I want a tummy tuck with lipo on my waist and flanks, and breast lift with implants. (Photo)

You could have the liposuction prior to the tummy tuck if you want a great deal of fat liposuctioned from the upper abdomen.Kenneth Hughes, MDLos Angeles, CA..........

The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others.  The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting. #Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time. Now, the intentional result of a Breast Lift (#Mastopexy) is to improve the shape and position of the breast without reducing their size. It is used especially for breasts which sag or droop (#ptosis) as a result of aging, weight loss, pregnancy, or breastfeeding. However, many women report more satisfaction if an implant is used at the time of #mastopexy. The implants further shape their breasts, restoring superior fullness or volume which may be decreased over time.In regards to implants alone, this is usually said to be mistake by patients reflecting back at the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result.Always talk to a Plastic Surgeon to discuss your issues and concerns. Information that you read online may not apply to your situation. Be sure your surgeon is boarded by the American Board of Plastic Surgeons.

Very few patients to have and abdominoplasty require subsequent liposuction. I think you would do fine with a mommy makeover including mastopexy liposuction of the waist and an abdominoplasty. I personally do not suction the flaps elevated for and abdominoplasty for the safety reasons you suggest. Nevertheless, subsequent liposuction of the abdomen is seldom necessary.