By Dr. Payman Danielpour and Dr. John Layke
Beverly Hills Plastic Surgery Group

heath_aprilThe “Mommy Makeover” is not a new procedure. Pregnancy can take its toll on the female body causing breast deflation, tummy laxity and stretch marks. There are two parts to the traditional “Mommy Makeover”: (1) an abdominoplasty (tummy tuck) to tighten the abdominal wall, remove the excess skin and markedly decrease the presence of stretch marks, and (2) either a breast augmentation or breast lift. During pregnancy the breasts swell – sometimes markedly – in preparation for the baby and milk production. After breast feeding stops, however, the breast tissue involutes and the overall volume deflates.

The problem with the “traditional” Mommy Makover is the fact that with two different procedures…there are two sets of scars, one on the abdomen and one on the breasts. The SIMM, or the Single-Incision Mommy Makeover, is a term coined by Dr. Danielpour and Dr. Layke that refers to a combination breast augmentation with an abdominoplasty (tummy tuck). The abdominoplasty incision is used to perform the breast augmentation as well. By utilizing this technique, there are no scars placed on the breast; two procedures through a single incision!

A complete abdominoplasty is performed and breast implants (saline or silicone) are placed in a submuscular (under the pectoralis muscle) or sublglandular (under the breast tissue) position using direct visualization [See Figures 1-5]. Although it is technically more challenging, the direct result is a completely natural-appearing breast augmentation without any scar to indicate that an enhancement was performed.


• Healthy patients that are candidates for breast augmentation AND abdominoplasty
• Breast without significant ptosis (sagging); breasts that are minimally deflated after pregnancy
• Patients who meet the above criteria and wish to perform two procedures in a single setting


• Patients with multiple comorbidities (diabetes, heart disease, or any other condition rendering the patient as high-risk for a surgical procedure
• Patients with significant ptosis (sagging)

The single most important factor in successful cosmetic surgery is the selection of your plastic surgeon. Combining artistry and science, Dr. Layke and Dr. Danielpour prefer a refined, natural look, not an artificial operated appearance. Good surgical sculpture should look good in motion and from multiple perspectives, not just the view of a single still photograph.
Dr. Layke and Dr. Danielpour are two highly trained surgeons with experience from Chicago, Miami and New York who offer you a boutique plastic surgery practice with an emphasis on personalized and individual care. For more information you can visit