Yes, it’s absolutely possible to combine a breast lift (mastopexy) and lower back liposuction (to target love handles) in the same surgery and it’s actually a fairly common combination, especially for patients who want to address both the upper and lower torso in one procedure. Here’s a breakdown of what to consider: Why It's Common to Combine These Procedures • Single recovery period: You’ll only go through anesthesia and downtime once. • Balanced body contouring: A breast lift enhances the upper body, while lower back liposuction defines your waistline and reduces bulging love handles — this can create a smoother hourglass silhouette. • Efficiency: Saves time and potentially cost compared to having two separate procedures. Your Slim Figure and BMI of 20.1 This is great from a surgical standpoint — you're in a healthy range, which usually means lower surgical risk. That said: • Love handles at your BMI are often genetic or structural, so liposuction can be very effective in sculpting that area. • Your surgeon will evaluate the fat distribution to ensure there’s enough subcutaneous fat to safely remove even a small amount of targeted liposuction can make a big difference on a slim frame. Important Considerations • Surgical Time: Combining procedures increases OR time. A healthy, low-BMI patient like you is typically a good candidate, but your surgeon will set limits to ensure safety. • Positioning: Breast lifts are done with you on your back, while lower back liposuction is done prone (on your stomach). Experienced plastic surgeons plan accordingly. • Recovery: You’ll likely be sore in both areas, and you may be advised to sleep on your side or use special positioning pillows for a week or two. Next Steps 1. Consult with a board-certified plastic surgeon preferably one with experience in combination procedures and contouring slim frames. 2. Be clear about your goals — show photos if possible, and ask if your love handles and breast concerns can both be addressed in one operation.