Breast Lift at the Time of Tummy Tuck?

I wanted to have my breasts lifted and breast implants at the time of tummy tuck. Because I am heavy, and my tumyy tuck was going to be lengthy my plastic surgeons suggested doing it later. what do you think?

Doctor Answers 20

Cosmetic surgery limited to 6 hours

I do not recommedn you undergo a breast lift with implants and abdominoplasty at the same time.  You state that you are heavy and that puts you at a higher risk.  Multiple procedures requiring more than 6 hours puts you at a risk for pulmonary problems and blood clots.

Best Wishes,

Gary Horndeski, M.D.

Texas Plastic Surgeon
4.6 out of 5 stars 223 reviews

Breast Lift with a Tummy Tuck

The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.    

Healing after a  #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake. I allow my patients to return to work at one to two weeks with 14 days preferred.  However, no lifting or straining.  At three weeks, increased level of activity and full with no restrictions, at 6 weeks. #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others.  The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting.

#Combining these procedures decreases anesthetics, costs, and recovery time.  Most importantly, your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Timing of Multiple Surgical Procedures

Thank you for your question. Whether those procedures should be added at the same time or not is really up to your surgeon. Typically one tries to avoid going over 6 hours under anesthesia as this will increase your risk of a complication. The fact that you are, as stated in your question, heavy and undergoing an abdominoplasty (tummy tuck) these are factors that increase your chances of deep venous thrombi (clots in the deep veins of the legs). These thrombi can break loose causing a pulmonary embolus (clot in the lungs) which can be fatal.

If your plastic surgeon feels that it would not be safe to add a mastopexy (beast lift) with augmentation at the same time I would defer to their judgement. They have the advantage of an in-person exam, therefore know best what is needed to correct your abdomen and how long that will take in their hands.

I hope this helps. Good luck.

Pedro M. Soler, Jr., MD
Tampa Plastic Surgeon
4.9 out of 5 stars 39 reviews

Mommy makeover

Breast augmentation with lift and tummy tuck is a very common combination surgery in mommy makeover.  It usually takes 5-7 hours depending on your size and complexity of surgery.  it is a very safe surgery as long as you are healthy.  You can visit another board-certified plastic surgeon for second opinion; however, you should follow the advice/recommendation of plastic surgeon that you choose to go with for surgery.

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews

Breast Lift with Tummy Tuck

A breast augmentation/lift with tummy tuck is one of the more common procedures performed.   I generally recommend an overnight stay in a hospital, such that a registered nurse can ensure your safety and comfort as you begin your recovery.

Depending on your medical history and body mass index, your surgeon may limit your overall surgery time/procedures for safety reasons.  


If you have any concerns about your treatment plan, I would recommend you visit with 3-4 board certified plastic surgeons to help make an educated decision.


I wish you safe and successful procedure!!

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 86 reviews

Tummy tuck

Breast lift and tummy tuck are a common combo procedure.  I feel it is perfectly safe to combine these procedures.  However, if your tummy tuck is  a large one and anticipated to take much longer than usual, I might also elect to perform them separately.  Either approach is fine.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Combination Surgery

It is always convenient too be able to combine procedures into one surgery. But safety comes first. Sometimes it is wise to separate them. There are many issues that go into this decision, including the length of the surgery, and general health of the patient. If you are happy with your choice of surgeon, trust him/her. Good luck.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 77 reviews

Breast lift and tummy tuck

Thank you for the question. I think your plastic surgeon has a point. However, you may want to get a second opinion. The decision to do everything at the same time or different procedures depends in part on examination findings and your medical history. Your plastic surgeon may have a valid point for splitting the procedure. Best wishes.

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 15 reviews

Tummy tuck with breast lift & augmentation

This procedure can be done safely in my opinion as long as both procedures individually are not complicated by exceptionally large amounts of loose skin and/or fat to be removed.  I generally limit my cases to 5 hours to minimize serious complications of lengthy surgeries (ie: blood clots).  In your case it sounds like it might be safer for you to break it up in two surgeries.  This is definitely not unreasonable and it sounds like  your surgeon is more cautious.  For a real second opinion I suggest you seek a consultation with a board certified plastic surgeon who performs these surgeries often.  Good luck!

Milind K. Ambe, MD
Orange County Plastic Surgeon
4.8 out of 5 stars 42 reviews

Mommy makeover sequence

Breast and abdominal surgery can be safely combined, especially for 'mommy makeover' type of procedures.  However, this is not always the case, and there are instances that they must be done at different times for reasons of patient safety.  After talking to your surgeon, you should be able to understand his reasoning, and seek a second opinion from a board-certified plastic surgeon in your area if not. 

Hope this helps, 

Dr. Hall

Jason J. Hall, MD, FACS
Knoxville Plastic Surgeon
5.0 out of 5 stars 11 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.