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My doctor suggested that I do my Tummy tuck and Brazilian Butt Lift together. What are the risk of doing this together? (photos)

He has done many of these together with good results. My question is , Is this advisable ?, And what are the risk of doing this together , verses waiting 8-9 Months to come back to get the Tummy Tuck ?

Doctor Answers (11)

It's Up to You

+1
Thanks for your question. I always prefer to perform these procedures separately. The recovery from each procedure on its own is significant. Usually, it is suggested to sleep on your stomach after the butt lift, and that is almost impossible to do if you have the tummy tuck at the same time. Of course the exact opposite is true with the tummy tuck — you have to sleep on your back and butt after a tummy tuck. The bottom line (no pun intended) is that if your surgeon has had a good experience performing both together, then you should follow his lead. Good luck with your decision.


New York Plastic Surgeon
5.0 out of 5 stars 6 reviews

Staged Procedures Have Lower Risk

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There are many procedures that I will perform together, sometimes three procedures in a given anesthetic. In general, if the procedures can be performed in under 5 hours, I feel that it is safe to proceed. Most commonly, I perform breast and tummy procedures together.
However, the risk of complications increases when surgery lasts longer than 5 hours and when multiple procedures are performed together. These risks include infection, wound problems, and most notably deep vein thrombosis (blood clots). The risk of blood clots when tummy tuck only is performed is about .3%.  When you combine a tummy tuck with additional procedures, the risk goes up to around 1%. This is still a low number, and still is considered safe, but it is three times the risk doing the combined procedure.
I generally prefer to stage a tummy tuck and Brazilian butt lift, for example, in order to reduce this risk, and I make every effort to ensure that cost is not a barrier to safely staging complex procedures.

Adam J. Oppenheimer, MD
Melbourne Plastic Surgeon
5.0 out of 5 stars 59 reviews

Combined surgery

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If you have carefully chosen your surgeon and entrustd you care to her/him - then I would suggest that you follow your surgeon's advice including a discussion of risks.  

Michael B. Tantillo, MD
Boston Plastic Surgeon
4.5 out of 5 stars 18 reviews

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Thank you for the picture. Personally in my hands I don't do those procedures together. If you have chosen surgeon that has a reputation and evidence that he/she has good results by combining the procedures then you should feel confident in going that direction.

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In my experience, the two procedures simultaneously can lead to a lesser result in each. I am opposed at this time to doing them together. There is validity to gather as much fat as possible and transfer it to the buttock area first. To obtain maximum augmentation of the buttock area after fat transfer requires a period of no pressure on the buttock region. The Tummy Tuck (Abdominoplasty) requires flexion of the abdominal waist area after excision of the skin. These two post operative requirements are- in my opinion opposing to each other. I usually recommend abdominoplasty first as it gives the most dramatic improvement that will last. 

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In my patients, I recommend that if they can afford to do them separately, to do the Brazilian Butt lift first and then do the tummy tuck 2 months later.  The reason for that is that after the BBL, I recommend they sleep on their stomach for 2 months to maximize the chance that the fat grafts won't shift.  If you do the tummy tuck, you will have to sleep face-up so you will be putting weight on your buttocks.  That would cause the fat grafts to shift or die.   With a  tummy tuck, most patients cannot sleep comfortably on their stomachs for 6-8 weeks.

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My doctor suggested that I do my Tummy tuck and Brazilian Butt Lift together. What are the risk of doing this together?

+1
  In good candidates who are healthy, the combination can be performed effectively and safely.  Appropriate postoperative protocols are necessary to ensure proper healing and fat survival.

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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.