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Safe to Combine Breast Augmentation Revision, Areola Reduction and Lipo?

asked 2 years ago by aricarai in Seattle, WA
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 1,033 times
Tags: areola, combination, safety

I'm interested in a getting a breast augmentation revision (going smaller) with a possible areola reduction and liposuction of the inner/outer thighs and possibly stomach and flanks. Is it safe to do all this in one surgery? Thanks in advance!

16 answers to Safe to Combine Breast Augmentation Revision, Areola Reduction and Lipo?

+4

Combination Surgery

The more procedures in a combination can increase the anesthesia time associated with a case. It is a frequently requested combination, and can be done safely if the liposuction portion is manageable. Patient selection is key as the patient's health profile and emotional/mental state will impact the amount of surgery the patient can handle.
+2

Safe to combine breast augmentation revision, areola reduction and lipo?

 Hello, You know the answer!!  Your health status comes first, then your communication / understanding with your treating doctor then follow through on BOTH sides. If you are not comfortable with the communication portion then you should seek more consultations with other doctors.  
+2

Safe plastic surgery

No one should tell you that something is safe to do other than the surgeon who has seen and examined you. If you don't have confidence in the opinion of the surgeon you have seen, then you should see another board certified plastic surgeon. It depends upon your health, the complexity of your exact situation, how quickly and bloodlessly your surgoen operates, how much liposuction you need to have done, and many other facdtors that cannot be considered by anyone not personally examining you.... more
+2

Is it safe to combine augmentation revision with liposuction?

Hi Aricarai. Assuming you are in good health, it is safe to combine these procedures. In general when combining procedures, I do not like the operating time to be longer than 5 hours and I do not combine major liposuction with other large procedures. Liposuction of the inner and outer thighs could probably be safely combined with the breast surgery. Depending on how much liposuction needs to be perfomed in total if you add in the stomach and flanks, you may be able to combine all of it. ... more
+1

Safe to combine breast and lipo surgery

I perform mulitple procedures safely in a hospital setting all the time in healthy patients. I do advise my patients that any multiple sites, larger volume patients may have to electively spend the night in the hospital for safety reasons--our associtation dictates that any volume removed in excess of 5 liters may be a candidate for an overnight stay. Ask your doctor their thoughts and then make a plan, but it is safe to combine breast and body procedures at the same time. Good luck. more
+1

Safety of combined procedures

The combination of surgery you are describing is a common one and one that can usually be done safely in one operation as long as you are healthy and in good shape. 
+1

Safety for breast augmentation and liposuction

In many patients this combination may be safe. Your evaluating plastic surgeon is the best one to review the details of optimizing safety and reviewing risk factors. In my practice all patients over 40 and any patients with significant medical problems also have a visit with their internist for another opinion regarding safety and its optimization. There are many factors that go into the equation for safety including your general health, your weight, the length of surgery, anticipated... more
+1

Multiple procedures performed at the same time: Is it safe?

Risks of surgery are more related to your overall health as well as the length of surgery. There is a higher potential for deep venous thrombosis (clotting) with longer and combined procedures but more commonly with pelvic or abdominal surgery. The comination you describe is commonly performed but there are many factors to consider. If you are on birth control pills, some physicians advise cessation of these 4-6 weeks prior to surgery. Discuss your concerns with your surgeon and... more
+1

Breast augmentation and liposuction

It certainly is possible to combine a breast augmentation, nipple areola reduction and liposuction provided that you are healthy.  I do this all the time.
+1

Breast Augnentation and Liposuction

Combining various cosmetic procedures is nothing new. In fact combining breast surgery and liposuction is very common. The breast augmentation is done first followed by the liposuction. The general guidelines are that no more than 5 liters of aspirate should be removed at one time and surgery should try to be linited to 8 hours. However, this last guideline can be stretched.
+1

Multiple Procedures

This is a very common question asked. From what you have listed, and assuming that you are healthy and young, I would likely say that it would be ok to undergo those multiple procedures. Hope that helps. I think the rate limiting procedure is going to be the breast revision surgery which at times can be unpredictable. Good luck.
+1

Combining breast augmentation revision, areola reduction and lipo

Surgical risk is related to your health, your age and the total duration of your procedures and the experience of your plastic surgeon. According to the American Society of Anesthesiologists, we automatically go from ASA (risk category) I - to II when we reach age 35. Thereafter, their risk classification is associated with the presence of OTHER health factors (see http://my.clevelandclinic.org/services/Anesthesia/hic_ASA_Physical_Classification_System.aspx ) In cosmetic surgery, we... more
+1

In general this is very safe

Many procedures can be combined. In general you should be in an accredited facility, your surgeon should be board certified by the American Board of Plastic Surgery, and the total time maximum should be around five hours. What you described can be done in that time period. You should be in good health and any medical problems should be fully discussed with your surgeon and primary care physician. All the best. Tal Raine MD
+1

Breast Augmentation, liposuction, combination surgeries, plastic surgery

Dear Aricarai, combining surgical procedures is safe. Any surgery over 1 hour has increased risk of complications, however that increased risk is small. Things that increase your surgical risk are- smoking, being overweight, diabetes, known heart or lung disease, BCP, poor health. With Warm Regards, Trevor M Born MD
+1

Medical clearance and surgery

This does not sound like a lot of surgery for a healthy person. When a patient is scheduled for surgery, labs need to be drawn, history and exam is taken and in case of any risk more tests will be ordered. In general, there is no limit on the number of hours for surgery, but when surgery exceeds 6 hours, more risks could be expected. Hope that helps.

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