Mommy 2.0

When she was pregnant with her son Junior, who turns nine this month, Gabriela Acosta ballooned from 115 pounds to 196. Acosta lost the weight but wound up with stretched, saggy skin. Even her son noticed it. He told her that her stomach looked "pruney," the result, he thought, of staying in the shower too long. So the 29-year-old stay-at-home mom scheduled a consultation with Dr. Michael Salzhauer, a board-certified plastic surgeon in Bal Harbour, Fla.

Acosta told Salzhauer that she wasn't sure how to talk to her son about the procedures she was considering. That's when he showed her the manuscript for his children's picture book, "My Beautiful Mommy" (Big Tent Books), out this Mother's Day. It features a perky mother explaining to her child why she's having cosmetic surgery (a nose job and tummy tuck). Naturally, it has a happy ending: mommy winds up "even more" beautiful than before, and her daughter is thrilled.

The reassuring tale helped win Acosta over—she scheduled breast augmentation and a tummy tuck. Since February, when she had the surgery, she and Junior have read the book a half dozen times, and she says it helped him feel excited rather than scared. "I didn't want him to think [the surgery] was because I was hurting. It was to make me feel good," she says.

That message seems to have gotten through. Instead of being uncomfortable about the surgery, Acosta says her son actually spoke up about it at a big party. "Did you see her new belly button? It's so pretty!" he said of his mom. "I think he was proud," she says.

What's the market for a children's picture book about moms getting cosmetic surgery? No one specifically tracks the number of tummy-tuck-and-breast-implant combos (or "mommy makeovers," as they're called), but according to the latest numbers from the American Society of Plastic Surgeons, breast augmentation was the most popular cosmetic surgery procedure last year, with 348,000 performed (up 6 percent over 2006). Of those, about one-third were for women over 40 who often opt for implants to restore lost volume in their breasts due to aging or pregnancy weight gain. There were 148,000 tummy tucks—up 1 percent from the previous year.

Salzhauer got the idea for a book after noticing that women were coming into his office with their kids in tow. He says that mysterious doctor's visits can be frightening for children. "Parents generally tend to go into this denial thing. They just try to ignore the kids' questions completely." But, he adds, children "fill in the blanks in their imagination" and then feel worse when they see "mommy with bandages," he says. "With the tummy tucks, [the mothers] can't lift anything. They're in bed. The kids have questions."