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Mommy Makeover Before and After
Vancouver, WA near Portland, OR

You're worth it.

Motherhood changes everything — including your body. At Evergreen Plastic Surgery in Vancouver, WA, we offer personalized Mommy Makeover procedures designed to restore your confidence by addressing the physical changes that linger after pregnancy, weight loss, or breastfeeding.  This gallery features real before-and-after images of patients who underwent combinations of abdominoplasty (tummy tuck), breast augmentation, breast lift, liposuction, and bra line back lift with Dr. Kate Impastato, a board-certified female plastic surgeon known for natural, elegant results.  Patients travel to our boutique clinic in Vancouver from Camas, Portland, Seattle, Ridgefield, Bend and throughout the Pacific Northwest because they want a thoughtful, customized approach — not a cookie-cutter procedure.

 

All patients have consented to share their images to help other women feel empowered in their journey.

Hiking

"I am better for me and my family loves what it has done for me too.  My back pain is improved. I can move around more easily without having to navigate around my breasts or belly and I feel confident in my own skin for the first time in  a very long time."  

          - Patient from Portland, OR

“I wasn’t sure if I should do surgery, but after years of putting myself last I did something just for me. Dr. Kate and her team were incredible every step of the way.  They helped me realize this isn't a surgery you should do for someone else, its a surgery to do for myself, so I feel good about how I look and feel. I'm so happy I finally did it." 


— 39-year-old patient from Camas, WA 

Age: 46 
Procedure: Mommy Makeover Procedure consisting of a Tummy Tuck (aka Abdominoplasty)
& Breast Lift 
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

This inspiring 46 year old mother raised two brilliant, strong daughters—and with the love and support of her husband finally was ready to take a moment to take care of herself. After years of putting her family first, she committed to her health, lost weight through consistent diet and exercise, but was still feeling uncomfortable in her own body.

She chose to have a tummy tuck (with muscle repair) and a breast lift to restore her shape and feel more confident in her skin. It has been great getting to know her and her husband and only hope to meet their incredible powerhouse daughters one of these days!

Age: 34 
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty)
& Breast Lift 
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

"I love my cute belly button!" This 34 year old was able to get back to her goal weight after having three children all of which she breastfed. She had had a breast reduction years ago but after breastfeeding her breasts were stretched and had lost their perky appearance.

Through good old fashioned grit, determination, healthy diet choices, and exercise she was able to reach her goal weight but remained disappointed that her outward appearance did not match how young and fit she felt.

During our first consultation we discussed that no amount of will-power can repair a chronic rectus diastasis (separation of abdominal muscles) or remove extra skin. Which is where I got to help! She underwent abdominoplasty/tummy tuck with rectus diastasis repair and breast lift.  She is thrilled with her results!

Age: 42
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty)
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

This amazing 42-year-old mother of two underwent a Tummy Tuck (aka Abdominoplasty).  She does literally everything she can for everyone around her.  She works, volunteers, coaches, takes care of her neighbors and friends...you name it she does it!  She was really anxious to undergo surgery especially an elective one.  She has a low pain tolerance and had never had any surgery done before. She was worried about the down time, the pain, the risks, etc but ultimately decided she wanted to do this for herself.  She had a very large diastasis (separation in her abdominal muscles) from having two really big kids.  Now that that is repaired she can strengthen her core again!   

She did great postoperatively.  Her drains were removed at two weeks postoperatively.  She works from home so was able to start work again a week after surgery.  She took 6 weeks off from exercising and is back to competitive sports now!    She is super excited about the adorable bathing suits she just picked out (thank you for sending me photos!!!)  It is fun joining in the celebration.  

Age: 54 
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty)
& Breast Lift 
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

This vibrant 54-year-old lady has a zest for life that is contagious.  I met her several years ago at which point she was unhappy with the appearance of her breasts and abdomen.  She wanted her breasts lifted and augmented and a tummy tuck.  

I recommended staging her breast lift and augmentation, as this approach is often safer and more predictable. Additionally, many women find that once their breasts are lifted, they’re satisfied with the results and no longer feel the need for additional volume. This can help some patients avoid an unnecessary second surgery.

She decided to proceed with a breast lift and tummy tuck, and her recovery was seamless! Since then, she has embraced a healthier lifestyle, achieved her ideal weight, and is maintaining it beautifully—enhancing her surgical results. With her weight loss, she noticed some loss of breast volume and is now planning a small augmentation to refine her overall look.

Age: 51 
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty)
& Breast Lift 
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

This 51 year old woman is 3 months postop following "mommy makeover" including a breast lift and tummy tuck (aka abdominoplasty). Like so many moms, she put herself on the backburner for decades before finally taking care of herself.  

She breezed through the recovery process with minimal pain.  At six weeks she was back to exercising and is so happy she took the time to recover.  She feels like herself again!

Age: 34 
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty)
& Breast Lift 
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

This hardworking 34 year old was determined to get fit after having three children. She had a breast reduction years ago prior to having children but after breastfeeding her breasts were stretched and had lost their perky appearance. Through good old fashioned grit, determination, healthy diet choices, and exercise she was able to reach her goal weight but remained disappointed that her outward appearance did not match how young and fit she felt.   She was very worried with how her belly button my look postop but thankfully she likes it better than her original!  She is excited to go bathing suit shopping!

