Two-Step Mommy Makeover: 44-Year-Old’s Houston Journey

Mommy Makeover Success Story Series by Dr. Sam Sukkar, MD | Patient Case Study #981


This is part of our Success Story Series featuring real patient transformations at The Clinic for Plastic Surgery. Each patient case study provides an in-depth look at actual procedures, recovery experiences, and results from Houston patients who’ve undergone mommy makeover with Dr. Sam M. Sukkar.


When Tamara* walked into The Clinic for Plastic Surgery in Houston, she carried more than just concerns about her post-pregnancy body. She carried years of frustration with how clothes fit and the stubborn changes that no amount of exercise could reverse.

At 44, she’d tried everything: targeted core workouts, strict diet plans, countless fitness apps promising to “melt belly fat.” But the excess abdominal skin and the way her favorite outfits no longer fit properly simply wouldn’t budge.

Sound familiar? You’re not alone.

After researching tummy tuck procedures on my website, Tamara* decided it was time to invest in herself. What happened next wasn’t just a physical transformation. It was a complete restoration of confidence so profound that she returned to our Houston practice for additional procedures to complete her journey.

*The patient’s name was changed to protect their privacy. All medical details and photographic before and after results are from actual Patient Case #981. Individual results may vary based on body type, surgical approach, and adherence to post-operative instructions.

Understanding Tamara’s* Mommy Makeover Goals and Concerns

Tamara* came to our Houston practice with specific concerns that resonated with countless moms I’ve worked with over my 25+ years in plastic surgery. At 5’4″ and 162 pounds, she wasn’t looking to become someone else. She wanted to look like herself again.

Her primary frustrations included:

  • Excess abdominal skin that wouldn’t respond to exercise
  • Poor clothing fit, especially around the midsection
  • Loss of her pre-pregnancy hourglass figure
  • Stubborn fat deposits on her back and flanks
  • Feeling self-conscious about her body at 44

What made Tamara* an ideal mommy makeover candidate was her realistic expectations. She understood that plastic surgery isn’t magic. It’s a powerful tool that works best when combined with healthy lifestyle habits.

Addressing Her Questions About Body Contouring

During our consultation, Tamara* expressed several main worries that I hear frequently from prospective patients:

  1. Recovery time: As a busy mom, she needed to know exactly how long before she could return to normal activities
  2. Scarring: Would the results be worth visible surgical marks?
  3. Natural-looking results: She didn’t want to look “overdone.” She wanted to look refreshed and proportionate.

These concerns are completely valid, and addressing them honestly is crucial to achieving patient satisfaction. That’s why I always emphasize the importance of choosing a board-certified plastic surgeon in Houston who prioritizes both aesthetics and patient safety.

Dr. Sukkar’s Customized Mommy Makeover Approach for Tamara*

After a comprehensive physical examination and discussion of Tamara’s* goals, I designed a customized surgical plan that would address all her concern areas in a single procedure:

Comprehensive Mommy Makeover Components for Tamara*

1. Progressive Tension Suture Lipoabdominoplasty (Advanced Tummy Tuck with Liposuction)

  • Removal of excess abdominal skin and fat accumulated from pregnancy
  • Repair of stretched abdominal muscles (diastasis recti)
  • Progressive tension suture technique to minimize tension on the incision line and reduce scarring
  • Created a flatter, firmer abdominal profile

2. Circumferential Liposuction (Back and Flanks)

  • 360-degree approach to body contouring
  • Removal of stubborn fat from back and love handles
  • Enhanced waist definition for hourglass figure restoration
  • Smooth transition between treated areas

3. Fat Grafting to the Buttocks (Brazilian Butt Lift or BBL)

  • Purified fat harvested from liposuction areas
  • Strategic transfer to buttocks for natural volume enhancement
  • Created balanced, proportionate silhouette
  • “Bonus” procedure using fat that would otherwise be discarded

This combination represents what many Houston moms are now calling a “full mommy makeover”, addressing multiple body concerns simultaneously.

Mommy Makeover Success Story Series - Two-Step Mommy Makeover: 44-Year-Old's Houston Journey
Photo Illustration by: Dr. Sam Sukkar, MD, The Clinic for Plastic Surgery.

The Strategy Behind Tamara’s* Surgical Plan

You might wonder why I recommended this specific combination rather than just a standard tummy tuck. Here’s my thinking:

The 360-Degree Approach: Pregnancy affects your entire torso, not just the front. The back and flanks often accumulate resistant fat deposits that create an unflattering profile from the side and back. By addressing the entire circumference, we create harmonious, natural-looking results from every angle.

Fat Transfer Efficiency: The fat we removed from Tamara’s* abdomen, back, and flanks didn’t go to waste. We used purified fat to enhance her buttocks with a Brazilian Butt Lift (also known as fat grafting to the buttocks). This dual-benefit approach gave her the curvier, more youthful silhouette she desired.

