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Pregnancy and motherhood bring incredible joy, but they can also lead to lasting changes in a woman’s body, such as loose skin, excess fat, and loss of breast volume. Many women struggle to regain their pre-pregnancy shape despite diet and exercise, leading them to explore Mommy Makeover surgery, a combination of procedures designed to restore confidence and help women feel like themselves again.

For those seeking a Mommy Makeover in San Francisco, Dr. Karen Horton is an experienced Board-Certified Plastic Surgeon (and a Mom of twins herself) who specializes in creating natural, beautiful results through personalized treatment plans tailored to each patient’s aesthetic goals.

What is a Mommy Makeover?

A Mommy Makeover is a customized combination of cosmetic surgery procedures designed to restore a woman’s body after pregnancy, childbirth, and breastfeeding.1 Many women experience changes such as breast deflation, loose skin, excess fat, and weakened abdominal muscles due to weight gain and weight loss during and after pregnancy. A Mommy Makeover addresses these concerns, helping women regain their pre-pregnancy shape, boost self-confidence, and achieve their aesthetic goals.
Mommy Makeovers can also include non-surgical aesthetic procedures to compliment the results of surgery, such as Botox and other neuromodulator treatments, dermal fillers, laser treatments and microneedling to brighten and refresh the skin.

Dr. Horton has truly changed my life. After having three children and losing my figure to pregnancies and years of breastfeeding, I finally feel sexy, young and like the vital woman I am on the inside. Having my Mommy Makeover was the best decision I could have made for myself, my marriage and my family. Thank you!

Drag the slider to see transformation

Benefits of Mommy Makeover Surgery

  • Restores more youthful breast volume and contour
  • Tightens and/or removes loose skin and eliminates excess fat
  • Repairs separated abdominal muscles for a flatter stomach and more effective core
  • Enhances body proportions and curves
  • Boosts self-confidence and body image
  • Reduces the need for multiple recovery periods by combining surgeries

Candidates for Mommy Makeover

The ideal candidate for a Mommy Makeover is in good health, has completed their family, and is at a stable weight.2 A good candidate should:

  • Have realistic expectations about their results
  • Be in good health with no medical conditions that impair healing
  • Be at or near their ideal weight
  • Have excess skin, stubborn fat, or loss of breast volume
  • Not planning on future pregnancies, as they may affect results

Surgical Mommy Makeover Procedures

Mommy Makeover Procedures Mommy Makeovers often include a combination of breast surgery, tummy tuck surgery, liposuction, and other body contouring procedures. Common surgical options include:

  • Breast Augmentation, Breast Lift, or Breast Reduction: Enhances breast volume with breast implants (silicone or saline), lifts sagging breasts, or reduces excess breast tissue for improved proportions.
  • Tummy Tuck (Abdominoplasty): Removes excess skin, tightens abdominal muscles, and improves abdominal contour.
  • Liposuction: Targets stubborn fat deposits in areas such as the armpits, abdomen, hips, thighs, and flanks (love handles).
  • Labiaplasty: Reshapes and reduces excess tissue of the labia minora for aesthetic and functional improvement.

I'm so happy with the surgery, and now 1 year later, I'm so physically active with my kids and I have YOU to thank! You are the best, Dr. Superstar!

Non-Surgical Aesthetic Treatments

Some lucky mothers may not need an extensive surgical procedure to feel rejuvenated after pregnancy, but they may want to treat skin changes from aging or sun damage. Non-surgical aesthetic treatments include BOTOX® Cosmetic and alternatives to correct wrinkles, injectable fillers, lasers and other skin rejuvenation treatments for the face, neck and chest. For Moms who are not quite ready for surgery or who wish to have less downtime, non-surgical aesthetic treatments can be a great option. Other Mommy Makeover patients compliment their surgical procedure with non-surgical cosmetic treatments as a bonus to their surgical results.

Learn more about Non-Surgical Aesthetic Treatments

Medical-Grade Skin Care

“Medical-grade” skin care refers to professional skin care products that contain the highest possible concentration of the active ingredients and are only available through your Physician’s office. We offer only FDA-approved, scientifically based and clinically proven products that rejuvenate the skin, help to correct aging and sun damage, prepare the face and body for other non-surgical rejuvenation, and optimize the skin when facial cosmetic procedures are being considered. We are all patients in our practice as well – ASK US about our own favorite skin care products!

Learn more about Medical-Grade Skin Care

Preparing for Mommy Makeover Surgery

Before undergoing Mommy Makeover surgery, patients will have an in-depth consultation with a Dr. Horton to develop a personalized treatment plan. To prepare:

  • Maintain a stable weight and healthy diet.
  • Stop using nicotine (at least 6 weeks) and avoid certain medications & supplements.3
  • Patients who are on GLP-1 medications such as Ozempic, Wegovy, Mounjaro, Gardiance and others for weight loss or diabetes should have completed their weight loss journey before having a Mommy Makeover and should plan to be off these medications prior to planning surgery. GLP-1 medications must be stopped a full month before any surgery under general anesthesia to avoid complications. Learn more about how to stay safe when taking diabetic or weight loss medications including semaglutides in this blog post.
  • Follow pre-operative instructions, including lab tests and medical clearance.
  • Arrange for post-surgery support and care for up to a week.

