Is It Safe to Have Breast Reduction and Liposuction at the Same Time?

Is it recommended to have a breast reduction and liposuction of tummy, flanks and back at the same day?

Doctor Answers 18

Don't over do it.

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It is possible to do the reduction and liposuction at the same time, but don't over do it. Your operative time should be kept to less than six hours. Additionally, depending on the amount of liposuction, you will have significant fluid shifts and may require overnight monitoring. It may be best to pick one or two areas for liposuction come back another time for the rest. Good luck.

Breast reduction and liposuction, on the same day?

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If you are in good health, you should be able to have the operations the same day. There are many variables, (how much liposuction, etc;). Best to speak with a board certified plastic surgeon. Together you will review your goals and see what is possible.

Multiple procedure depends on your health status

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The procedures you described are generally considered safe procedures that can usually be combined.

In fact, liposuction of the lateral chest wall is often done in conjunction with breast reduction to improve the contour of the chest.

Many patients are interested in having as many procedures as possible in one session. This allows them to take less time away from work by combining the recovery from all the procedure. It also allows the patients to save money on the anestheisa and facility fees.

Keep in mind that the combination of all these procedures will increase the duration of your surgery.

Furthermore, recovering after multiple procedures is generally more difficult.

Good luck with your procedure.

A. Peter Salas, MD
Manhattan Plastic Surgeon

If you are heathy, this is a safe combination.

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Hi!  I often combine breast reduction with liposuction, but keep the liposuction volume to no more than 2000 to 3000 cc's. This should not take more than 4 to 5 hours.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Multiple procedures during one O.R. session

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In my experience, it is safe to have breast augmentation and liposuction during one session in the operating room, and this is corroborated in the surgical literature as well.

The situation needs to be "customized" by the patient and surgeon depending on multiple factors:

  1. Surgeon's comfort and experience
  2. Patient's health and risk factors
  3. Anticipated post-op down time
  4. Do the operations work well together?

Barry H. Dolich, MD (Retired)
Bronx Plastic Surgeon

Only if it is safe...

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The totality of your procedures should be assessed by your surgeon. The advantages to combining the procedures is possbily lower cost and one recovery period.The disadvantages might be increased risk due to surgical trauma, swellng,and bleeding. You r particular situation should be individually appraised by your durgeon as to what he is comfortable doing. While I have done this combination,and even more in one sitting, I generally try to limit elective surgical time to 6-7 hours. But you also have to consider the type and magnitude of reduction and the total body surface area to be liposuction as this procedure produces what amounts to an internal "burn" with edema and leakage of intravenous fluid.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast Reduction and Liposuction?

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Thank you for the question.

This combination of surgery can be done together assuming you are in good health,  that the extent of surgery ( for example blood loss) is reasonable,  that you are in the hands of a well experienced board-certified plastic surgeon and anesthesiologist in a fully accredited surgery center facility/hospital.

It would be best to break the procedures into two stages if you have concerns regarding the safety and/or aesthetic results of the procedure.

Best wishes.

Risks of multiple procedures

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This combination can be completed with the knowledge that you may be at increased risk for DVT. Certain prophylactic measures to decrease this risk may be instituted such as Compression Stockings and Pneumatic Compression Devices. Other risks such as hypothermia are possible as well as numerous other less likely adverse events.

It's safe to have breast reduction and liposuction at the same time.

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Depending on the volume of liposuction, it is safe to have the flanks and abdomen suctioned at the time of breast reduction.  Clearly, this does not apply to all patients and the surgeon will factor in the magnitude of the problem with any health issues to decide if the combination is safe in a given patient.

Breast Reduction & Lipsuction Is Generally Safe

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The short answer here is yes.

Many patients elect to have liposuction or a tummy tuck performed at the same time so that the lower body will complement their new, smaller breast size. Given you're a good candidate for both procedures and in good health, your plastic surgeon would be able to discuss those types of options during your consultation.

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.