BBL vs Mommy makeover, which is the best approach?

Question

Is it better to have a BBL done first or a mommy makeover? I am interested in a tummy tuck and breast lift, but I also need lipo and don't know which direction to go.

Trent D. Douglas, MD, FACS · Answer

It is important to plan with your surgeon since the timing and staging of procedures can have an impact on the outcome.  If you are planning on having liposuction as part of your Mommy Makeover, it is generally recommended to have the BBL first to take advantage of the fat harvested from the lipo areas.  Patient safety always comes first, so be sure and choose a board-certified plastic surgeon and have your procedure in a fully accredited facility.  Best wishes on achieving your desired look.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  It is generally better to have the BBL performed first and then have a tummy tuck and breast lift performed at a later date.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Robert M. Tornambe, MD · Answer

DDMarg.  It is best to do the mommy makeover first, to allow your plastic surgeon to harvest as much fat as needed to maximize the enlargement and projection of your buttocks. After 3 to 6 months you can go ahead and complete the mommy makeover. Be certain to consult with a board-certified plastic surgeon. Best of luck.

Daniel Barrett, MD · Answer

Dear DDMarg,it is hard to tell for sure without an examination. Generally speaking, it is better to get a liposuction first and once you are fully healed, get a mommy makeover. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mathew A. Plant, MD, FRCSC · Answer

Without examining you or seeing photos its difficult to give specific advice about what procedures would be right for you, but if you are doing a significant amount of liposuction or having a BBL you should do it at least 3 months before the tummy tuck and breast procedure. The only way to know for sure is to book a consultation with a board certified plastic surgeon near you to see what your options are. Best of luck!

Kenneth Hughes, MD · Answer

The mommy makeover typically entails breast augmentation and tummy tuck.  I would advise performing the liposuction of the abdomen, sides, and back with the fat transfer to the buttocks first.  Then return 3 to 6 months later and perform the tummy tuck and breast augmentation.  This will produce better results and will add a measure of safety.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Camille Cash, MD · Answer

Your surgeon will best be able to advise you after discussing your surgical goals.  Typically the BBL is done first in order to allow maximum availability of fat.  The tummy tuck and breast work can be done in the second stage.

Tim Sayed, MD, MBA, FACS · Answer

I usually recommend, for proper candidates, doing the BBL first. This allows the following:1. Separation of the two operations into individual procedures with lower anesthesia-related risks like DVT/blood clots, cardiovascular problems, etc.2. Maximal fat retrieval from the abdomen, since we are not restricted by concerns about blood supply to the tummy tuck skin when the procedures are separated. This results in a better abdominal and waist shape and the potential for more aggressive skin removal on the abdomen in the second surgery.3. Touchup to the lipo and/or fat grafting areas at the commencement of the tummy tuck part of the mommy makeover surgery as neededWhile these procedures can sometimes be combined in one operation, I feel that most patients are not good candidates for that approach, either due to moderately elevated BMI or the length of the mommy makeover component (for instance, lifts with implants plus tummy tuck are longer surgeries than without implants or without a lift). Additionally, it's hard to offload the surgical sites on both the front and back of the body after a single surgery. Hope this helps!

Ron Hazani, MD, FACS · Answer

It is difficult to evaluate your candidacy for these procedures with no photos. In general, I recommend having BBL first to harvest enough fat for the transfer. Also, staging these procedures will decrease the rate of complications.

Robert H. Hunsaker, MD · Answer

I typically recommend the BBL first. It is the best opportunity that you have enough good quality fat to maximize your results.This way you don't burn any bridges by doing the others first.

BBL vs Mommy makeover, which is the best approach?

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