Are a Full Tummy Tuck and Liposuction of Hips and Thighs Together Safe?

Thank you for your question about the possibility of combining a tummy tuck with liposuction of other body parts in a single surgical session. The feasibility of undergoing these combined procedures largely depends on your overall health, as assessed by physical examinations, blood labs, EKG, and chest X-ray.
If you are found to be in good health with normal medical evaluations, most plastic surgeons would agree that it is possible to have these procedures performed together. However, the decision to combine these surgeries also depends on the experience of your plastic surgeon and the capabilities of their operative team.
It's important to note that while these combined procedures are not inherently unsafe, some plastic surgeons may feel that performing them together could be too demanding for them and their team. In such cases, it's crucial to respect the surgeon's judgment and not push for a combined procedure if they advise against it.
In summary, if you are healthy and your evaluations are favorable, many plastic surgeons would agree that a tummy tuck can be safely combined with liposuction of other areas. However, a minority may recommend separating these procedures for various reasons.
I hope this answers your query about whether to separate or combine a tummy tuck with liposuction. Wishing you the best in your decision-making process and future procedure.
Sincerely,
Dr. Katzen

Thank you for your question.Yes, it is possible to have those procedure at the same time. But first, for safety reasons, to be a good candidate for the procedures you want at the same time, your labs and  cardiovascular preoperative evaluation must be optimal.
Kind Regards,Dr. Emmanuel Mallol Cotes.-

Dangerous is a matter of risk taking and that depends on your risk tolerance.
Off the to pof my head and without citing any specific reference, various studies quote the risk of a fatality from abdominoplasty as low as 1 in 40,000 to as high as 1 in 3.500. Some people would say any risk is dangerous while others might say that the risk is tolerable.
The risk of combining multiple surgeries has been highlighted by the media. One of the concerns is the potential for deep venous thrombosis with pulmonary embolism (blood clot traveling to the lungs). This risk is elevated in prolonged surgery and may be even higher when combining liposuction and abdominoplasty. This resulted in the State if Florida temporarily placing a moratorium on these combined procedures in the office setting back in 2003. This has since been lifted after careful review of the data.
To the best of my knowledge, no one has really done an adequate study of whether two 3hour procedures is necessarily safer than one 6hour procedure. You are getting conflicting advice for several reasons: The vast majority of patients desire to "get it over with" in one procedure. However, many plastic surgeons intuitively feel that two procedures may be a "safer" option.

Thank you for the question. I regularly advise to perform a tummy tuck and liposuction together because this way you will save on downtime and have just one recovery period for both procedures. A tummy tuck offers the most effective way to correct loose skin and muscle separation in addition to eliminating excess fat. Liposuction will also remove fat, but it can't address flabby, hanging skin that typically persists after weight loss. For this reason, many patients who have experienced a massive weight loss or recent pregnancy tend to opt for a tummy tuck. This procedure can also be combined with liposuction for maximum effect.  
An in-person exam with a board certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!

I think it is perfectly fine in most healthy individuals to perform both a tummy tuck and liposuction of specific areas in the same operative setting.