Single Recovery Period: By combining procedures, Tamara* only had to go through one recovery rather than scheduling multiple surgeries over time. This approach is both more cost-effective and more convenient for busy moms.

This strategic planning is what separates an average result from an exceptional one. It’s also why understanding what a mommy makeover consists of and the full scope of procedures available before your consultation helps you ask the right questions.

Recovery Timeline: Tamara’s* Experience After Body Contouring

The First Two Weeks: Initial Healing Phase

The first 72 hours after surgery are the most challenging. Tamara* experienced:

  • Moderate to significant discomfort (managed with prescribed pain medication)
  • Tightness and swelling across her entire midsection, back, and buttocks
  • Limited mobility requiring assistance with basic activities
  • Need to sleep in a reclined position to minimize swelling

By the end of week one, Tamara* noticed significant improvements:

  • Pain reduced to mild discomfort
  • Able to walk short distances (hunched posture normal at this stage)
  • Surgical drains removed at the 7-day mark
  • Swelling beginning to subside, revealing early results
  • First post-op appointment confirmed excellent healing

Critical Recovery Rules:

  • No lifting anything over 10 pounds for 6 weeks
  • Compression garments worn 24/7 (except when showering)
  • Short walks encouraged to prevent blood clots
  • Special BBL pillow used when sitting to protect fat grafts

Understanding the realistic mommy makeover recovery timeline helped Tamara* prepare mentally and physically for this critical healing phase.

Weeks Three Through Eight: Returning to Normal Life

This is when most patients start feeling like themselves again. By weeks three and four, Tamara* could:

  • Return to desk work (with breaks for movement and positioning)
  • Resume light household activities
  • Shower and dress independently
  • See significant reduction in swelling revealing early body contours

By her 2-month follow-up appointment, Tamara’s* transformation was remarkable:

  • Weight: 162 lbs to 147 lbs (15-pound reduction)
  • Height: 5’4″ (ideal proportions for dramatic results)
  • Age: 44 (excellent tissue quality and healing capacity)
  • Waist definition: Visible hourglass figure restoration
  • Scar maturation: Incisions healing beautifully and easily concealed by underwear

Tamara* could now:

  • Exercise without restrictions
  • Wear form-fitting clothes with confidence
  • Feel comfortable in swimwear
  • Experience improved posture and back support

The Transformation: Tamara’s* Mommy Makeover Success

Let’s look at Tamara’s* measurable outcomes at 3 months post-op:

  • Starting weight: 162 lbs to Final weight: 147 lbs
  • Height: 5’4″ (ideal candidate height for proportionate body contouring)
  • Age: 44 (impressive results demonstrating that transformation is possible at any age)
  • Recovery time to normal activities: 6-8 weeks
  • Time to final results: 3-6 months (continued improvement expected up to 1 year)

But numbers only tell part of the story. What matters most is how Tamara* feels.

Mommy Makeover Success Story Series - Two-Step Mommy Makeover: 44-Year-Old's Houston Journey By Dr. Sam Sukkar, MD
Photo Illustration by: Dr. Sam Sukkar, MD, The Clinic for Plastic Surgery.

The most gratifying part of my work isn’t just the physical transformation. It’s the renewed confidence I see in my patients. Tamara’s* satisfaction was so profound that she returned to our Houston practice for a breast procedure to complete her transformation, demonstrating the life-changing impact comprehensive mommy makeover results can provide.

Tamara’s* comprehensive mommy makeover, which included lipoabdominoplasty (advanced tummy tuck), circumferential liposuction of the back and flanks, and fat grafting to the buttocks (Brazilian Butt Lift), typically falls within Houston’s $15,000 to $30,000 range depending on the extent of correction needed and specific procedures selected. Many patients utilize financing options to make their transformation manageable, with payment plans available to fit different budgets.

Contributing Factors to This Mommy Makeover Transformation

Several factors contributed to Tamara’s* outstanding outcome:

1. Strategic Surgical Planning: The combination of lipoabdominoplasty (advanced tummy tuck with liposuction), circumferential liposuction, and fat grafting to the buttocks addressed her specific body type and concerns comprehensively

2. Optimal Age and Tissue Quality: At 44, Tamara* had good skin elasticity and realistic expectations, which allowed for superior skin retraction and excellent fat graft survival

3. Perfect Compliance: She followed all pre-op and post-op instructions meticulously, including wearing compression garments and following positioning guidelines for BBL recovery

4. Realistic Expectations: Tamara* understood the recovery process and committed to the necessary healing time

5. Surgeon Experience: With over 25 years performing mommy makeover procedures, I’ve refined techniques like progressive tension sutures that minimize scarring and maximize natural-looking results

This is why choosing an experienced Houston plastic surgeon for mommy makeover surgery matters so much. The surgeon’s skill directly impacts both your safety and your aesthetic outcome.

Common Questions About Tamara’s* Mommy Makeover Approach

Why did Tamara* return for additional procedures?

