BA + BL + TT or BBL first?

Question

What would you recommend doing first? The surgeon I spoke with said in my rare situation he would be able to complete a mini tummy tuck with umbilical float abdominoplasty since I don't have a huge amount of excess skin and my skin quality Is pretty good in the lower abdomen in addition to BA+BL. He also said he usually does lipo but I was thinking I could save that fat for a future bbl? Or should I do BBL first for best TT results??

Robert M. Tornambe, MD · Answer

Most board-certified plastic surgeons prefer to stage that many procedures. It is safer and better for your recovery. BBL and Tummytuck operations each carry a higher incidence of blood clot formation and possible harm or blockage of the lungs. Performing them simultaneously statistically increases the chances of this occurring. Also, recovery from BBL requires no pressure on your buttocks for two weeks after surgery to preserve fat take. You also cannot lie on your stomach after tummy tuck, so this limits the positions that you can recover.  Also, the maximum OR time for an ambulatory operation should be no more than 6 hours, BBL and MM certainly takes longer.  It is best to perform the BBL first, to allow your surgeon to harvest as much fat as possible for transfer. 4 to 6 months later, mommy makeover surgery can then be performed. Be certain to consult with a board-certified plastic surgeon  to increase chances for the best possible results. Best of luck.​

Caner Kacmaz, MD · Answer

Thank you for your questions.

As mommy makeover operation is a combined surgery, it would be better to see your pictures to give a better consultation and quotation. We generally combine tummy tuck, liposuction and breast operations for mommy makeover but first, we need to understand your needs.

Daniel Barrett, MD · Answer

Dear bkeaton42217,
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

Kenneth Hughes, MD · Answer

If you are healthy with a BMI below 30, the three surgeries can be combined. Sleeping during recovery can be creatively managed without compromising the results of the BBL, TT, or the BAM. The result is really a function of how aggressively the surgeon will liposuction and transfer. Most patients get an immense benefit with maximal liposuction of the abdomen, sides, and back to obtain the smallest waist possible and then maximal fat transfer to the buttocks and hips. I allow patients to sleep on their sides. My patient coordinator recommends a plastic inflatable with a hole in it (called a lilo), where instead of your tummy, you place your butt, so you can sleep on your back with pillows propping up your neck and head.
If you wish to stage the procedures, I recommend lipo and BBL first, followed three to six months later with the TT.

Timothy M. Bradley, MD · Answer

For multiple safety issues, I would strongly advise NOT performing BBL with a tummy tuck or breast surgery. Some surgeons do these together and may argue it is safe to do so, but I would not temp fate, and here is why I say this: if you have a BBL then are placed on you newly augmented butt for breast and /or breast surgery, there will be pressure on the fat grafted buttocks for a prolonged period of time. The pressure of the injected fat creates significant pressure with in the buttocks which can, in of itself produce compromise to the blood flow to the overlying skin. I have seen on a number of occasions in which a patient develops blistering of the buttock skin after a routine Lipo/BBL for no apparent reason. If you add the prolonged pressure from the outside, as occurs when laying on the buttocks for an additional couple hours while the abdominoplasty or breast procedure is being performed, now you have increased pressure from both within and from the outside. Not only can this compromise blood flow to the skin, this situation can also hurt the fat itself increasing the chance of losing more of the grafted fat than the accepted 30-40% we routinely see in BBL surgery.Also, if you have a BBL, and in order for the fat to survive one should avoid any type of pressure, including sitting or lying on one's back for at least 3 weeks ; so if you combine BBL with breast surgery or abdominoplasty, ask yourself how will you sleep or find a comfortable position for your recovery period. If you are having an abdominoplasty with rectus plication (suturing the muscles together) the post op period is uncomfortable. Do you want to lay on your abdomen to protect your fresh BBL? How about laying chest down after a submuscular breast augmentation or breast lift? As you can see, the post operative recovery options are difficult at best when combining BBL and abdominoplasty and/or breast surgery.If you have enough abdominal/truncal fat for BBL, I recommend to my patients to stage the procedures so that maximal abdominal/waist/back contouring can be achieved with lipo, and the maximal amount of fat can be harvested for the BBL. Once you have recovered from this surgery, then undergo whatever breast / abdominal surgery is required to achieve your aesthetic goals.Best of luck

Chad Robbins, MD · Answer

Hello and thank you for your question .    You definitely want to have your TT with your BBL.    You can have the BA and BL  at another time.   The tummy, upper thighs and flanks are typically your 3 best areas for liposuction and to get as much fat for the BBL.

Camille Cash, MD · Answer

If you are considering BBL it may be best to have that done in the first stage in order to harvest the maximum amount of fat.  The breast and tummy can be then done in the second stage.  If you are not sure that you want a BBL then liposuction can be done at the time of the tummy tuck in order to enhance the overall results.

Manuel Belen, MD - Account Suspended · Answer

Hello,
Thank you for sharing the information, it is a pleasure for me to answer your question.
It is difficult to evaluate the options without seeing photos,
Yes, you can combine the procedures perfectly, to make mommy makeover, if your state of health allows it,
Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body. everything depends on your BMI, if it is within the normal range, above 35 it can generate risks.
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.

I hope this answer will help you
My best wishes for you...

BA + BL + TT or BBL first?

Answers (8)

More Mommy Makeover Questions

WE SEND PRETTY
EMAILS

Answers (8)

More Mommy Makeover Questions

What is the best procedure for me? Tummy tuck and breast lift?

Mommy makeover with arm and back lipo? Is this possible in the US? (photos)

I have a high ferritin level. Can I still get a mommy makeover?

I want a mommy makeover: breast reduction, tummy tuck, liposuction on stomach and love handles. Second opinions? (photo)

What should be done first ? Mommy makeover with lift and breast aug or lipo 360 w/BBL? And why?

Should plastic surgeon's nurse do stitches during surgery?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS