Should I get chin & arm lipo along with everything else?

Question

I'm getting Royal Extended Tummy Tuck, Abdominal skin resection, Muscle Repair (averages 5 in), Mons lift and reduction, Liposuction: upper and mid back, waist & love-handles, Fat transfer to buttocks and hips. Would it be safe or overdoing it to add lipo to arms and chin? THANKS IN ADVANCE!

Robert M. Lowen, MD · Answer

The more you do, the more you have to do in a limited amount of time, even if it is all day.  Arms and chin can be done in the office under local, so it makes little sense to add them to an already long operating day.  The purported economic benefit of doing things all at once ignores the question of how well they are going to be done.  High quality surgery takes time, so trying to do too much at once is counter-productive to consistent good results, in my opinion.

Camille Cash, MD · Answer

Combining procedures is common and considered safe, but there is a limit.  Typically surgical time is limited to about 6 hours for elective plastic surgery.  Based on the information provided you may already be surpassing that with the planned procedures.  It is always best to discuss your questions with your surgeon, but it may be best to add a second stage of procedures versus adding more to the first one.

Mats Hagstrom, MD (license on probation) · Answer

There are advantages and disadvantages of having combined procedures. I think there’s a limit to what is an appropriate amount of surgery for one day. Surgeons who had a lot of procedures in a single session, will need to move quickly, and that sometimes means cutting corners and not paying attention to detail. Quality work simply takes time. It’s also important for patients to recognize that not all surgeons excel at all procedures. To make sure you get a quality outcome. You need to vent plastic surgeons for each of the procedures you are signing up for. I generally recommend patients of multiple in person consultations before having permanent irreversible body contouring procedures. During each consultation, ask each provider to open up your portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. If you’re having multiple procedures, just unseeing enough before and after pictures of the same combination or at least all the different procedures you were signing up for. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. For bed transfer results always confirm when after pictures were taken. Early fat transfer results can look very impressive but do not reflect or represent what final results look like. After pictures for fat transfer, I should never be taken less than 3 to 6 months from the date of surgery. Liposuction and Fed transfer seems to have a lot of variation, depending on which surgeon you choose. These procedures are off as being simplistic by the public, and sometimes by providers as well. In reality, delivering, consistent quality, liposuction and fat, transfer results is far more difficult than most people realize. Simply doing quality liposuction with a BBL can potentially be a half day procedure by itself. Generally speaking elective cosmetic surgery should be kept up to six hours or less, though they sometimes are scheduled for longer than that. There are also advantages for surgeons to do combine procedures. It generally is more time, efficient and financially lucrative to do as many procedures in one day as possible. Just because the surgeon thinks it’s OK doesn’t necessarily make it the best decision. I recommend patients have at least five in person consultations before choosing a provider for permanent irreversible body contouring procedures. Understanding your own candidacy for the procedure and choosing the right provider are the two most important variables. Talk to your provider about what they feel comfortable with. It sounds like you already have a lot of surgery for one session as it is. Have you seen enough before and after pictures of extremity liposuction like arm results? Are you positive that the surgeon can do arm liposuction with quality outcomes on a consistent basis?
The biggest mistake patients make is not being selective and not having enough consultations before choosing providers.
Best,
Mats Hagstrom, MD

Should I get chin & arm lipo along with everything else?

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Should I get chin & arm lipo along with everything else?

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