Tummy Tuck, Brazilian Butt Lift, and Breast Augmentation Advice?

In my practice it is common for me to perform all of the procedures you mentioned at the same time. However, I use an assistant to save total operative time with the goal less than 6 hours of surgery (often far less than that) to minimize potential complications and for a speedier recovery. Sometimes there are even less scarring as for straight augmentations, I place the implants using the TT incision without the need for breast scars. My patients following a TT with or without a BBL stay in a reclining chair the first week. A flat tempurpedic pillow beneath your back and upper thighs will offload pressure on your buttocks. The benefit is only one surgery, only one recovery (you heal from all procedures simultaneously) and that you can use the fat that would normally be discarded from the tummy tuck. Pros and cons of this decision should be part of your in depth consultation with your plastic surgeon including the increased risk of complications with long surgeries and how to prevent them. Your plastic surgeon will guide you into making the best decision in your individual case. The most important decision is picking the best plastic surgeon experienced in this technique. See link regarding finding the best surgeon for combined surgeries.#BB,TT,BAatSameTime

Hello, and thank you for your thoughtful question regarding whether you should combine a tummy tuck, Brazilian Butt Lift (BBL), and breast augmentation into one surgery or split them into two stages. Technically, yes, it is possible to combine all three surgeries in one session, and some plastic surgeons do offer it. However, many experienced, board-certified plastic surgeons, myself included, often recommend staging these procedures for a few important reasons.

First, the total surgical time when combining a tummy tuck, BBL, and breast augmentation can easily stretch to 8 to 10 hours or more. Longer surgeries are associated with a higher risk of complications, including blood clots, wound healing problems, and infections. Secondly, there are significant postoperative positioning challenges. After a tummy tuck, patients need to stay flexed, meaning slightly bent at the waist, to protect the abdominal closure. After a BBL, patients must avoid putting pressure on their buttocks to protect the newly transferred fat. Combining the two surgeries makes it extremely difficult to protect both surgical areas properly during recovery, and this can compromise results. Third, combining all three surgeries places a tremendous healing burden on the body. Your body heals best when it can focus its resources on fewer areas at once. Stretching your healing capacity across your breasts, abdomen, and buttocks simultaneously can lead to increased swelling, prolonged recovery, and higher risk of setbacks.

For these reasons, many surgeons, and it sounds like your surgeon as well, recommend staging the procedures. Typically, the first stage involves performing the tummy tuck and the Brazilian Butt Lift together. After about three to six months, once the body has had time to heal and swelling has subsided, the second stage would be the breast augmentation. Staging your surgeries makes recovery safer, more manageable, and often produces better aesthetic results because each area gets the attention it needs during healing.

In short, if you are very young, healthy, and low risk, it may be possible to combine all three surgeries, but it will make your recovery extremely difficult and uncomfortable. For most patients, separating the surgeries is the safer and smarter choice. It is wonderful that you are thinking ahead and asking these questions — it shows you are serious about making the right decision for your body and your long-term results.

Wishing you the best as you move forward with your journey.

Sincerely,
Dr. J. Timothy Katzen, MD, MBA, FASMBS, FICS
(Certified by the American Board of Plastic Surgery and President of the American Society of Bariatric Plastic Surgeons; Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery; Member of the American Society of Plastic Surgeons, American Academy of Cosmetic Surgery, and RealSelf Hall of Fame)

Before moving forward, be sure to review your surgeon’s qualifications carefully, look at detailed before-and-after photos, and ensure your surgical plan prioritizes your safety and long-term satisfaction.

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
Respectfully,Dr. Emmanuel Mallol Cotes.-

#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.

Many procedures can be combined. Cosmetic procedures such as Brazilian Butt Lift (#BBL), Thigh Lift (#TL) and Mommy Makeover (#MMO), which usually concentrates on the breast and abdomen areas, may be combined together. However, I look at the risk factors such as surgery time greater than 6 hours, or #anesthesia time, increased risks of DVT, prolonged  #healing, #positioning after surgery to name a few, which are a lot to consider. These factors are relative to performing any variety of combinations.  Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Thank your for your question. A tummy tuck can address the skin and
muscle laxity of the abdominal region as well as reducing the excess
fatty tissue. A brazilian butt lift helps to shape the buttock by
borrowing fat from one part (or several) and transferring this fat to
another. They are both extremely rewarding procedures. The best
approach for a patient who wants to have both procedures is to stage
them and possibly start with the BBL. Here is why:1) A brazilian
butt lift is transferring fat from one area to the buttock. One common
donor area is the tummy. Once the fat is transferred, you need to keep
pressure off the buttock as this allows new blood supply to develop to
the newly grafted fat cells. Any stress such as pressure can reduce the
efficacy of this process and hence you may lose some fat. Hence, no
sitting or laying on your bottom for ~2 weeks.2) A tummy tuck is
removing excess skin and tightening the muscle as well as remove extra
fat. To make the skin removal efficient and protect the incision, you
surgeon will often remove skin while your hips are flexed. You will
need to maintain this position after surgery for about a week. This
will required you to sleep in a recliner position for a good week. In
addition, l often combine liposuction of the abdomen and flanks as part
of this procedure and once this fat is removed, it cannot be stored for
the brazilian buttock lift in the future.Since the recovery process
for these two popular procedures compete, I would recommend staging
them. If you are surgeon is needing as much donor areas to recruit as
much fat as possible, then I would start with the brazilian buttock lift
so you can use the abdominal and flank regions as donor areas. In addition, I would combine the tummy tuck and breast augmentation together as the recovery position of the tummy tuck and breast augmentation are complementary.