Can I have a tummy tuck, Lipo360, back lipo and arm lift during one surgery?

Safe operation time is considered to be 6 hours. A tummy tuck can take 2-3 hours to perform, liposuction 360 and liposuction of the back can take 1-2 hours to perform and an arm lift takes 2 hours to perform. You will exceed the safe operation time. I recommend you do them in stages with the tummy tuck and arm lift first and then the liposuction 360 and liposuction of the back.

Best Wishes,

Gary Horndeski, M.D.

​Without examining you and knowing your overall health and the amount of liposuction required it’s difficult to give personalized advice, however in general it is definitely possible and safe to combine these procedures in the right patient. I’d suggest having a consultation with a local plastic surgeon to be examined and get a better sense of what your options are once they can put the procedures you're looking for in context of your overall picture. Hope that helps!

Thank you for your question. First of all, yes you can have all those procedures at once, but have to consider higher risks of complications and physical limitations during recovery. The aim is to do safe plastic surgery with the best possible outcomes. Without photos and medical history it is difficult to give a specific answer. Lipo 360 means liposuction of your torso circumferentially, which includes the back lipo. Often, lipo 360 is combined with a tummy tuck in the right person, which is determined during an in person consultation and physical evaluation. I personally would not include an arm lift at the same time. You will need to rely on your arms for support during the tummy tuck recovery. See a board certified plastic surgeon for an in person evaluation. Good luck.

I recommend consulting with a board-certified plastic surgeon for a comprehensive evaluation and perioperative risk stratification, particularly given the anticipated operative time.
Key factors that should be carefully evaluated include:Operative Duration: Procedures extending beyond six hours carry a significantly higher complication rate. Body Mass Index (BMI): An elevated BMI is linked to increased risks of seroma, wound-healing complications, and surgical reoperation. Medical Comorbidities: Underlying conditions, such as diabetes, substantially elevate infection risk. Postoperative Care & Monitoring: Dedicated recovery planning is essential, including an overnight or 23-hour observation stay in an accredited surgical facility.
Best, Richard Tyrell MD FACSRive Plastic Surgery

Combining procedures is common and is considered safe but there is a limit. Typically it's recommended to limit elective plastic surgery to six hours of surgical time. For all of the procedures you are considering you would likely exceed this. For that reason it may be better from a safety and results standpoint to break them into two stages.