Thank you for your excellent question. Though procedures can often be combined to afford patient's only a single recovery these two would push the time that can be safely spent for aesthetic procedures and I would recommend performing them independently. Hope this helps.
Combining cosmetic plastic surgery procedures is notuncommon. Whether you are a reasonable candidate for those procedures dependson your anatomy, your medical history, realistic expectations of the outcomeand an understanding of the pros and cons of the various procedures.Safety should always be the main concern. It is generally recommended that thelength of elective surgery be less than six hours. The procedures should beperformed in an ambulatory facility that is accredited by one of thenational organizations like the American Association for Accreditation ofAmbulatory Surgical Facilities (AAAASF) or in a licensed hospital. Manysurgeons would recommend an overnight stay at an appropriate facility where youcan be appropriately monitored. Most patients prefer undergoing one anesthesiaand one recovery period which is usually more cost effective.Having said all of that, many ethical well trained plastic surgeons would feelthat the combination you are asking about is excessive and has significantrisks factors if performed in one stage.Keep in mind that following the advice of any surgeon on this or any other website who proposes to tell you what to do without: examining you, physicallyfeeling the tissue, assessing your desired outcome, and taking a full medicalhistory, as well as discussing the pros and cons of each operative option wouldnot be in your best interest. I would suggest you find a Board CertifiedPlastic Surgeon certified by The American Board ofPlastic Surgery who is ideally a member of the American Society for AestheticPlastic Surgery (ASAPS) that you trust and are comfortable with, and discussyour concerns with that surgeon in person. That way, you can have a better ideawhat is safe and makes the most sense for you.Before proceeding with a combination of these procedures, you should havemedical clearance from your primary care physician and a discussion between himor her and your plastic surgeon.Robert Singer, MD FACSLa Jolla, California