Is It Ok to Get a Brazilian Butt Lift and Tummy Tuck at the Same Time?

I would like to get a tummy tuck and brazilian butt lift at the same time. Is this possible? I only have 2 weeks off, and I weigh 135 and is 5'4", in ok shape. I just want a flat stomach and round-shaped butt.

Doctor Answers 35

Brazilian Butt Lift, abdominoplasty combination

Hi Littlelesr,

I have performed this combination many times. It does make recovery a little harder though, and there is an increased risks of complications, but fortunately, these are still pretty rare.

When I do a Brazilian, I recommend you lay on your stomach or sides. When you have a tummy tuck, you can't safely lay on your stomach. Therefore, you are left with your left side or right side or standing. You will definitely need some help for about the first week. It's tough, but I have never had a patient regret having it all done at once.

Would not recommend Brazilian Butt Lift and Tummy Tuck at the same time


I would not recommend getting these two procedures done at the same time for several reasons:

1. Extensive liposuction is required for a Brazilian Butt Lift. This could diminish the circulation to critical areas that a successful tummy tuck relay on.

2. The final positions for a tummy tuck and Brazilian Butt lift are completely different.

The final position in a tummy tuck is a sitting position with knees bent. This helps the circulation to the incision but you are sitting on your backside.

The final position of the Butt lift is on your stomach which keeps pressure off of the fat grafts which helps the fat survive. Sometimes lying on your side is okay.

3. In my practice both of these procedures would place you over my 6 hour time limit.

4. Personally I feel that after surgery your mobility would be more limited which could lead to an increased tendency for lower leg blood clots.

I would proceed with the Brazilian Butt lift first. More lipo can be performed on your abdomen than would be dared attempted if a tummy tuck was also being performed. Then I would recommend waiting about 6 months to perform the tummy tuck. You may get an even better abdominal contour because you have had lipo on your abdomen first.

Remember these are excellent procedures but are big procedures and when combined together may not be the safest way to achieve your desired result.

Hope this was helpful

Dr. ES

Do Brazilian Butt Lift first, tummy tuck second!

This is a very common question!. I have many patients who have received this combination, but they did these surgeries separately. They first received thorough liposuction of the abdomen hips waist back thighs and trunk and then received selective fat grafting to the buttock region. They then recovered from the Brazilian Butt lift. After this procedure they lost a great deal of fat from the abdomen hips and waist and truly enjoyed their new curves. However because of the aggressive liposuction they now had loose skin in their abdomen and hips. This was expected. Once they recovered from the Brazilian Butt lift they returned to receive a tummy tuck this tightened the hips waist and abdomen and gave them a beautiful result. It's always best to do a Brazilian Butt lift before a tummy tuck so that you can use all the tissue and fat than you otherwise would have discarded with the tummy tuck.

For more information on Brazilian butt lifts or butt augmentation, please schedule an iConsult or visit us online at the link below.

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 77 reviews

Comining the your Brazilian Butt Lift and your Tummy Tuck

Yes. Combining procedures is more beneficial to you in the sense that you will not have to go through recovery twice for two different procedures. It is also cost efficient because you don’t have to pay for the operating room twice. Also, more fat can be harvested and used by combining the procedures. Fat from the abdomen can be liposuctioned from the area where the tummy tuck is planned and used for the buttock augmentation.

The one concern you should have is to make sure you are going to a qualified surgeon that has the experience and expertise in your procedures of interest.

I would not do a tummy tuck and buttock lift at the same operation

Dear littlelesr,

I understand your desire to accomplish as much as possible during one operation. However, my main concern is that your recovery will be quite difficult after having surgery on both the front and back of your body.

After a buttock lift you will need to sleep and rest on your side or tummy. That would be difficult if you have also had a tummy tuck.

Studies have shown that as you increase the number of operations done at one setting, the incidence of complications goes up. I do perform tummy tuck and breast operations at the same setting. However, performing tummy tuck surgery and then rolling you over to do a buttock lift is more than I would do.

Your recovery would be difficult, healing could be interfered with, and bacterial contamination of the abdominal wound by incisions placed in the perineal area could also be a problem.

Not ok to have Brazilian butt lift and tummy tuck at the same time

In my practice, I perform butt reshaping very frequently. To answer your question in regard to having multiple procedures done at the same time, including a tummy tuck, you have to understand what involves the postoperative recovery of the fat transfer procedure to the buttock area and what the procedure is about. The fact is that as much fat as possible is needed to reshape the person’s butt and make it proportionate to the body frame. In other words, fat will be taken from the abdomen, flanks, back, and axilla among other areas. Now, after surgery, you can’t sit constantly on the buttock for approximately 10-14 days to make sure the fat is not damaged. If going to the bathroom, the person can just sit for 5 minutes. That’s it.

