Thank you for the question. Generally speaking, this combination of surgical procedures can be done together safely. However, you are wise in being concerned about the safety of combination surgery; risks/possible complications do increase with increased length of surgery… It is best to evaluate each patient's suitability for combination surgery on an individualized basis. During this consultation process, after a complete history and physical, the SAFETY of combining these surgical procedures becomes of paramount importance. Plastic surgeon, anesthesia provider, duration of surgery, surgery facility all important considerations. Your best bet: choose your plastic surgeon very carefully; everything else including good judgment/advice/planning, anesthesia provider and safe surgery facility will follow. Best wishes.