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Post-maternity Body
Changes
Obstetric Fundamentals
and Surgical Reshaping
Mónica Gomes-Ferreira
Jesús Olivas-Menayo
Editors
123
Post-maternity Body Changes
Mónica Gomes-Ferreira
https://t.me/medicina_free
Jesús Olivas-Menayo
Editors
Post-maternity Body
Changes
Obstetric Fundamentals andSurgical
Reshaping
Editors
https://t.me/medicina_free
Mónica Gomes-Ferreira
Department Obstetrics and Gynecology
MS Medical Institutes
Lisbon, Portugal
Jesús Olivas-Menayo
Department Plastic Reconstructive and
Aesthetic Surgery
MS Medical Institutes
Lisbon, Portugal
ISBN 978-3-030-43839-5 ISBN 978-3-030-43840-1 (eBook)
https://doi.org/10.1007/978-3-030-43840-1
© Springer Nature Switzerland AG 2023
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or
part of the material is concerned, specically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way,
and transmission or information storage and retrieval, electronic adaptation, computer software,
or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specic statement, that such names are
exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in
this book are believed to be true and accurate at the date of publication. Neither the publisher nor
the authors or the editors give a warranty, expressed or implied, with respect to the material
contained herein or for any errors or omissions that may have been made. The publisher remains
neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
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Post-Maternity Body Changes: Obstetric Fundamentals and Surgical
Reshaping is an international collaborative which brings together experts in
different elds of obstetric and plastic surgery with a special focus on maternal body changes.
This book is the rst to represent the union of obstetric and aesthetical
visions in woman body changes after and during pregnancy. On the one hand,
we develop the obstetric view of the several obstetric changes from pregnancy
to the puerperium, also emphasizing the birth process, explaining how it can
cause changes in the female body. On the other hand, we cover all the medical
and surgical procedures to restore or improve the women physical aspect
after childbirth and breastfeeding from an aesthetic view. The junction of
both elds will facilitate the comprehension of maternal body changes as a
unique subject, making it easier for the different specialists who treat this
condition. Readers could also become aware of how and why performing the
mommy makeover procedures for both novel and experienced doctors is
challenging.
The format of each part of the book includes some initial chapters that
introduce the topic to be developed, dedicated to the anatomical, physiological,
and hormonal changes during and after pregnancy. After that, following
chapters will be developed to explain the various techniques, and the most
pioneering, used to restore the anatomical change in each part of woman’s
anatomy.
We hope that when reading this book, you became well versed in the detail
involved in assessing women with post-maternity body changes. The
incredibly relevant experience and different point of view shared by both
co-authors throughout this book should educate and expand your knowledge
in this evolving eld of maternal body changes.
We will apport several representative images and diagrams of each
anatomical change. In addition, we will supply each part of the book, with
many videos explaining, in detail, every surgical technique that will improve
your understanding. Enjoy!
Lisbon, Portugal MónicaGomes-Ferreira
Lisbon, Portugal JesúsOlivas-Menayo
v
Contents
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Part I Introduction
1 Post-maternity Body Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Miguel Oliveira da Silva and Joaquim Silva Neves
Part II Pregnancy, Birth and Postpartum
2 Physiological and Hormonal Changes During Pregnancy . . . . . 9
Tatiana Costas and Mónica Gomes-Ferreira
3 Pregnancy and Parturition: The Physical and Physiological
Changes and Their Pathologies . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Talla Widelock, Jeffrey Denney, and Brian Brost
4 Delivery: Complicated Vaginal Deliveries and Surgical
Interventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Sarah White, Samantha Shirk, and Brian Brost
5 Psychological Changes During and After Pregnancy . . . . . . . . . 75
Nathan Wilson and Jin Joo Lee
6 Sexuality During and After Pregnancy . . . . . . . . . . . . . . . . . . . . . 99
Hatice Yıldız
7 Changes and Potential Complications During Puerperium . . . . 123
Filipe Cordeiro and Mónica Gomes-Ferreira
Part III Preoperative Consultation
8 Informed Consent and Medicolegal Aspects . . . . . . . . . . . . . . . . 147
Bernardo Hontanilla and Andrés Ros Magallón
9 Establishing a Post-maternity Strategy . . . . . . . . . . . . . . . . . . . . . 157
Alan Matarasso and Darren M. Smith
10 Combining Plastic Surgery with Vaginal Delivery
or C-Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Guillermo Ramos-Gallardo, Daniela León-López,