Tamara* initially had her lipoabdominoplasty, back and flank liposuction, and Brazilian Butt Lift (fat grafting to the buttocks) all in one surgery. She returned for a breast procedure to complete her transformation because the exceptional results from her body contouring motivated her to address her remaining concerns. This staged approach to mommy makeover allows patients to break up procedures for financial flexibility and recovery management. Many patients choose this path because they can assess their results and decide if additional refinements align with their goals.

Can I combine tummy tuck with BBL like Tamara* did?

Absolutely! If you have sufficient fat deposits in areas like the abdomen, back, and flanks, we can harvest that fat, purify it, and transfer it to your buttocks for natural volume enhancement. This is exactly what we did for Tamara*. The beauty of this approach is that we’re removing unwanted fat from problem areas while simultaneously creating the curvier silhouette most patients desire. It creates balanced, proportionate results that look completely natural. The key is having enough viable fat for transfer and following strict post-operative positioning guidelines to ensure optimal fat graft survival.

Is 44 too old for a comprehensive mommy makeover?

Not at all. Tamara was 44 when she had her mommy makeover, and her results are exceptional. Age-specific considerations include tissue quality, skin elasticity, and overall health status. At 44, many women still have excellent healing capacity and good skin tone that responds beautifully to body contouring procedures. The key is being in good overall health, having realistic expectations, and being committed to the recovery process. Tamara’s transformation proves that mommy makeover over 40 can be an ideal time for body restoration surgery.

Ready to Write Your Own Mommy Makeover Success Story?

Tamara* walked into my Houston office carrying years of frustration with her post-pregnancy body and clothes that no longer fit properly. She walked out several months later thriving with results that exceeded her expectations so satisfied that she returned for breast enhancement to complete her total body transformation.

Your story might be different. Maybe you’re concerned about recovery time, wondering about combining procedures like tummy tuck with fat grafting to the buttocks, or trying to understand whether you’re a good candidate at your age.

But the common thread is this: You deserve to feel confident and comfortable in your own body. Motherhood is beautiful, but the physical changes don’t have to be permanent. If post-pregnancy changes are affecting your quality of life, transformation is possible.

Your Premier Destination for Plastic Surgery in Houston, Texas (TX)

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Board-Certified Plastic Surgeon Dr. Sam Sukkar, MD, FACS, and The Clinic for Plastic Surgery Team are here to help you achieve refined, natural-looking results.

Offering expert cosmetic enhancements in:

  • Breast Augmentation, Breast Lifts, and Breast Reduction
  • Tummy Tucks, Mommy Makeovers, and Liposuction
  • Facelifts, Neck Lifts, and Rhinoplasty
  • Body Contouring and Skin Tightening Procedures
  • Non-Surgical Aesthetic Treatments

Visit our modern 18,000+ sq.ft. luxurious plastic surgery center and med spa in Houston, Texas, where expertise meets artistry. Our highly skilled and compassionate team ensures a seamless experience, from consultation to recovery.

For patients outside of the Houston area or those with a busy schedule, Schedule a Virtual Consultation.

Schedule your personalized consultation today at DrSukkar.com or call (281) 940-1535.

About the Author – Meet Dr. Sam Sukkar, MD

Dr. Sam Sukkar, MD, FACS is a highly respected Board-Certified Plastic Surgeon in Houston, Texas, known for his expertise in advanced cosmetic and reconstructive procedures. As the founder of The Clinic for Plastic Surgery, Dr. Sukkar has set a new standard for excellence, performing over 20,000 procedures with a focus on delivering natural, refined results.

Dr. Sukkar earned his Doctor of Medicine (M.D.) degree from Louisiana State University School of Medicine in 1992 after graduating summa cum laude with a Bachelor of Science in Microbiology. He then completed an intensive General Surgery Residency at the University of Texas Hermann Hospital before being selected for a highly competitive Plastic Surgery Fellowship at Northwestern University in Chicago, one of the most prestigious training programs in the country.

With more than 20 years of experience, Dr. Sukkar is a Diplomate of the American Board of Plastic Surgery and a Fellow of the American College of Surgeons (FACS). He is also an active member of the American Society of Plastic Surgeons (ASPS) and the Houston Society of Plastic Surgery (HSPS). His dedication to innovation and continuing education has solidified his reputation as a leading expert in aesthetic surgery, specializing in breast surgery, body contouring, facial procedures, and non-invasive treatments.

Dr. Sukkar’s expertise has been recognized by Houston Magazine, naming him one of Houston’s “Top Docs for Women,” and he has been featured among RealSelf’s America’s Top Doctors. Committed to his patients, he prioritizes personalized care, ensuring every individual feels informed, comfortable, and confident in their aesthetic journey.

Contact Dr. Sukkar today to schedule a consultation, visit DrSukkar.com to learn more, or call us directly at (281) 940-1535.

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