Can I Have Multiple Cosmetic Surgery Procedures Done at Once?

I'm interested in getting 3 procedures: Breast Augmentation, Chin implant and Liposuction. When I mentioned this to my surgeon he told me that it's better to do it all at once. I have to admit, I'm a bit nervous about getting it done all at once. Is it better to do it all at once and get it over with? I know that it's going to save me money, but will the pain be 2 much or will I be able to handle it?

Doctor Answers (17)

Multiple procedures performed at same time

+1

Performing multiple procedures at the same time can be done provided that the surgical time is not excessive. A breast aug and chin implant shouldn't take more than 2 1/2- 3 hours and depending upon how much liposuction, you are probably looking at another 1 -2 hours. Provided that you are healthy , it probably is OK. Just review this with your doctor.


Manhattan Plastic Surgeon
4.5 out of 5 stars 16 reviews

Safety is the most important thing to consider

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Although many surgeons perform multiple procedures at the same time to convenience their patients while under anesthesia and for their patients to avoid needing to take different times off work during which they can recover, it is worth getting a second opinon for a surgeon to gauge the amount of surgery needed with your liposuction. If the total hours of the procedures becomes a lengthy surgery, then risks do increase while under anesthesia. Safety is the more important concern than postoperative recovery with multiple procedures when done together.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

Okay to do these three surgeries at one time

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Having a breast augmentation, chin implant, and a liposuction is certainly acceptable to do at one setting. There is a cost-savings performing of procedures together, and one recuperative time period. That type of surgery should last approximately three to four hours, and that is an acceptable period of time to be performed as an outpatient procedure.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Length of Surgery

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Dear Vivid, excellent question! We do multiple areas all the time- it is safe as long a the proper precautions in pre-op planning, compression garments of legs, and proper positioning on the OR table and mobilization during surgery.

Pain with surgery is not that big an issue for most people. The OR time should be limited to around 5 hours.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 46 reviews

It depends on several things

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It is safe to combine multiple procedures IF the total surgical time is under 6 hours, and if some of the procedures don't increase the risks associated with the others, and if the surgeon is comfortable with the combination. Yours seems to be a reasonable combination depending on how much liposuction is being done.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

Multiple procedures are OK -- up to a limit

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In general, doing multiple procedures at the same time is smart: It saves money: you don't have to pay the "start up" costs for the OR and anesthesia again, which makes the first hour of a procedure the most expensive; and you can fit your recovery (time at home, arranging time off work, child care, etc) all in one period. The only thing I caution my patients is that I limit my elective procedures to 6 hours or less. One of the worst possible complications from surgery (of any type) is a DVT or PE - a venous blood clot that could migrate to the lungs. These are a side effect of "sitting still" under anesthesia, and are related to the time of the procedure, so personally I prefer to keep all cases less than 6 hours. Discuss these issues with your surgeon, and always do what is safe.

Michael A. Bogdan, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 48 reviews

Having Multiple Procedures is Just Fine

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We often do multiples at the same time. There are two main reasons. First, is cost. The first hour of surgical time is the most expensive so getting multiple procedures costs less in the long run. The second reason is convenience. Most patients think that if they're going to be down for one procedure they might as well recover from all of them at the same time. Again less social down time overall.

Getting multiple procedures is safe. Anesthesia is safe for an hour surgery or 30 surgery. There really isn't difference.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
5.0 out of 5 stars 16 reviews

Multiple Procedures are safe in properly selected patients

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There have been a number of studies done to evaluate the safety in performing multiple procedures. When done in properly selected patients there was no increase in complications. You will also have one less anesthetic when done at the same time. Pain is usally not a factor, agiain many people prefer just one recovery. However, if you don't feel totally comfortable with having it all done at once, then have them done at seperate times.

Robert M. Jensen, MD
Medford Plastic Surgeon
4.5 out of 5 stars 20 reviews

Your safety is the first priority

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It is common that multiple procedures be done at the same setting but your safety has to be the primary focus. The time that you are under anesthesia is important and where you will recover. It may be prudent for you to recover in an overnight care facility where the nursing staff can make sure to help you get out of bed to walk, encourage fluids and deep breaths, change your dressings, etc. I think your plastic surgeon will be able to help control your pain and once you have recovered, you will be happier, all things considered, that you only had this one recovery. Best of luck.

Dr Edwards

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 11 reviews

Yes, it is safe for a healthy patient

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Combining procedures can be either safe or risky. It really depends on what procedures and what the health status of the patient is. A young patient having breast augmentation, a chin implant, and liposuction (of limited areas) is really a safe procedure. The length of the combined procedures is not particularly long and does not pose a large risk in terms of anesthesia. You will have three (or more) areas that need to recover, but I do not feel that the pain will be "excessive." I agree with your surgeon--assuming you are young and healthy. Good luck.

Sirish Maddali, MD
Portland Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.