now with all patients, even if they didn’t come talking to me about their breasts, because I want to let them know, hey, this is an option…It may go away, and you may never have that option in the future or as much of an option in the future. So, it’s a discussion that we have as a comprehensive consultation.”

A Natural Boost
Using fat to volumize the breasts is becoming more popular, though it’s not always the first option people think of. Twyla says she’s glad she chose it: “I didn’t feel any pain in my breasts. It was seamless.”
Dr. Tehrani notes that while not every bit of transferred fat survives, what does becomes permanent. “We always over-inject because 60 to 80 percent of the fat survives long term. That fat behaves like fat anywhere else in your body, if you gain weight, it gets bigger, if you lose weight, it gets smaller—but it stays exactly where we place it.”
Shaping All the Way Around
A big part of Twyla’s makeover was lipo 360, targeting her abdomen, flanks and back together. “Our bodies are not piecemeal,” Dr. Tehrani explains. “By treating the entire circumference, you get more shape and better tightening.”
Paired with a tummy tuck, tightening her abdominal muscles made a dramatic difference. “When I came for my consultation, he was able to take two fingers and literally put a hole in my belly. Now I hit a wall. My abs are back, and I can feel my muscles strengthening as I work out,” Twyla says. “I used to drag myself to the gym. Now I feel like I’m working out with purpose.”
For Twyla, the real takeaway isn’t about chasing perfection, it’s about feeling like herself again and making a choice just for her. “I did that for me,” she says. “You have children for your family, but this was something I chose just for myself. And I wouldn’t change a thing.”
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