Is It Safe for a Breast Augmentation, Nipple & Areola Reduction, Tummy Tuck & Underarm Lipo to Be Done in the Same Surgery?

I have C sized breasts (wanting to go to a D) with moderate size areolas & nipples with a slight sag (my nipples were once pierced, stupid I know), & I have some fat near my navel & under arm I have not been able to correct with regular exercise. I am in good health, weighing 132 at 5’3.5”. I meet with a board certified surgeon who gave the OK with an est. 4 hr. surgery and have an appointment set with a another surgeon. I just wanted even more expert opinion. Thank you for your time.

Doctor Answers (12)

Combination surgical procedures?

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Hello! Thank you for your question! These procedures can be effectively and safely performed in one setting. The breasts and tummy tuck are commonly performed together, often referred to as the "mommy makeover". If you are healthy and your surgeon decides that s/he could perform the procedures in a safe time for you, these procedures certainly can be done in one stage. Staging the procedures to have them performed at various times will likely not have any cost benefit for you. When you combine procedures, there is often a discount that is provided by the surgeon for multiple procedures. Also, when having multiple procedures performed at the same time, you save on anesthesia and facility fees, which otherwise are paid for with each individual procedure. In addition, you may benefit by the single recovery time.

It is your decision as to whether you have your procedures performed in one or multiple stages, but your surgeon will give his/her recommendations. I would consult with a plastic surgeon well-versed in these procedures and discuss your concerns with your surgeon and see what your options are as well as have an examination. Your safety is ultimately the most important factor and is always on the mind of your surgeon when making such decisions. Hope that this helps! Best wishes for a wonderful result!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Mommy Makeover procedures take time to perform

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Mommy makeover procedures are quite lengthy and can take up to 6 hours to perform. As long as your plastic surgeon is comfortable staying under this time limit, then you can proceed.

David Finkle, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 48 reviews

Combined procedures and safety

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There are couple considerations for multiple procedures done at the same time.  Obviously, the safety should be our number one concern.  With several procedures, the operative time could be very long.  As operative time gets longer, complication rate (infection, bleeding) becomes higher.  In addition, your recovery will be tougher with so many surgeries all over your body.  Some patients may want multiple surgery in one session to avoid multiple recovery.  However, it will be best to limit surgery so that the operative time is less than 6-8 hours.

Dr. Sugene Kim

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.5 out of 5 stars 40 reviews

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Combining cosmetic surgeries can be done safely

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Yes, as long as you're cleared by your primary care doctor, you should be okay for those procedures. 

Jeffrey E. Schreiber, MD, FACS
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Mommy Makeover Safety

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For experienced, board-certified plastic surgeons operating on good candidates, it is safe to perform more than one procedure at a time.  We published a a research paper in the Aesthetic Surgery Journal in 2009 where we reviewed 268 of our mommy makeover combined operations and found no difference in complication rate from our low rate on individual procedures.

David Stoker, MD
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Combination procedures in one setting.

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The combination of a tummy tuck with a breast augmentation is a very common operation. The nipple/areolar reduction surgery is a minor procedure which adds little risk to the above combination. Underarm liposuction is also fairly minor from a recovery standpoint. The plan sounds reasonable if you are in good health, a non-smoker, and are properly cleared from a medical standpoint for surgery. When consulting for these types of "mommy makeover" surgeries, it is never a bad idea to seek a second or third opinion.

David Bogue, MD
Boca Raton Plastic Surgeon
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Surgery time for Mommy Makeover Reasonable

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From what you say, your health is good and you are a small patient. With this limited information and without seeing photos and examining you, I think that the planned surgery is reasonable and could be performed safely. When feasible I try to combine surgeries in one operative session. good luck

Richard Linderman, MD
Indianapolis Plastic Surgeon
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Multiple procedures safely done at one surgery

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Understanding that all surgical procedures carry some risk, assuming good health (no medical history) and normal laboratory findings a healthy young lady (your age?) should be able to tolerate your planned procedure safely (in the hands of an appropriately trained surgeon/anesthesiologist).
On this site, I do my best to give advice without a physical examination but I want you to know that a physical examination by a board certified physician is always the best way to get the most accurate information.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
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Combining multiple cosmetic procedures under the same anesthetic

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It is not uncommon to combine procedures such as those mentioned during the same operation.  Provided you are under the care of a board certified plastic surgeon and feel confident that you are well informed, I feel it is reasonable to proceed.  It is never a bad idea to get a second opinion however.  Good luck.

Kathleen Waldorf, MD, FACS
Portland Plastic Surgeon
4.0 out of 5 stars 12 reviews

Is It Safe for a Breast Augmentation, Nipple & Areola Reduction, Tummy Tuck & Underarm Lipo to Be Done in the Same Surgery?

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Yes you can accomplish ALL this surgery in one operative session. But best to be FULLY informed about all risks and results. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

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.