Jesús Cuenca-Pardo, Arline Paola Arroyo-Fonseca,
and Runo Iribarren-Moreno
vii
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Part IV Skin
11 Dermatological Changes During and After Pregnancy . . . . . . . . 179
Ana Mª. González-Pérez, Daniel Bancalari-Díaz,
and Javier Cañueto
12 Wound Care and Treatment of Scars . . . . . . . . . . . . . . . . . . . . . . 197
Maria Estiragues, Eva Morillo, Carmen Sarrasqueta,
and Jesús Olivas-Menayo
13 Striae Gravidarum and Its Treatments . . . . . . . . . . . . . . . . . . . . . 231
E. Moreno-Artero and L. Aguado
Part V Breast
14 Mammary Tissue Changes During Pregnancy
and Breastfeeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Tatiana Costas, Mónica Gomes-Ferreira,
and Jesús Olivas-Menayo
15 Reduction of the Postpartum Breast . . . . . . . . . . . . . . . . . . . . . . . 263
Cristina Gómez Martínez de Lecea, Bernardo Hontanilla,
Julia Sanz Irigoyen, and Jesús Olivas-Menayo
Contents
16 Postpartum Breast Lift with and Without Implants . . . . . . . . . . 283
Richard J. Zienowicz and Ercan Karacaoglu
17 Postpartum Breast Augmentation with Implants . . . . . . . . . . . . 297
Jorge Aso and Ismael González
18 Fat Grafting Augmentation After Breastfeeding . . . . . . . . . . . . . 321
Jose Maria Serra-Mestre, Edison Franco-Gonzalez,
and José Maria Serra-Renom
19 Nipple-Areola Complex Restoration After Breastfeeding . . . . . . 329
Carlos del Pilar Bérniz Laborda and Jesús Olivas-Menayo
20 Breastfeeding and Breast Surgery . . . . . . . . . . . . . . . . . . . . . . . . . 343
Andrés Ros Magallón and Jesús Olivas-Menayo
Part VI Abdomen
21 Alterations of the Abdominal Wall During Pregnancy . . . . . . . . 355
Patrícia Mota
22 Physiotherapy Treatment for the Abdominal Wall . . . . . . . . . . . 367
Rafael Vicetto Martinez
23 Non-surgical Abdominal Treatments . . . . . . . . . . . . . . . . . . . . . . 375
Beatriz Beltrán Redondo
Contents
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ix
24 Mini Abdominoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395
Carlos Gullón Cabrero and Ramón Calderón Nájera
25 Lipoabdominoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413
Javier Buendía Pérez
26 Simultaneous Correction of Postpartum Breast/Belly
Badness Utilizing TABA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435
Richard J. Zienowicz and Ercan Karacaoglu
27 Liposuction 360° . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 445
Ibrahim Fakih-Gomez, Adrián Sánchez-Balado,
and Jesús Olivas-Menayo
28 Umbilicoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 469
Valderi Vieira da Silva Júnior, José Frota, and César Cals
29 Abdominal Wall Restoration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 479
Carlota Tuero, Pablo Marti, Gabriel Zozaya,
and Carlos Sánchez Justicia
30 Endoscopic Diastasis Recti Plication . . . . . . . . . . . . . . . . . . . . . . . 497
Juan Bellido-Luque and Beatriz Bascuas-Rodrigo
Part VII Genitalia
31 Anatomic Changes in External and Internal Reproductive
Organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 509
Borja Fernández-Ibarburu, Jesús Olivas-Menayo,
and Mónica Gomes-Ferreira
32 Lasers, Radiofrequency and Fillers . . . . . . . . . . . . . . . . . . . . . . . . 525
Alexander Bader
33 Labiaplasty and Clitoral Hood Reduction . . . . . . . . . . . . . . . . . . 545
André Gonçalves de Freitas Colaneri
34 Monte Venus Plasty and Labia Majora Plasty . . . . . . . . . . . . . . . 569
Lina Triana and Esteban Liscano
35 Vaginoplasty and Perineoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . 583
Melihcan Sezgic and Percin Karakol
Part VIII Pelvic Floor
36 Anatomic Changes in the Pelvic Floor After Pregnancy . . . . . . . 613
Isabel Carriles Rivero and Jose Angel Mínguez Milio
37 Pelvic Floor Muscle Exercises to Prevent and Treat Pelvic
Floor Dysfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 643
Sahar Sadat Sobhgol
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38 Pelvic Floor Trauma After Childbirth . . . . . . . . . . . . . . . . . . . . . 671
Aubá María and Dietz Hans Peter
39 Procedures After Dehiscence of the Pelvic Symphysis . . . . . . . . . 695
Verónica Montiel Terrón and Pablo Díaz de Rada
Part IX Lower Body and Thigh
40 Physical Changes of the Lower Body and Thigh . . . . . . . . . . . . . 719
Demetrios Rizis, Kaitlyn Enright, and Andreas Nikolis
41 Cellulite: Etiology and Treatment . . . . . . . . . . . . . . . . . . . . . . . . . 735
Miriam Vicente-Ruiz
42 Gluteal Reshaping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 753
Alexander Aslani and Miguel G. Bravo
43 Thigh Liposuction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 763
Mónica Rubio Yanchuck and Carlos del Pilar Bérniz Laborda
44 Thigh Lift . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 787
Joseph Michaels
45 Varicose Veins After Pregnancy: Prevention and Treatment . . . 803
Javier Rangel
Contents
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 821
Part I
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Introduction
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