Brazilian Butt Lift with Tummy Tuck can be done

I have done this many times. Each time requires a careful discussion with the patient for the following reasons:

1. For the Brazilian Butt Lift it is imperative you avoid pressure to the buttocks to ensure fat graft survival. Therefore, most of your rest time is on your stomach. 

2. For the Tummy Tuck, you want to keep the waist slightly bent to protect the muscle repair and keep the skin flap free of tension.

In practical terms this means you have to sleep on your stomach with lots of pillows propping your chest, or on your sides with a lot of pillow support to keep your butt offloaded. It is not easy, but it can be done.

Use of a pain pump helps a lot since you have to lay on your stomach so much. I also use the Lockwood technique for dissection of the abdominal flap, which gives me the freedom to harvest a lot of fat while at the same time keeping great blood supply to the abdominal flap so I'm not afraid of having the patient lay on her stomach.

Hi Littlelesr,

I have performed this combination many times. It does make recovery a little harder though, and there is an increased risks of complications, but fortunately, these are still pretty rare.

When I do a Brazilian, I recommend you lay on your stomach or sides. When you have a tummy tuck, you can't safely lay on your stomach. Therefore, you are left with your left side or right side or standing. You will definitely need some help for about the first week. It's tough, but I have never had a patient regret having it all done at once.

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