Thank you for the question. The best advice you can get is after consultation with a plastic surgeon. Ideally, you would like your BMI to be less than 30, however, this decision is individualized based on your overall health status and what procedure you are having among others. The closer you are to your ideal body weight, the better the results of the surgery and the less likelihood of perioperative complications. Performing multiple procedures is common in selected group of individuals. Having said that, prolonged operative times are associated with increased risk of complications (e.g. blood clots in the legs, pulmonary emboli, etc). Best, Pejman Aflaki, M.D. Johns Hopkins-trained plastic surgeon