Is it too much to have a TT, BBL, thigh lift and lipo at the same time if I am healthy enough?

Patient safety always takes precedence when considering multiple procedures. Many factors entering into the risks of surgery including your age, BMI, general health, and time required for the procedures. Your surgeon can determine the feasibility and safety of your request during a consultation. 

Dear silverfox65,some plastic surgeons may want to split this into two operations depending on the time needed. Its best to see a board-certified plastic surgeon to determine your options and whether it would take too long, more than 4 hours, to do all.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

First and foremost, I recommend that you go to a board-certified plastic surgeon to have all these areas evaluated. Generally, as an outpatient surgery, we want to limit our surgeries to 5-6 hours maximum time, and all the procedures you had mentioned would take more than that amount of time. I would say either break it up into a couple of procedures or have it done not as an outpatient surgery but in the hospital. Secondly, I don’t recommend doing a BBL and Tummy Tuck at the same time especially if you want a large amount of fat placed and if you really want a large buttock from the procedure. Because laying on the buttock as is needed for after tummy tuck will comprise the effect of your BBL. So a good option would be to get the lipo and BBL done first. After several months you can finish off with a tummy tuck and thigh lift. 

You will get the best answer to your question by scheduling an in person consultation with a plastic surgeon certified by the American Board of Plastic Surgery and discussing your unique situation and concerns. The surgeon would meet with you and examine you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure in person and what you can realistically expect. Then you can make an informed decision on which procedure(s) to start with according to your desires, recovery time necessary, your history and current health.  One of the most important factors is not only your health going into the procedure(s) but the support system you have available for your recovery time and the amount of time you can seriously devote to recovery. If you have active children and only a few days where you can rely on assistance driving, taking care of housework and children and daily activities then staging the procedures may be your best option. If you have help for a good two weeks where you can really focus on you and your recovery and someone else is going to take care of the daily routine and responsibilities than it is not uncommon to do combined procedures for one surgery, one recovery. Patients that have the needed recovery time scheduled in advance usually recover faster as they don't have the added stress of knowing they are needed only a few days after a tummy tuck to be back to their normal routine. Take all of this into consideration with your surgeon when making this decision and get realistic answers to your concerns in advance will make the whole process easier. BBL is often done as a separate procedure ahead of the tummy tuck and thigh lift, as this may optimize the amount of fat retrieved, allow for some skin retraction and the ability to touch it up at the time of the tummy tuck. It also allows a more aggressive skin removal in the tummy tuck and thigh. Any combination surgery should be done in about 6 hours or less in order to optimize safety in surgery, including lower risks of blood clots and cardiovascular complications of anesthesia.

If you are healthy, it is quite common to combine plastic surgery procedures. There are a couple of safety limitations that your surgeon will consider. First, is the constraint of time under anesthesia. We typically like to keep surgery time to 8 hours or under. So the first constraint would be on your size and whether or not your surgeon will be able to do the procedures you want in under 8 hours. The second restriction is the amount of fat removed. It is safe to remove about 5-6L of fat per surgery. So the results that you desire should be achieved with 5-6L of fat removed through liposuction in your abdomen, flanks, back and thighs. If you need any more than that, then the surgery may need to be staged. However, if you fulfill both of these constraints then you can absolutely do all of these procedures during one surgery.

Combining cosmetic plastic surgery procedures is not
uncommon. Whether you are a reasonable candidate for those procedures depends
on your anatomy, your medical history, the extent of the procedures, realistic
expectations of the outcome and an understanding of the pros and cons of the
various procedures. 
Safety should always be the main concern. It is generally recommended that the
length of elective surgery be less than six hours. The procedures should be
performed in an ambulatory facility that is accredited by one of the
national organizations like the American Association for Accreditation of
Ambulatory Surgical Facilities (AAAASF) or in a licensed hospital. Many
surgeons would recommend an overnight stay at an appropriate facility where you
can be appropriately monitored. Most patients prefer undergoing one anesthesia
and one recovery period which is usually more cost effective.

Having said all of that, most ethical well trained plastic surgeons would feel
that the combination you are asking about is excessive and has significant
risks factors if performed in one stage.
Keep in mind that following the advice of any surgeon on this or any other web
site who proposes to tell you what to do without: examining you, physically
feeling the tissue, assessing your desired outcome, and taking a full medical
history, as well as discussing the pros and cons of each operative option would
not be in your best interest. I would suggest you find a Board Certified
Plastic Surgeon certified by The American Board of Plastic Surgery who is ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are comfortable with, and discuss
your concerns with that surgeon in person. That way, you can have a better idea
what is safe and makes the most sense for you.
Before proceeding with a combination of these procedures, you should have
medical clearance from your primary care physician and a discussion between him
or her and your plastic surgeon.
Robert Singer, MD FACS
La Jolla, California
 

Hello,Thank you for sharing the information, it is a pleasure for me to answer your question.It is difficult to evaluate the options without seeing photos,
Yes, you can combine the procedures perfectly, to make mommy makeover, if your state of health allows it,  Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. everything depends on your BMI, if it is within the normal range, you can take a nutritional plan, before the surgery to lose weight .. to avoid risks, your health comes first
otherwise it must be done in two times with an interval of 6 months
It is advisable to consult with a certified plastic surgeon, for a goodevaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
I hope this answer will help youMy best wishes for you...

Although, it may be possible to have a TT, BBL, thigh lift and liposuction all at the same time, it may not be a good idea even if one is in good health.  Each procedure can add another level of risk and it has been shown that surgeries that take over 6 hours to perform do carry higher risks.  Combining all of these procedures ma increase the overall risk level.  Discuss this issue with your surgeon and if you are advised to separate the procedures, I would follow this advice.  Best wishes, Dr. Lepore.