With the developments of Brazilian techniques in Plastic Surgery, the changes in body caused by pregnancy can be corrected.

Nobody doubts that pregnancy is a moment of happiness in women’s life. The problem is that the nature uses to charge a high cost for this single moment: the lost of body shape After the baby birth, the feminineness represented by the pregnant belly is replaced by signs that affects mom’ self-esteem. This happens because the breast is not so firm, stretch marks draw attention and fat and lack of firmness in the abdomen, in the back and in the hips starts to bother. The good news is that all of this can be corrected through the hands of a plastic surgeon.

 
However, before start anything, as an alert to the hurried women, who think on going to a surgery while they are still pregnant, here goes an advise from the plastic surgeon in the city of Porto Alegre, Flávio Borges Fortes from the Brazilian Association of Plastic Surgery: "Any kind of surgery procedure is not recommended during the pregnancy because the influence of the anesthesia on the baby in development", he explains.

 
This does not mean that the future mom should not take care of her body shape while pregnant. A correct nourishment with fruits, vegetables, proteins and carbohydrate and the practice of physical exercises guided by professionals (hydro-gymnastics is a good hint), to stimulate the tissue circulation, help a lot to diminish the skin effects and the inevitable gain of weight. "Massages and moisturizing are also fundamental to guarantee the body firmness", says the dermatologist Cristine Almeida de Carvalho, from Brazilian Association of Esthetical Medicine.
 

Besides that, it is important to mention the reason why so many women stay with so many esthetical problems after pregnancy while others not. "This depends on the individual predisposition, on hormonal factors, weight control during the pregnancy and care with the skin (use of moisturizers based on almond oil, for instance), besides of course the baby size", says Flávio. "Of course there are still some women that are benefit from nature that even not taking care of her body they don’t present esthetical problems", he said.

 
According to the doctor, the gain of weight associated with the increase of intra-abdominal uterus exerts strength to expand muscles and abdomen and waist skin. Depending on the quality of pregnant skin, the consequences may be a disaster, since wrinkles and flabbiness take place. In relation to other areas of the body, the damage are motivated mainly due to the gain of weight, the lack of care with diet and the lack of physical exercises during  pregnancy. Up to the ninth month, the skin of the abdomen and of breast suffers a distension corresponding to the increase of weight between 30 and 40 quilos. As the woman suddenly gained weight and loose all that at once at the moment of childbirth.
 

Doctors are unanimous in saying that the only treatment 100% efficient to keep the body perfect is: not to become pregnant. However, as not all women would leave this gift, some surgeries may help moms to recover the body harmony. And the most of procedures are of fast recovery. It is enough that the body has come back to its normal conditions, that is, with the hormone balance recovered, the tissues reduce swelling and the musculature and skin accommodates to the new shape. "Breast surgeries should wait a minimum of 6 months after stopping breastfeeding. For abdomen surgeries as liposuction and plastic, it is recommended to wait a minimum of 9 months", says the plastic surgeon.
 

Check now the plastic surgeries most indicated by women that  have been pregnant:

Breast with lack of firmness
Very attractive by its size, due to the prolactine action - a hormone of milk production in pregnancy - the breast changes its appearance at the end of breast-feeding. It is normal they become with lack of firmness due to the skin elasticity, similar to what happens in the abdomen. The best thing to do is the breast lift surgery, or mastopexy, which is performed with local anesthesia and sedation; it restructures all internal breast tissues. "The tissues are elevated, fastened to the breast musculature and the flaccid skin is removed. The resulting scar is in shape of lock, around the areola and going downward to the breast crease", indicates Flávio Borges Fortes.

 
When the breast is small and the lack of firmness is moderate, many doctors recommend the implant of silicone prosthesis, which still gives a more beautiful breast appearance. "The breast tissue is preserved, so as the patient can have other pregnancies and breast-feedings", says the surgeon. Some specialists, however, reject the hypothesis of implanting silicone during the breast-feeding by the risks that involves the procedures. In the cases of large breasts with lack of firmness, the mammoplasty, breast reduction corrects the problem, but it should be performed with extremely care to not affect the erogenous sensibility in the region.
 

Fat accumulation
For whom that after the baby birth developed a prominence in the abdomen it is good to know that this happens because the muscles suffer a separation on loosing the strength to keep the viscus in the abdomen cavity. Thus, they project the belly ahead. To solve this little problem, the more indicated surgery is the abdominoplasty, which removes the skin and at the same time get closer the loose muscles. The scar seems those from caesarian surgeries. Besides that, it does not impede later pregnancies.
 

In the case of fat accumulation in the lower part of the back and waist, which remains after the weight comes back to normal, due to the hormone changes, the abdominoplasty may be associated with a liposuction. The plastic surgeon, however, remembers that in the case of women that choose only the liposuction, the problem with lack of firmness will remain.
 

Stretch marks
"Up to now, it was not found out a treatment that completely removes the stretch marks", says Flávio. But don’t be despair, many procedures are able to eliminate them in almost 70%, especially if they are still recent (that is, reddish). "Acids of several types, microdermabrasion, intradermoteraphy, laser, pulsed or isolated light, when applied together, may guarantee good results to these scars", says the dermatologist Cristine Almeida de Carvalho. According to her, these treatments stimulate the skin with important substances like colagen, elastine and vitamin C.

 
The most of women, during pregnancy, shows stretch marks in the breast and in the abdomen, although sometimes they appear in the back and legs. Part of them can be removed during the surgery procedure, in the case the choice is for skin removal.