The key to quality cosmetic surgery outcomes is understanding your candidacy for each procedure and choosing the right provider. The difference between patients will get quality outcomes versus those who don’t can almost always be accounted for by not having a clear understanding of your candidacy for the procedure or insufficient effort in selecting the right provider. Bing board-certified in plastic surgery does not mean somebody has mastered anyone particular procedure. Some individual plastic surgeons are inherently, more talented than others, and as each surgeon progresses in their career, they tend to hold their skills often more so in certain procedures. Delivery and consistent quality, liposuction and fat. Transfer results is more difficult than most people believe. The number of plastic surgeons to do these procedures well on a consistent basis, including the ability to make accurate predictions and deliver predictable outcomes is relatively small. To find the best provider I recommend patients having at least five in person, consultations for any cosmetic surgical procedure that is permanent and irreversible. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, who had similar body or facial characteristics to your owner. Ask providers to show you a variety of outcomes, including excellent outcomes, average outcomes, and outcomes that did not to Turn out, as well as they had hoped. Providers may be apprehensive to do this, and will generally prefer to show your pre-selected images, representing the best results of their career. This is, however, insufficient to get a clear understanding of what the average results look like or what results may look like for any one persons individual candidacy. Candidacy is a very important concept and determines the potential outcome, regardless of who does the procedure. In order to get consistent quality outcomes, patients must begin by understanding their own candidacy for the procedure, including potential inherent limitations. An experienced plastic surgeon should have no difficulty showing you at least 50 sets of before, and after pictures of commonly performed procedures, including a brow lift, mastopexy and BBL procedures. Once you have a clear understanding of your candidacy for the procedure, the next step is to select the best provider. It is unlikely you’re going to find someone who is the best provider in your community for all three procedures. If you want one doctor to do all three operations, then you’ll need to find one who is good enough at all three of them. Of the three procedures you mentioned the BBL is the one that is going to have the greatest variation in outcome based on who you choose as your provider. Some providers have very specific protocols during recovery, including not sleeping on your back or sides for several weeks. This is not possible after having a mastopexy. The need during recovery makes breath surgery, and a BBL contraindicated. Some plastic surgeons will put less emphasis on the importance of not putting pressure on the fat grafted areas and there are creative alternatives, such as BBL mattresses, etc. etc. The single, biggest mistake I see patients making on a regular basis is not having enough consultations and not taking an active role in the vetting process of providers. Do not assume anything when it comes to competence, skill or experience when it comes to plastic surgery procedures. If you’re contemplating having multiple procedures done at the same time, then you need to start having appropriate consultations and discuss your wishes with each of the providers. They will tell you what their thoughts are, and what’s appropriate and not and you can at the same time begin the vetting process to find the best provider for each of the procedures you’re interested in. Whether you find one provider who can do all three procedures completely , and will do them at the same time, depends on the myriad of variables, including each providers view on the topic. I do not recommend anybody rush into having cosmetic surgery. It’s far better to take lots of time to think these things through and go through a formal process of interviewing plastic surgeons through in person consultations. The operations you describe a permanent and irreversible. You’ll be reminded of the outcome every day for the rest of your life so I suggest you choose carefully. Best, Mats Hagstrom, MD