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Thigh Lift then Tummy Tuck and Breast Augmentation 2 Days Later?

asked 2 years ago by Jane900 in Birmingham, AL
Latest answer by Frank Agullo, MD
Question viewed 1,940 times
Tags: abdomen, breasts, thighs, female, combination

I am a female who has had a gastric bypass 4 years ago. My weight is stable and I'm in good health. Due to excess skin, I am having thigh lift surgery on January 4, 2010 and then a tummy tuck and breast augmentation on January 6, 2010. I can only take off 3 1/2 weeks total from work, which is the reason why I discussed with my doctor about having them so close together. Can this be done in a safe manner? I will be put under general anesthesia for both. Does it give enough time, given the anesthesia concerns and possible blood clots?

19 answers to Thigh Lift then Tummy Tuck and Breast Augmentation 2 Days Later?

Major surgeries separated by 2 days

A thigh lift is a major surgery and a tummy tuck and breast augmentation are also. Because these procedures are not done by non-plastic surgeons, I must assume that you are going to a Board Certified plastic surgeon. With all due respect to them and granted that I don't know you or your situation anymore than from this question, I will go head and say that in my opinion this is a very dangerous proposition. The life-threatening risk you face is from blood clots in the veins and this is... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Multiple surgeries in close succession are risky

As my colleagues have indicated, big surgeries carry big risks, especially when they are done at one time or in very close succcession. What is close succession? I don't think anybody know that answer for sure. Who is going to do that risky study? If you are contemplating surgeries so close to each other, it may be wise to consider either extending the distance between surgeries, or getting an ultrasound of your deep veins after the first and second surgeries to make sure that no early... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Combination procedures - thighs, abdomen, and breasts

In healthy individuals, combination procedures are safe. A thigh lift, abdominoplasty, and breast augmentation can be safely combined in one single procedure. This provides a single recovery period and a decreased total procedure cost. Most recommend that the procedure does not take longer than 6 hours, is performed at a certified facility, and done by a certified plastic surgeon.

Frank Agullo, MD
El Paso Plastic Surgeon

Tummy Tuck, Thigh Lift and Breast Augmentatio After Gastric Bypass

So what this boils down to is that you're having a two-stage body lift and a breast augmentation. I honestly don't see any point to doing these surgeries on two separate days so close together. A breast augmentation is an hour procedure and most surgeons who routinely do body lifts can complete them in 5-6 hours. This is only a total of 6-7 hours of surgery which is safe as long as you don't have any significant heal issues. I recommend having them done together and not interrupt your... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Stage the thigh lift, tummy tuck, and breast augmentation

This is a 'What If' question. If in operation 1 your Plastic Surgeon can do at least the tummy and breasts, then if your blood count is too low, the thighs can be done in a few months to the next holiday break you have. Safety is the number 1 concern. Just be careful Good Luck!

Darryl J. Blinski, MD
Miami Plastic Surgeon

Safety and timing of multiple plastic surgery procedures

I frequently perform combined procedures for body contouring ,and abdominoplasty (or lower body lift) and breast surgery (augmentation with or without a lift) are a common combination. I believe that it would actually be safer to include the thigh lift with your tummy tuck and breast augmentation than to separate the procedures by only two days. This very short period would seem to offer no advantage in terms of your safety or comfort. Make sure that your surgeon plans to use pneumatic... more

Michael D. Yates, MD
Huntsville Plastic Surgeon

Staging plastic surgery procedures

Hello, You have heard the advise of many Board Certified Plastic Surgeons. There are many issues to be considered. Your nutritional status and healing capability, anemia? Vitamin difficencies? Albumen level? The risk of blood clots? Staging a procedure only two days apart is not enough to heal, is not enough time to overcome the risk of blood clots from the first surgery. It takes 6 weeks to be back to normal after surgery and thee risk of blood clots. We all combine procedures and that can... more

Samir Shureih, MD
Baltimore Plastic Surgeon

Combination surgery can be safe

I routinely combine lower body lifts with either breast lifts or thigh surgery. My philosophy is that one downtime, one exposure to anesthesia, and one time off work is the better and safer option. That being said, I also work with a very efficient and experienced team at a fully equipped hospital. We routinely accomplish the procedures in 5-7 hours, and we are compulsive about minimizing blood loss, keeping our patients warm, and ending the surgery early in case there are any concerns. more

John LoMonaco, MD
Houston Plastic Surgeon

Thigh lift followed by breast augmentation and tummy tuck 2 days later is too much

I think doing all that surgery together or as you have mentioned two days apart is too much. Decide what you want first then come back even if its next year when you have more time.

