Can I combine a BBL, tummy tuck and arm lift and what position should I sleep?

I completely understand why a patient would want to combine a number of procedures at one time. However I firmly believe that safety is of paramount importance, and I believe that better results are frequently achievable by staging some surgeries.
In this particular case, i understand that some surgeons will elect to perform them at one time. I however believe that combining all of these at one time would significantly increase operative time, surgical risks, increase recuperation time, and postoperative risks. In my opinion, this is too much surgery at a single setting.
As a practitioner who performs a large number of both BBL's and abdominoplasty procedures, I know I get better results when I separate these surgeries. Reducing tension on the incision line is a major focus during abdominoplasty procedures. We perform quilting sutures to close dead space as well as to decrease tension. We perform multilayered closure of the incision, with each layer designed to remove tension from the layer more superficial. Postoperatively we have the patient assume a flexed potion and apply surgical tapes and compression garments all of which to reduce tension. All of these small steps contribute to creating the most attractive scar possible.
After a BBL, we recommend not sitting or sleeping on the buttocks to reduce pressure in the tissues so that the tiny fat grafts can absorb oxygen it needs to survive.
After a long combined procedure that you are describing, the post operative position needs adversely of one surgery adversely effect the other. Sleeping on your abdomen protects the buttock fat, but is not desirable for the tummy tuck incision. Sleeping in a beach chair position is best for your tummy scar but would be detrimental to your BBL and decrease net fat survival. Sleeping on ones side would add pressure to the lateral buttock fat placed which is so critical to proper buttock frame creation and contours. For these reasons, I rarely perform these two together today. I get far better results on each doing them staged than I did performing them at the same surgery, and to me the end results are our best measure.
I recommend discussing these issues with your board certified plastic surgeon and see what he/she feels best for your particular situation.
Best of luck!

That is a lot to do at once- risk of blood clots, etc are much higher. Also, recovery will be difficult as you ask how you will be able to sleep, just moving around wil not be easy.Perhaps Vaser ultrasound liposuction of the arms can be done instead of arm lift with abdomen, waist + BBL as one surgery. Then, if you still need a tummy tuck, it can be safely performed 6 weeks- 3 months later.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations. 

Hello geereal,

Thanks for your questions! I would recommend you getting a Brazilian Butt Lift (BBL) surgery done first, and an abdominoplasty (tummy tuck) combined with brachioplasty (arm lift), six months after the initial procedure. Dividing the surgical plan into two stages would the best option for: 1) removing excess fat from specific areas such as arms, back, abs and flanks while reshaping your figure and giving you a fuller, beautifully rounded backside, and 2) getting rid of excess skin, and eliminating stretch marks in both your arms and abdominal area, while tightening your skin for a more athletic look. Based on my experience, after performing BBL surgery you must avoid sitting or sleeping on your back for 6-8 months or else the desired outcome will be negatively affected. Putting pressure on your bottom by sitting down or laying on it during the recovery period can stiffen, deform and even cause the transplanted fat cells to be reabsorbed. On the other hand, if you get an abdominoplasty done at the same time, you’ll be required to sleep on your back and keep your upper body elevated or else you would hurt the results. Hence, it wouldn’t be suitable to get all the procedures performed at once. Your plastic surgeon would need to evaluate you in person and estimate your Body Mass Index (BMI) in order to determine if you are a good candidate for these procedures at the moment. Good luck and may God bless you! Dr. De La Cruz.