Hi Lalabates, Thank you for your question regarding whether an arm lift or brachioplasty, a breast lift with augmentation, and liposuction of the back can be performed in one surgery. Yes, I believe all these procedures can be safely combined at one time. I often combine the arm lift and the breast lift with augmentation at the same time. It would not take too much longer to perform back liposuction. Logistically, first, I would perform your back liposuction. Second, I would perform your arm lift or brachioplasty. Third, I would perform your breast augmentation with breast lift. Before any plastic surgery is contemplated, I would suggest you undergo routine blood tests, EKG, and chest x-ray. Please seek a qualified plastic surgeon with significant experience in these procedures. If you have any further questions regarding an arm lift, arm reduction, brachioplasty, breast augmentation, breast lift, mastopexy, and back liposuction, please contact my office. Good luck! Sincerely, Dr. Katzen.