What to Expect During a Mommy Makeover Procedure

Mommy Makeover surgery is typically performed under general anesthesia. The procedure involves multiple incisions, depending on the selected treatments. Breast surgery incisions may be placed around the areola and under the breast fold. Tummy tuck surgery requires an incision along the lower abdomen to remove excess skin and tighten muscles, and around the belly button. Liposuction is performed through small, discreet incisions hidden in skin creases whenever possible to remove excess fat.

mother and daughter smiling on beach sunny day

Mommy Makeover Recovery & Results

Recovery time varies based on the number and extent of procedures. Patients should expect:

  • 1-2 weeks of initial rest and limited activity with a complete break from work and hands-on parenting duties
  • Wearing a compression garment for several weeks to aid healing and encourage swelling to be reabsorbed more quickly
  • Avoiding strenuous activities for at least 6 weeks (think exercise, sex, traveling)
  • Gradual improvement in swelling and final results over several months
  • Scars to gradually flatten, lighten and fade over a full year
  • Long-lasting results when maintaining a healthy lifestyle
Healthy, confident woman

Procedure FAQs

What is the cost of a Mommy Makeover?

The cost of a Mommy Makeover varies based on the specific procedures involved. During your consultation with Dr. Horton in her San Francisco Bay Area practice, you’ll receive a transparent breakdown of the costs associated with your unique treatment plan.

Will I have visible scars?

Incisions are placed strategically to minimize visible scarring. Over time, scars fade significantly with proper post-operative care. We educate each of our patients about scar therapy in detail to help optimize scars after surgery.

Can I have a Mommy Makeover if I plan to have more children?

While it is possible, future pregnancies may impact the results, so it is recommended to wait until you are finished having children and have stopped breast feeding.

How long before I see final results?

Results continue to improve over several months, with full outcomes visible several months to a full year post-surgery.4

Where can I find Mommy Makeover surgery near me?

Dr. Karen Horton is a Board-Certified Plastic Surgeon in San Francisco who specializes in Mommy Makeover procedures. She serves patients throughout the Bay Area and surrounding localities, offering customized treatment plans to help mothers restore their pre-pregnancy bodies with breast surgery, tummy tuck surgery, liposuction, and other contouring procedures.

Dr. Horton is highly experienced in performing multiple procedures in a single surgery to achieve natural, long-lasting results. She also had a Mommy Makeover procedure herself – and shares all the details in her blog! To schedule a consultation and learn more about your Mommy Makeover options, contact our office today.

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Sources

1 American Society of Plastic Surgeons. Mommy Makeover. https://www.plasticsurgery.org/cosmetic-procedures/mommy-makeover. Accessed March 3, 2025.
2 American Society of Plastic Surgeons. Mommy Makeover Candidates. https://www.plasticsurgery.org/cosmetic-procedures/mommy-makeover/candidates. Accessed March 3, 2025.
3 American Society of Plastic Surgeons. How should I prepare for a mommy makeover? https://www.plasticsurgery.org/cosmetic-procedures/mommy-makeover/preparation. Accessed March 3, 2025.
4 American Society of Plastic Surgeons. What results should I expect after a mommy makeover? https://www.plasticsurgery.org/cosmetic-procedures/mommy-makeover/results. Accessed March 3, 2025.

Dr. Karen Horton has either authored or reviewed and approved this content.

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Dr. Karen M. Horton
2100 Webster St UNIT 520
San Francisco, CA 94115
Phone: 415.923.3067
We are located in the Pacific Heights District in the Pacific Professional Building.

Our Location

Hours

Monday-Friday: 9am - 5pm

Saturday-Sunday: Closed

Monday:
9 AM to 5 PM

Tuesday:
9 AM to 5 PM

Wednesday:
9 AM to 5 PM

Thursday:
9 AM to 5 PM

Friday:
9 AM to 5 PM

Saturday:
Closed

Sunday:
Closed

Address

Dr. Karen M. Horton
2100 Webster St UNIT 520
San Francisco, CA 94115
Phone: 415.923.3067

We are located in the
Pacific Heights District
in the Pacific Professional Building.

SHOP SKIN CARE ICONSHOP SKIN CARE

*Please note: Our office is no longer a Participating Provider for insurance. We can provide a financial quote for what anticipated surgical fees will be after your consultation.

Accreditations

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Castle Connolly Exceptional Women in Medicine award
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About Dr. Horton

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Dr Karen Horton