Mommy Makeover: Breast Lift with Implants & Tummy Tuck

Patient Overview

• Patient: Angie

• Age: 45 years old

• Gender: Female

• From: Canada

• Procedures: Mommy Makeover — Breast Lift with Implants (Bottoming Out Correction), Tummy Tuck with Liposuction

• After photos taken at: 5 days post-surgery

• Location: Istanbul, Turkey

Mommy Makeover in Istanbul: Breast Lift, Implants & Tummy Tuck

Angie is a 45-year-old patient from Canada who traveled to Istanbul, Turkey for a mommy makeover with Dr. Cem Berkay Sinaci — a comprehensive body transformation that combined a breast lift with implants and a tummy tuck with liposuction in a single surgical session. Her case added an important layer of complexity: Angie had undergone a breast lift surgery previously, after which she developed a bottoming out deformity — a complication where the breast tissue and implant descend below the inframammary fold, distorting the breast shape and nipple position. Dr. CBS corrected the bottoming out as part of the breast lift with implants component of her mommy makeover.

These before and after photos were taken 5 days after surgery — extremely early in the healing process — yet they already show the fundamental correction of the breast deformity and the transformation in abdominal contour that Angie's procedure achieved.

What Is a Mommy Makeover?

A mommy makeover is a combination of surgical procedures designed to restore the body after the changes caused by pregnancy, childbirth, breastfeeding, and the passage of time. It is not a single procedure but a customised plan that typically addresses the two areas most affected by motherhood: the breasts and the abdomen.

Pregnancy and breastfeeding cause the breasts to enlarge, stretch, and then deflate — leaving them sagging and deflated once feeding ends. The abdomen, meanwhile, experiences stretching of the skin, separation of the abdominal muscles (diastasis recti), and the accumulation of stubborn fat deposits that do not respond to diet or exercise. No gym programme or non-surgical treatment can fully reverse these structural changes — surgery is the only effective solution.

By combining breast and abdominal procedures in a single operation, the mommy makeover delivers a complete body restoration in one anaesthetic, one recovery, and one period away from family, work, and daily responsibilities — a significant practical advantage for busy mothers. Istanbul has become one of the world's leading destinations for mommy makeover surgery, attracting patients from Canada, the United States, the UK, and across Europe who seek the combination of world-class surgical expertise and substantially more accessible costs than their home countries offer.

Bottoming Out After Breast Lift: What It Is and Why It Happens

Bottoming out is one of the most recognised complications following breast lift surgery — with or without implants. It occurs when the breast tissue, implant, or both descend below the natural inframammary fold (the crease beneath the breast), causing the lower pole of the breast to become excessively full and heavy while the nipple rides upward relative to the breast mound. Instead of the nipple sitting at or just above the most projecting point of the breast, it appears too high — pointing upward — because the breast mass has dropped beneath it.

The result is a breast shape that looks bottom-heavy and unnatural, with the nipple appearing misplaced. In addition to the aesthetic concerns, bottoming out can cause discomfort and a feeling of instability in the breast over time.

Bottoming out can be caused by several factors: excessive weight or size of the implant placing downward tension on the lower pole; insufficient support of the inframammary fold during the original surgery; skin laxity that was not adequately addressed; or technical factors in how the capsule and tissue were managed. It does not resolve on its own — surgical correction is required.

Correcting Bottoming Out: Revision Breast Lift with Implants

Correcting bottoming out is a revision procedure that requires reshaping the breast pocket and reinforcing the inframammary fold to prevent the breast from descending again. In Angie's case, Dr. CBS performed a capsulorrhaphy — internal suturing of the breast capsule — to reconstruct and reinforce the lower pole support and elevate the inframammary fold to the correct anatomical position. The old implants were removed and new implants were placed within the corrected pocket, and a formal breast lift was performed to reshape the breast envelope, remove excess lower pole skin, and reposition the nipple-areola complex to the correct height relative to the new breast mound.

