I'm thinking of having a tummy tuck w/BBL together. Are there better results if I choose to have them separately. (photos)

I am thinking about having a tummy tuck with a Brazilian butt lift together ;are there different results if I choose to have the Brazilian butt lift first and later get the tummy tuck. I am also in need of lipo suction to my inner thigh's and I would like fat grafted to my hips. What concerns should I have with these desires.

Doctor Answers 8

Combined Procedures vs. Staging Surgeries

Thank you for your questions and photos.  Although every patient is different, it is often easier for patients to stage these procedures because grafting fat to the buttocks and hips requires the patient to sleep on their stomach and avoid sitting for approximately 6-8 weeks post op.  However, with the use of some tremendously helpful seating devices, this burden of not sitting is greatly alleviated.

If patients do stage the surgeries, we often will add fat grafting to the hips with the tummy tuck to utilize this fat and also begin creating the desired shape – instead of waiting to attempt to do all of the fat grafting during the second stage.  This first round of fat grafting to the hips allows us to not waste the fat and also start to build that highly desired “feminine curve.”   Also when staging procedures, the fat reduction is often more significant because the surgical area is more focused.  Finally, and of course the most important reason, patient safety is of the highest importance and should be the ultimate ‘deciding factor’ when determining the surgical plan. 

Sometimes, the patient may not have enough fat to stage the procedures, or is healthy/prepared enough to have the procedures performed together.  By combining the surgeries you will have a longer and more uncomfortable recovery – however, it is not impossible.  At my practice, I have a lot of patients do both – stage and combine.  The success of the surgery and recovery truly lie in patient preparation.  I encourage you to discuss your goals and concerns with a board certified plastic surgeon who is very experienced in body contouring procedures in order to determine which choice is right for you. 

Atlanta Plastic Surgeon
4.7 out of 5 stars 161 reviews


Thank you for your question and photographs.

It is possible to have the two procedures done at once but you have to find a doctor willing to combine them during one procedure and be willing to follow their aftercare instructions as the recovery will be more intense than staging them. I generally stage these procedures simply because you will have to refrain from sitting on your buttocks for at least 2 weeks after a BBL which means you would need to sleep on your stomach, which may not be optimal when just having a tummy tuck. This reduces complications and provides for a more comfortable post-operative recovery.
Best of luck in your endeavors!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 75 reviews

Abdominoplasty with gluteal augmentation is commonly done together.

The operations you mention are commonly done together. Liposuction of multiple areas is often necessary to get enough fat for a satisfactory gluteal augmentation or Brazilian Butt lift.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Suggested Combined Procedures

Additional procedures that may enhance the result are Liposuction, Breast Procedures, or Thigh Lift. Mommy makeovers usually include multiple operations.  Brazilian “butt enhancement” can be done at the same time to provide best body contours. Arm reduction or brachiaplasty is also common. 

While these are the combined procedures that I often present as helpful to patients, the best thing to do would be to visit local board certified plastic surgeons to take this question directly to them during consultation. Then you would be able to find out the best options you have for combining the procedures that you desire for your planned results. Good luck!

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Tummy tuck and BBL

Hello and thank you for your question.   You will find different answers to your question.  I do perform these procedures together in the appropriate patients.  Based on your photograph, you are a great candidate for a tummy tuck with liposuction.  This can be done through a low and short incision, all completely below the bikini line.  Your muscles can also be plicated resulting in a flat abdomen.  A BBL can be performed at the same time for improved buttock and waist contour.  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.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 123 reviews

Tummy tuck + Lipo candidate, some advices:

Thanks for the question.

In this regard, I recommend you a Full Tummy Tuck with muscle repair, to get a flat abdomen and weist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards 

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 254 reviews

BBL & Tummy Tuck

I prefer to stage these procedures for many reasons. Number one, it's safer and number two, it is a really difficult recovery when you combine the two. I would suggest having the BBL and liposuction first followed by the tummy tuck after you've completely recovered (anywhere from 3-6 months). Hope this helps.


Kouros Azar

Kouros Azar, MD
Thousand Oaks Plastic Surgeon
4.9 out of 5 stars 33 reviews

Bbl and tummy tuck

Hello and thank you for your question. You look like an excellent candidate for both. In your case I would suggest doing the liposuction and bbl first, followed by the tummy tuck no less than 3 months later.

Peter Fisher M.D 

Peter Fisher, MD
San Antonio Plastic Surgeon
4.9 out of 5 stars 51 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.