Age: 31
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty) and Breast Augmentation
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

Confidence at last! This 31 year old mother of four children didn't experience much weight gain with her pregnancies but her abdominal wall remained stretched out after having her children.  She had a large chronic rectus diastasis (separation of abdominal muscles) that could not have been restored without surgery.  She was also unhappy with the deflated appearance of her breasts after breastfeeding.  She underwent abdominoplasty (aka tummy tuck) which includes a rectus diastasis repair (putting the muscles back together) and placement of small silicone implants to return volume to her breasts.

It was so rewarding to see her emotional tears preoperatively turn to tears of joy when she finally looked at herself postoperatively.  She finally feels confident in her own body again.

Age: 55
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty) and breast augmentation
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

Hidden Scar! This 55 year old woman underwent a mommy makeover including a breast lift and a reverse abdominoplasty. A reverse abdominoplasty is a tummy tuck done with an incision in the bra line to avoid the incision from hip to hip, not all patients are good candidates for it but she was! She had a breast lift and augmentation done 18 years ago and wanted smaller perkier breasts and a smooth abdomen. Since she was going to have scarring under her breasts for the breast lift and she didn't have a big rectus diastasis (separation of her abdominal muscles) she was a great candidate for a reverse abdominoplasty! She was very excited to avoid the lower abdominal scar. She is over the top excited with her results and feels so comfortable in her own skin again!

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Age: 37 
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty) 
& Breast Reduction
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

At 37, this hardworking ICU nurse, wife, and mother of two had already achieved an incredible 90-pound weight loss—but her body wasn’t reflecting her strength and fitness level. After years of carrying stretched skin and working through chronic back pain, she chose a transformative mommy makeover: combining a breast reduction with a tummy tuck.

 

I always combine liposuction and rectus muscle repair as a part of my tummy tuck surgery.  Repairing the rectus muscle brings these muscles back to the midline putting them back in their correct orientation.  This improves core strength and often relieves back pain!  Now, just six weeks post-op, her body has finally caught up with her resilience. With a lighter core and renewed support, she stands taller, moves easier, and radiates confidence—inside and out.

Age:  48
Procedure: Mommy Makeover including a Tummy Tuck (aka Abdominoplasty) and Breast Reduction
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA

This amazing 48 year old woman had three kids, one via C-section, breast fed, then did the incredibly hard work it takes to loose the baby weight but despite her dedication to intense exercise every morning at 6am she wasn't happy with her body.  

At 3 months postop she is thrilled with her results.  She walked 10 miles on vacation with NO LOWER BACK PAIN!!!  Despite the same exercise routine (actually doing lighter weights now as she is still ramping up since taking time off to recover from surgery) her core is so much stronger now that her diastasis has been repaired. Repairing a diastasis during a tummy tuck isn’t just cosmetic — it restores your core. By bringing the abdominal muscles back to their natural position, we improve their strength, stability, and function. It’s about looking better and feeling stronger.

Age:  32  year old 
Procedure: Mommy Makeover including a Tummy Tuck (aka Abdominoplasty) and Breast Reduction
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA

This 32 year old Mom is 6 weeks postop! After having her children she was not pleased with the changes her body went through. She lost a lot of weight but was left with breasts lower than she wanted a hanging skin.  She is now recovering from her Mommy Makeover!

At 6 weeks she is still swollen and early on in the recovery process but it is safe for her to start exercising and getting back to her regular routine!

Age: 39 
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty)
& Breast Augmentation
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

This incredible 39-year-old woman wanted to regain her confidence.  She wanted a subtle increase in her breast volume and upper pole fullness as well as a repair of her rectus diastasis (separation of her abdominal muscles) and removal of the extra skin and fat.   She wanted to look natural and not overdone. During implant try ons she shared her goals and chose a few implant sizes that looked great on her.  She was spot on with her choice, during the surgery I use sizers to make sure the size the patient chooses matches what they have shared they want it to look like.  

She breezed through her recovery period and is so kind to share how big of an impact this surgery has had on her confidence.  We love seeing her in clinic and love sharing in her joy!  

Age: 34 
Procedure: Mommy Makeover procedure consisting of a Tummy Tuck (aka Abdominoplasty), Bra line back lift, 
& Breast Augmentation
Surgeon: Dr. Kate Impastato
Location: Vancouver, WA near Portland, OR

This beautiful 34-year-old mother of three is 6 weeks out from her Mommy Makeover, which included: Abdominoplasty (Tummy Tuck), Breast Augmentation, and Bra Line Back Lift

 

During her 6 week appointment she and Dr.Kate both teared up as she shared how life changing this surgery is for her.  She has never loved her body so much, she can't believe it is hers. 

 

 She is a nice reminder that it’s okay to do something just for you — to improve your confidence, feel good in your skin, and celebrate everything your body has carried you through.⁠  She said she is saving so much time getting dressed because she feels so good in everything, she doesn't put herself through the mirror posing ringer in every outfit. 

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13317 NE 12th Ave, Suite 107

Vancouver, WA 98685

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