The combination of internal fold reconstruction, implant exchange, and mastopexy is the most comprehensive and effective approach to bottoming out correction — addressing all three components of the problem simultaneously. Choosing a surgeon with specific experience in revision breast surgery is critical, as the tissue planes are altered from the previous operation and the risk of recurrence must be actively managed through precise technique and appropriate implant selection.

Tummy Tuck with Liposuction: Restoring the Abdomen

The abdominal component of Angie's mommy makeover addressed the excess skin, muscle separation, and stubborn fat deposits that had accumulated following pregnancy. A full abdominoplasty removes the loose, stretched skin of the lower abdomen — the skin below the navel that is almost impossible to tighten through exercise alone — tightens the separated rectus abdominis muscles along the midline (correcting diastasis recti), and repositions the navel to a natural, aesthetically correct location within the new abdominal contour.

Simultaneous liposuction was performed to the flanks, waist, and lateral abdomen — areas that are not fully addressed by the skin excision alone. By combining the tummy tuck with circumferential liposuction, Dr. CBS was able to sculpt the entire trunk — front, sides, and back — in a single session, creating a 360-degree improvement in body shape rather than simply flattening the front. The result is a proportionate, natural silhouette rather than a flat abdomen with unchanged flanks.

The Advantage of Combining Everything in One Session

Performing the breast and abdominal components of a mommy makeover simultaneously — rather than as staged procedures months apart — offers significant practical and medical advantages. One general anaesthetic carries less cumulative risk than two separate anaesthetics. One recovery means one period of disruption to work, childcare, and daily life. One trip to Istanbul for patients traveling from Canada means one transatlantic journey rather than two. And crucially, the final result emerges simultaneously — the breast and body transformation are visible together from day one, with no asymmetry of healing between the two areas.

The total cost of a mommy makeover in Istanbul — including surgical fees, anaesthesia, hospital stay, and aftercare — is substantially lower than the equivalent combined procedures in Canada's private healthcare system, where breast lift with implants and tummy tuck performed separately can each cost as much as the entire mommy makeover package in Turkey.

Results at 5 Days: Early Transformation Already Visible

These before and after photos were taken just 5 days after surgery — one of the earliest documentation points in the post-operative timeline. At this stage, significant swelling is still present throughout the breast and abdominal areas, compression garments are being worn continuously, and the full result has not yet begun to emerge. Bruising, swelling, and surgical drains (if used) are all part of the normal 5-day picture.

Despite the very early timing, the key improvements are already clearly visible: the bottoming out deformity has been corrected — the nipple position is appropriate, the lower pole is no longer overdistended, and the breast shape is rounder and more balanced. On the abdominal side, the excess skin is gone, the contour is dramatically flatter, and the waist — refined by the simultaneous liposuction — is already more defined. The final results will continue to improve significantly over the following 3 to 6 months as swelling resolves, the implants settle, and the tummy tuck scar begins its maturation process.

Traveling from Canada for a Mommy Makeover in Istanbul

Canada has a rapidly growing community of medical tourists who travel to Turkey for mommy makeover surgery. The combination of long waiting times in the Canadian healthcare system, high private clinic costs for elective procedures, and the exceptional quality and value available in Istanbul makes Turkey one of the most compelling destinations for Canadian patients seeking comprehensive body transformation.

For patients traveling from Toronto, Vancouver, Calgary, or Montreal, Istanbul is accessible via connecting flights, and a stay of 8 to 12 days comfortably covers surgery, in-clinic recovery, and the initial healing phase before flying home. Dr. CBS works with a significant number of North American patients each year, providing full pre-operative consultation via video, coordinated surgical planning, in-clinic care throughout the stay, and post-operative follow-up remotely after the patient returns to Canada.

Dr. Cem Berkay Sinaci is a European and Turkish board-certified plastic surgeon, Fellow of the European Board of Plastic Reconstructive and Aesthetic Surgery (EBOPRAS), and member of ISAPS and ASPS. If you are considering a mommy makeover, breast lift with implants, tummy tuck with liposuction, or any combination procedure in Istanbul, contact Dr. CBS to arrange a consultation.