So-called mommy makeovers can involve a variety of procedures, but often involve tummy tucks to tighten stretched abdominal muscles, liposuction to remove excess fat and a breast lift, with or without implants. The American Society of Plastic Surgeons reports that demand for those three procedures rose by 11 percent for women ages 20-39 between 2005 and 2006.

Shannon Buttram, of Beaumont, got six souvenirs from her pregnancies: four adorable children, a shriveled bust line and bulging lower stomach.

Unable to regain her old shape through exercise, Buttram, 32, opted for breast augmentation and a tummy tuck, popular procedures in what plastic surgeons have dubbed "the mommy makeover."

"I just wanted to fix what childbearing did," said Buttram, a registered nurse whose children are 12, 8, 4 and 3.

The birth of a last child often sends women to a plastic surgeon for the first time, typically for tummy tucks and liposuction, breast lifts and, sometimes, implants to fill out sagging breasts.

It's so common that a Scottsdale, Ariz., plastic surgeon calls the combination surgeries he offers women after pregnancy "The Post Baby Tune-up."