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 38

Brazilian Butt Lift, abdominoplasty combination

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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.

Do Brazilian Butt Lift first, tummy tuck second!

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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.

Comining the your Brazilian Butt Lift and your Tummy Tuck

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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.


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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.

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

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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

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

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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.

BBL - Tummy Tuck Combination

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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. 

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

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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

Brazilian Butt Lift & Tummy Tuck at the Same Time

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Combining procedures into one surgery is very common, especially with a Brazilian Butt Lift and a tummy tuck. A Brazilian Butt Lift is performed by extracting fat from donor sites utilizing liposuction and meticulously injecting them into the layer of fat in the buttocks to achieve a smooth result. Since liposuction is often performed alongside a tummy tuck to achieve the desired result, it is likely that performing the procedures together is your best option. Ofcourse, each patient needs to be examined and receive medical clearance prior to making this decision. 

Brazilian Butt Lift with Tummy Tuck

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Thanks for the question -

There are 2 problems with combining those two operations -

For a good brazilian butt lift you need to liposuction a significant amount of fat. For most patients most of that fat comes from the abdomen and flanks. There can be potential complications when you liposuction this area and then attempt to perform an abdominoplasty with blood supply. This means that you can have wound healing problems or skin loss in an aggressively liposuctioned area that undergoes abdominoplasty at the same time.

The second problem is - even if you are able to avoid liposuction to the abdominal area (ie have enough fat elsewhere) there are positioning issues - after a tummy tuck it's not ideal to position a patient on their stomach (prone) and after fat transfer it is not ideal to leave patients on their backs or in a sitting position for a prolonged period. This means that you're going to have a problem regardless of which part of the procedure you do first.

Ideally you should consider doing the lipo/fat transfer procedure first followed by a tummy tuck at least 6 months later.

I hope this helps.

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.