Can I Have Multiple Cosmetic Procedures in One Surgery Session?

E.g. rhinoplasty, tummy tuck, and breast augmentation at the same time

Doctor Answers 18

Yes, but it depends on the procedures

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In general, it's fine to do multiple procedures at the same time-- but you need to have a detailed discussion with your surgeon as to the details of the procedure, how long it will take, recovery, etc. Some patients are better candidates for this than others, and the plan needs to be individualized to the patient.

Certainly a tummy tuck and breast augmentation together is no problem. The rhinoplasty can be done at the same setting as well or a few weeks before or after the tummy tuck/breast augmentation.

Seattle Plastic Surgeon
4.9 out of 5 stars 155 reviews

Yes but it depends...

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Cosmetic surgical procedures are commonly combined for optimum efficiency and minimizing the numbers of recoveries and anesthetics required for your desired outcome. Breast and abdominal surgeries work very well together for example.

I personally wouldn't do a rhinoplasty at the same time as putting in breast implants. The nose is not a sterile area and surgery on the nose causes bacteria to be released into the blood stream. These can go to the implant and possibly increase the risk of infection. Infected implants have to be removed and replaced months later. Consequently, I would do the rhinoplasty first and the other surgeries a few weeks later.

Safety is of utmost importance.

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Multiple cosmetic procedures can be performed often depending on which procedures are to be combined and the overall health of the patient. Many factors need to be considered. Rhinoplasty is often combined with other facial procedures as a chin augmentation or even with some body procedures such as breast augmentation.

Sanjay Grover, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 242 reviews

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Yes, you can have multiple procedures at the same time.

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Yes, it is very common to have multiple procedures at the same time. However, you must also be cautious that you are having your procedures done by a qualified surgeon. In general, if your procedures can be completed within six hours, then it is reasonable to combine them. However, as the length of surgery increases, then the risk also increases. The procedures which you describe: Rhinoplasty, Tummy Tuck, and Breast Augmentation are reasonable to complete at the same time.

I hope this is helpful.

David Shafer, MD

Use your time off wisely

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Many of my patients choose to have two or three procedures done at the same time. Just make sure that you are having surgery done by a "Board Certified Plastic Surgeon" or Facial Plastic Surgeon. That way you know that your safety will be their number one concern. Do your research and ask many questions. If you can ask the Doctors office for referrals from other patients that have had the procedures you are thinking about.

Linda Swanson, MD
Los Angeles Plastic Surgeon

Multiple procedures possible but need to be individualized

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It is common to do multiple procedures at the same sitting, however one cannot be cavalier about it. Some factors to take into consideration are total expected blood loss, total surface area of surgical fields, total length of surgery and anesthesia time, surgeon fatigue (both mental and physical), expected recovery process not interfering with or compounding each procedure (such as positioning issues, ambulation, or pain with concommitant increase in pain medication requirements), technical aspects of the procedures so blood supply or tension issues do not increase risk of procedure, increased risks of deep veinthrombosis, pulmonary embolism, and pneumonia.

With breast reduction and tummy tucks, it is possible to do both but attention much be paid to technical aspects so undermining and incisions do not compromise blood flow to certain flaps and that landmarks, such as the inframammary fold, do not get distorted or moved significantly that may affect the cosmetic result.

Plan all these procedures carefully with your surgeon and discuss each risk and advantages and disadvantages of combining or separating these procedures. As an original member of the Extreme Makeover show, I routinely performed multiple procedures safely with careful and judious planning. Your board-certified plastic surgeon should be able to guide you as well.

Good luck!

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

Combining mommy makeover and rhinoplasty

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Thank you for your question. A tummy tuck and breast augmentation are great procedures to combine as they address some of big changes that happen after pregnancy or weight changes. It is often referred to as a mommy makeover. It is a bigger procedure and may often require a night in the hospital. Adding a rhinoplasty maybe reasonable depending on the total anticipated time for the surgery.
I would consult with a board certified plastic surgeon in your area to discuss your options in more detail, review if there are any medical reasons to stage the procedure. If they deem you are healthy to have have the combined procedure, then you will only have one recovery.

Multiple procedures at one setting

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It is very common to undergo multiple procedures at one setting.  I feel a good analogy is flying in a plane.  Your body does not know the difference if you fly to Chicago or San Francisco, it is one take off and one landing.  So if you are considering multiple procedures, I would do them in one setting.  Typically this does not add to your recovery.

Roger J. Friedman, MD
Bethesda Plastic Surgeon

Yes, cosmetic surgery procedures can be combined

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Yes. In our practice, we perform facelifts and eyelids in combination with other procedures. It is probably a good idea not to perform more than approximately three operations at one session. The surgical operations should probably not last past five to six hours so as to minimize any postoperative complications.

We typically perform a rhinoplasty, eyelids and facelifts in various combinations along with cheek and chin implants routinely in our practice.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Combining Multiple Such as In a Mommy Makeover

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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.

The costs of a #Mommy Makeover will depend on several factors. Such include the geographic location, the skill and experience of the surgeon, and operating room and anesthesia fees.  Also, such #combined operations are often performed with our Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with Mommy Makeovers. Therefore, if you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your doctor.

If your surgeon feels you are a candidate, it may be possible to add additional procedures such as those you mention. #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
4.9 out of 5 stars 116 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.