Impact of Mommy Makeover Surgery on Couple Relationship Quality and Female Sexual Wellbeing: A Prospective Dyadic Study.

Background: Pregnancy induces profound anatomical and psychological changes that may persist postpartum, often affecting body image, self-esteem, and relationship satisfaction. The "Mummy Makeover"-a combination of aesthetic procedures-has emerged as a surgical response to these multifactorial concerns. However, its impact on psychosocial wellbeing remains underexplored.

Methods: In this prospective observational study (2021-2024), 42 women undergoing mummy makeover procedures (abdominoplasty, breast surgery, liposuction) were assessed alongside their partners at baseline, 6, and 12 months postoperatively. Relationship quality (Dyadic Adjustment Scale), sexual function (FSFI), body image (BIS), self-esteem (RSES), and surgical satisfaction (BODY-Q) were measured. Correlations between physical, emotional, and relational outcomes were analyzed.

Results: Significant improvements were observed in relationship satisfaction for both patients (DAS-7: + 4.4 at 12 months, p < 0.001) and partners (+ 4.2, p < 0.001). FSFI scores rose markedly (+6.3, p < 0.001), particularly in desire and satisfaction domains. BIS scores improved (median decrease: 9 points, p < 0.001), correlating strongly with FSFI gains (ρ = 0.67, p < 0.001). Self-esteem also increased significantly. At 12 months, over 90% of patients reported enhanced quality of life and willingness to undergo surgery again. Partners echoed improvements in emotional closeness and sexual intimacy.

Conclusions: Mummy makeover surgery significantly enhances not only physical appearance but also relationship quality, sexual wellbeing, and psychological health. These findings support a holistic view of postpartum aesthetic surgery as a potential tool for emotional and relational rehabilitation.

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