Arm Suggestions with Mommy Makeover? (Photo)

Dear Realselfplastic. In my practice, surgical planning is always guided by patient safety and individualized anatomy. My general philosophy is to keep elective aesthetic surgeries within 6 hours of operative time — I do not plan surgeries beyond that time frame, except in very specific reconstructive cases. This is supported by evidence from studies like Wong et al. (Aesthetic Surgery Journal, 2015), which found that while the risk of complications starts to increase after 3 hours, the risk rises significantly after 6.8 hours of surgery. In your particular case, the decision to proceed with a circular tummy tuck (belt lipectomy) would ultimately depend on a detailed physical examination. However, based on the pictures you provided, I can already see there is some degree of ptosis (sagging) in the buttock area, and a circular lipectomy is a very powerful procedure that allows us to improve not only the abdominal contour but also lift and reshape the gluteal region in the same operation. My recommendation would be to address the abdomen, perform 360° liposuction with fat transfer to the hips, and complete the breast procedure in the first stage — staying within a safe surgical time. Then, in a second stage, I would recommend a short-scar brachioplasty (arm lift) combined with liposuction and skin tightening technology (such as BodyTite or Renuvion) to improve the arms and anterior torso contour. Beyond surgical time considerations, combining abdominoplasty with arm surgery creates a very difficult recovery because after a tummy tuck, patients need to avoid engaging the abdominal muscles — relying heavily on the arms to sit up, stand, and support movement. If the arms are also healing from surgery, this limits mobility significantly and increases the risk of wound healing problems. Staging these procedures allows us to maximize safety, optimize recovery, and achieve the best possible aesthetic results.

Thanks for your question. Yes, you can combine a mommy makeover with arm lipo and renuvion. I do many such procedures at my practice. I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, Board Certified Plastic Surgeon,

The first step is having good health, if your hemoglobin permits it and all your lab work is OK. It is safe to combine multiple surgeries. It would depend as well. All your medical history to know if you’ve lost weight, pregnancies, weight, fluctuation, previous surgeries in order to determine what the best type of tummy tuck would be , after that, depending on the type that you are candidate for be able to know if section can be combined, for instance, if you’re candidate for a lower body lift, also known as circular tummy, tuck liposuction would not be a good option as it can compromise your circulation. Regarding the weight loss as well is important to know to see if what you would need instead of arm Liposuction and Renuvion is perhaps an Arm Lift, but those procedures all in all are good combination and are definitely able to be done together.