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Pregnancy and your Body

by Dr. Diane Gibby • M.D., P.A., F.A.C.S 


Pregnancy is an exciting time in a woman's life. Most women enjoy being
pregnant and are happy with the changes motherhood brings. But for some, the physical changes caused by pregnancy can detract from the joy. In this article we will explain how your body changes during and after pregnancy, and ways to counteract these changes that won't interrupt your busy life as a new mother.

What you can expect:

SKIN/FACE: Many women experience a "glow" during pregnancy but some may
develop changes in skin pigmentation, called chloasma, which is common in the facial area. Studies suggest that up to three in four women may develop these changes which are characterized by a blotchy brown increase in pigment. Since sun exposure can make these areas darker, it is important to a wear sunscreen with an SPF of at least 15. These dark spots can usually be helped by bleaching agents such a hydroquinone.

Good News: hair may grow thicker, nails grow stronger, and blemishes may improve!

BREASTS: One choice that mothers-to-be must make is whether or not to breastfeed. Breastfeeding offers woman and their babies numerous health and bonding benefits. But many woman worry that breastfeeding will ruin the shape of their breasts. The truth is breastfeeding is not the culprit, changes in the breasts actually occur during pregnancy.

As the body prepares to nurture a child, milk glands in the breasts swell and replace fatty tissue. Many women may enjoy the fullness these changes bring. After childbirth and/or breastfeeding, these glands shrink, leaving behind a looser "skin envelope" and often smaller breasts. This loss of fatty tissue and stretching of the skin can cause the breasts to sag and look less full.

Tip: Wear good support bras during and after pregnancy.

Breast Augmentation, using safe, natural-looking implants, can return the breasts to their youthful contour. This procedure can be performed on an outpatient basis, with either local or general anesthesia. Also, breast implants should not prevent your ability to breastfeed in the future, since the implant is placed beneath the breast tissue and away from the ducts.

If a woman has developed a lot of looseness in the skin a "mastopexy" or breast
lift can remove excess skin and reduce sagging. An implant may be used at the same time to give breasts a fuller appearance.

BODY CONTOURS: Nowhere else is pregnancy more evident than a woman's abdomen. It was the nine-month home to an infant. It is also the place where stretch
marks, C-section scars and loose skin may linger long after childbirth.

Abdominoplasty or a "tummy tuck" is a procedure that removes excess skin and
fat from the abdomen and tightens muscles of the abdominal wall, reducing the
appearance of a protruding abdomen.

If the loose skin is limited to the area below the belly-button a procedure called a partial abdominoplasty, or "mini tuck" can be performed. This procedure usually requires a smaller incision and less time in surgery and recovery.

Small fat deposits that appear during pregnancy are often difficult to get rid of in the months following delivery. If a sensible diet and exercise don't do the trick, a procedure called liposuction can re-sculpt the body, removing fat deposits from the thighs, buttocks, stomach and hips. Liposuction is an outpatient procedure, and depending on the areas suctioned, may be performed under local or general anesthesia.

While not a substitute for weight loss, liposuction can be an incentive to a healthy weight loss program. When larger amounts of fat are involved, ultrasonic liposuction can be performed.

Most women can avoid significant permanent changes in their body contours
during pregnancy by paying attention to a nutritious diet and following a physician prescribed exercise program. Be patient...it may take six months to a year to reach your goals. You and your baby will reap the benefits of a healthier lifestyle!

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Diane Gibby, M.D., P.A., F.A.C.S  Licensed in Texas, Dr. Diane Gibby is board-certified by the American Board of Plastic Surgery (ABPS) and the founder of The Women's Center for Cosmetic and Plastic Surgery.  She is a member of the American Society of Plastic Surgeons (ASPS), American Society of Aesthetic Plastic Surgery (ASAPS), American Medical Association (AMA), Texas Society of Plastic Surgeons (TSPS), Dallas County Medical Society (DCMS) and the Board Certified Plastic and Cosmetic Surgeons of Dallas. She is also a Fellow in the American College of Surgeons (F.A.C.S.). Dr. Gibby's office is located at Medical City Dallas, Building C, Suite 820, (972) 566-6323. Individuals interested in brochures or names of qualified plastic surgeons in their area may call the American Society of Plastic and Reconstructive Surgeons at 1-800-635-0635.


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Dr. Diane Gibby, Plastic Surgeon, 7777 Forest Lane Medical City Dallas, Building C Suite# 820,  Dallas, Texas 75230.. 972-566-6323