Now, let’s think about the tummy tuck. You will have an incision on your lower abdomen that will hurt so most likely you won’t be able to lie on your stomach for some days. Let’s say you have a tummy tuck and a Brazilian butt lift. You won’t be able to lie on your back due to the Brazilian butt augmentation nor on your chest because of the tummy tuck. In other words, your recovery will be unbearable.

This is not a matter of having multiple procedures done at the same time. In fact, multiple procedures at the same time like a tummy tuck and a breast surgery (Mommy makeover) could be done but not together with the Brazilian butt lift. In my practice, I perform the Brazilian butt lift first, harvest as much fat as possible, and then do a tummy tuck at least 6 months after the procedure, if the patient needs it. This will depend on how your skin will respond to liposuction.

In my practice, some of my patients have indicated me that certain surgeons recommend having multiple procedures done with the buttock augmentation.  On further questioning, they even recommend having a tummy tuck and also the butt augmentation while the patients are on their back on the surgical table. Injecting the butt with fat when the patients are lying on their back is a bad idea. You will need to be on your chest for the surgeon to visualize the areas of deficiency and inject the buttock properly. In addition, if you take into consideration the surgical implications of both procedures, you come to the conclusion that it is not possible. For example, when you close the incision for a tummy tuck, many times the patient’s belly needs to be bent forward to excise the excess abdominal skin. Consequently, this will prevent the patient from lying on the chest for the buttock procedure once the tummy tuck is done.

Understanding the postoperative recovery is as important as the surgery itself. In conclusion, I do not recommend having any procedure done in addition to the butt sculpting procedure since you will compromise your recovery and long-term results


Hi there-

The two procedures you're asking about can, in fact be performed together. It may be difficult to do so safely, however, as immediately after a tummy tuck it is ill-advised to lie flat on your stomach, and performing your Brazilian Butt Lift requires it, it is usually better to stage them.

Doing them in the opposite order also presents problems, as after your Buttock Augmentation it is not recommended that you lie flat on your back or sit on your new buttocks for some time.

So, to summarize, I think there are many procedures that can be combined, but being able to do so does not necessarily mean that it is in your best interests... Remember that the goal is for you to look as good as possible, not to combine procedures. Understanding this, you would be better off optimizing the circumstances for both procedures.

I hope that helps you.

BBL - Tummy Tuck Combination

A brazilian butt lift and tummy tuck can certainly be done at the same time. But there are some concerns. When I have done these in the past, I performed liposuction of selected areas first. The fat was then processed and injected into the buttocks. The tummy tuck was then performed at the end of the procedure. What I found is that while the patient was undergoing the tummy tuck portion, she was laying directly on her buttocks. This caused some flattening and loss of projection of the buttocks. Even though these two procedures can be done together, they are best done separately. This allows for more predictability of the result. Furthermore, the recovery is more difficult when procedures are combined. After a brazilian butt lift, I have my patients sleep on their stomachs for the first month. This is not possible if you've had a tummy tuck. The patient can only sleep on her sides and this makes for a very uncomfortable recovery. In addition, the post-surgery pain is much greater. So therefore, I recommend that you have the procedures done separately. Please consult with a board-certified plastic surgeon. 

Moises Salama, MD
Miami Plastic Surgeon
4.5 out of 5 stars 1,547 reviews

Brazilian Butt Lift and Tummy Tuck at the Same Time

As you can see, there are many different opinions on combining a Brazilian butt lift and tummy tuck during the same surgery.  Here is a quick risk-benefit breakdown:

Benefit of Combining Brazilian Butt Lift and Tummy Tuck:  

     1.  One operative time and one time under general anesthesia

     2.  Shorter combined recovery time

Risks of Combining Brazilian Butt Lift and Tummy Tuck:

     1.  Longer operative time

     2.  More complicated positioning during recovery

In my practice, I routinely combine Brazilian butt lift and a tummy tuck into the same surgical procedure.  Patients usually find it most comfortable to sleep on their side and avoid prolonged sitting.  While this can be a rather lengthy surgery and involves a fair amount of intraoperative repositioning, I have performed this combination of surgeries with much success over the years.

Jaime Perez, M.D.

Brazilian Butt Lift Specialist in Tampa, FL

Plastic Surgery Center of Tampa, FL


Jaime Perez, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 64 reviews

Tummy tuck and buttock augmentation at same time

As long as you are in good health, it is possible to have a Brazilian butt lift (fat transfer to buttock) and a tummy tuck at the same time. You may need medical clearance from your primary care physician prior to surgery.  The fatty tissue that will be taken from your abdomen during the tummy tuck can be used to augment your buttock.  Patients must avoid sitting directly on their buttock for about two weeks after surgery to increase the survival of the fat cells in the buttock. This means you will need to be on your side, since sleeping on your stomach will not be possible for a few weeks due to the tummy tuck.

This combination can be done safely and I recommend consulting with a board certified plastic surgeon prior to scheduling.

Best wishes,

Dr. Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 282 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.