Arm Suggestions with Mommy Makeover? (Photo)

At 45, with a healthy lifestyle and no medical risk factors, you are an excellent candidate for a comprehensive Mommy Makeover. The foundation of your plan, a tummy tuck, breast lift, and breast augmentation with some front liposuction, is both safe and very commonly performed in a single procedure. The tummy tuck allows your surgeon to tighten the abdominal muscles and remove excess skin, while repositioning the navel for a natural look. At the same time, the breast lift reshapes and elevates the breasts, and the implant augmentation restores fullness, especially in the upper pole, for a youthful, balanced silhouette.
Liposuction of the front abdomen and flanks is a natural complement to these procedures. It helps refine the waistline and ensures a smoother transition between the tightened abdominal wall and surrounding contours. In selected patients, additional sculpting can also extend to Lipo 360, which targets the full midsection. For those who desire softer curves, harvested fat can be carefully transferred into the side hip or buttock dips, enhancing body harmony without looking exaggerated.
Arm liposuction with a skin-tightening technology like Renuvion can also be added, though it does extend operative time. In healthy patients such as yourself, it can often be safely performed in combination with a Mommy Makeover, provided the surgical plan remains within safe limits. Most board-certified surgeons keep total operative time under six to seven hours, as this reduces risks and promotes smoother recovery.
The safest and most rewarding approach is to prioritize your main goals, tummy tuck, breast lift and augmentation, and front liposuction, while thoughtfully adding either arm contouring or fat transfer to the hips. If all areas are important to you, a staged plan may be recommended to achieve the transformation you want while maintaining the highest level of safety

Hello, and thank you for the question regarding arm suggestions with the mommy makeover. Thank you for your history and your pictures. If your medical history is clean and your preoperative blood work, EKG, and chest x-ray are within normal limits, I believe you can safely undergo a tummy tuck (abdominoplasty), breast lift (mastopexy), and liposuction. You can also undergo arm liposuction with Renuvion and fat transfer to your hip dips. This will be the upper limit of surgery time. Essentially, you are seeking a mommy makeover with 360 lipo, arm lipo, and autologous fat transfer to the hips and butt tips. Good luck. Please consult an experienced, board-certified plastic surgeon.
I hope this information helps you in your search for answers regarding the mommy makeover, arm lipo, neck lipo, and fat transfer to the hips. If you have any further questions regarding tummy tuck, abdominoplasty, breast lift, mastopexy, liposuction, or fat transfer, please consult with an experienced, board-certified plastic surgeon. Since the mommy makeover and associated liposuction are big procedures, please seek an experienced, board-certified plastic surgeon with significant experience performing the mommy makeover. Do your research. Ensure they have performed at least 150 mommy makeover surgeries and have the before-and-after pictures to prove it. Please carefully look over their before-and-after pictures and check their reviews on RealSelf. If you cannot find an experienced mommy makeover plastic surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen, MD, MBA (Aesthetic, Cosmetic, and Reconstructive Plastic Surgeon), President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Hi, I understand that you are going to have mommy makeover surgery. Most of the time we are performing both breast and tummy surgery safely. Since you have overall good health, I dont see any reason to not add arm lipo and fat injection to your buttocks. Because these additional procedures won’t prolong surgery time to much. It will take approximately 1 additional hour.

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.

Assuming you are in good health and able to obtain medical clearance, you should be able to undergo mommy makeover with a tummy tuck and breast procedure. My recommendation would be to do liposuction with Renuvion or Bodytite for your arms so that you do not add a large arm incision which will limit your post-op mobility that is important in getting up and preventing blood clots after surgery. I would do the mommy makeover, see how the arms heal from liposuction and energy-based skin tightening, and if there is any laxity at 6 months you can consider an arm lift. As always, make sure to consult with a board certified plastic surgeon regarding your individual case.

Dear Realselfplastic,

I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your inquiry! There are several factors that need to be addressed to answer this question. Location of the surgery, hospital or outpatient center. Post surgery location, are you going home or overnight in the hospital. Also every surgeon has different surgery times. We would love to meet with you to discuss your options. Schedule a consultation with a Board Certified Plastic Surgeon.

Thank you for your question. A standard mommy makeover typically includes a tummy tuck, a breast lift with augmentation, and liposuction of the abdomen and flanks. It is possible to add arm liposuction with Renuvion or other enhancements, such as Lipo 360 or fat transfer to the hips, if your surgeon believes it is appropriate and carefully manages the overall surgical time. Most surgeons aim to keep the operative time under 6 to 8 hours to minimize the risk of complications. Surgeries that exceed this timeframe are associated with higher risks, and your surgeon may advise dividing the procedures into two sessions if the combined surgical plan becomes too lengthy. To discuss your options, including total surgical time and expected results, schedule a consultation with a board-certified plastic surgeon specializing in mommy makeovers and multi-area liposuction.