Sharon Theresa McLaughlin MD
Long Island City Plastic Surgeon

I wouldn't recommend multiple surgeries over short periods of time

Just because something is possible doesn't mean it should be done. You have obviously had a very successful gastric bypass and are now in a great position to proceed with the body contouring procedures which will achieve your aesthetic goals. Although you may not feel like it, these are elective procedures. Acceptance of risk and tolerance for complications are lower than with medically required procedures. Although there is no scientific literature to refute multiple surgical procedures or... more

Robert W. Kessler, MD
Orange County Plastic Surgeon

Multiple surgeries within 48 hours is risky

Hello It is not so much the fact that you will have anesthesia twice in close succession, but the magnitude of the procedures is what concerns me. Having a thigh lift is a big deal and you may have drains put in. You may also be less mobile and then having a tummy tuck and breast augmentation within 48 hours will really set you back. If you were my patient I would counsel you against having all those procedures. If you only have 3 1/2 weeks, pick what bothers you most and stick to that. more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

Multiple surgeries timing

No one can give you a definitive answer on all this but it is my opinion that the scenerio that you present may actually be the least desirable (and probably done least often). The second least desirable would be to do it all at the same time(and this is commonly done). The safest would be to do three separate procedures. Obviously doing three separate procedures will make the total recovery and total costs greater. My concerns about the two staged surgery within a few days is that it... more

John P. Stratis, MD
Harrisburg Plastic Surgeon

Mulitple Serial Surgical Procedures and Risks

Clearly, you are at elevated risk for blood clots (DVT) from one major procedure. Furthermore there are additional risks from having major surgeries under prolonged anesthesia in serial succession. What we can't do is to absolutely quantify the risk per hour. The only way to eliminate the risk is to not undergo surgery. Most prophylactic measures such as using compression devices will help reduce the risk. The use of blood thinners has the potential to diminish the risk but the tradeoff is... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Clumping 2 major Body Shaping Operations sessions 2 days apart

I completely agree with Dr. Rand's statement except for the assertion that only Plastic surgeon do such operations. We are beginning to see body contouring procedures being done by Family Practice and GYN physicians in many cities. You explain the REASON for clumping all these operations together is your limitation of being able to only take 3.5 weeks off. Here are my questions to you: 1. What makes you think that having so much surgery at one time will not INCREASE the amount of time you... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Combined procedures in weight loss contouring

I regularly perform combined contouring procedures in one setting. I will often perform a circumferential body lift (belt lipectomy) with a breast procedure. Two days ago, I performed a circumferential body lift with a thigh lift. However, it is important to select a board certified ASPS member plastic surgeon who is well-versed in masive weight loss contouring. I generally develop an elective contouring plan that can be safely completed by my team in less than 7 hours that includes... more

C. Bob Basu, MD
Houston Plastic Surgeon

Too much surgery too soon

In usual circumstances, the only reason to return to the operating room within two days of an operation is because of a complication. This seems like too much surgery with little time for recovery. You place yourself at an increased risk for many complications including dehydration, fluid imbalance, DVT and infection. Ordinarily, I would like to space these procedures out by at least 3 months if not more depending upon the specific medical circumstances.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Contour surgery after gastric bypass is best staged

While all those procedures can be done, I think it would be best to stage them several months apart. Two days apart does not give you anytime to recover. I think the risks may be as high if not higher than combining them in the same day of surgery.

Steven Wallach, MD
Manhattan Plastic Surgeon

Safety of staged procedures in a gastric bypass procedure

Post bariatric surgery cosmetic rehab is one of my professional passions, and I have a lot of experience with the procedures you are discussing. From my experience, there are two main problems a RNY patient has regarding surgical recovery. The first is that of dehydration. Due to the restrictive and malabsorptive nature of the RNY, you will be dehydrated-fact. This can be overcome with iv fluids during the procedure, and an overnight stay for support. The next problem is that of... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Combining plastic surgery procedures

Hi Jane900 - It sounds as though you should be okay, but make sure you get up and walk around frequently even the night of surgery. If you can stay overnight in the hospital, a nurse can help you with this and you can get intravenous pain medicine. Good luck!

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

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