Plastic Surgery in One Session or Multiple?

Can you have multiple procedures done in one surgery? For example, I'm wanting to have a breast lift, tummy tuck and some liposuction. Should those be separate or which ones can be performed together? The liposuction would be on the flanks, hips/thighs, and back/bra area, and upper arms.

Doctor Answers 46

Mommy makeover plus more

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Three things you describe- breast lift, tummy tuck, and liposuction of flank- when done in one surgery is what is called the Mommy Makeover. This can be done safely in appropriately chosen patients. The additional liposuction of the arms, back, hips, and thighs adds a significant amount of time and changes in positioning in the operating room. Without seeing you in person it is difficult to say how much time this would add to surgery, or even if you are a good candidate for liposuction.

Personally I think the safest way to give you the *best results* is to do the breast lift, tummy tuck, and maybe flank liposuction in one surgery, and liposuction of the arms/ back/ hips/ thighs in a second surgery.

Can it all be done at once? Technically speaking yes. Would it be safe to do all at once? Possibly, but not recommended. The usual recommendation is to limit surgery to 6 hours, because the rate of complications tends to increase once you go over that time. Also, if you were to get all of those areas operated on at once (essentially your entire body), it would make recovery a lot more difficult, putting you at risk for post-operative complications for no reason.

There are a lot of factors that add time to your surgery, and each surgeon has a comfortable pace and rhythm. Its better for a surgeon to work at a speed that allows him or her to get you the best possible results, rather than speed through to give you an average result trying get it all done in one surgery.

I would recommend seeing a board certified plastic surgeon in person to get an accurate assessment on how much can be done in one surgery, because a lot of this is based on your exam and overall health.

Best of luck!

Beverly Hills Plastic Surgeon
4.7 out of 5 stars 12 reviews

Multiple procedures can be done together

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A breast lift, tummy tuck, and liposuction (Mommy Makeover) are commonly done at the same time.  Your doctor can determine if you are a candidate for this combination of procedures.

Randy J. Buckspan, MD
Austin Plastic Surgeon
4.6 out of 5 stars 10 reviews

Choose and undertake your areas of greatest dissatisfaction first

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Assuming that you have shed your "baby fat", I would recommend tacking your least favorite areas first. I agree with the other consultants that you should limit your operative tiime to 6 hours and the volume of liposuction to 4-5 liters as an outpatient procedure. Deviations above these ASPS recommended limits may be associated with complications.

On a more practical note, you might consider staging the procedures to "front and back", combining the breast lift and tummy tuck and then the full body lipo, later. Given the discomfort of a tummy tuck, I would hope that a patient would have strong arms and legs, with which to move out of a chair or push off the toilet. Hope this helps.

Lavinia K. Chong, MD
Orange County Plastic Surgeon
4.8 out of 5 stars 58 reviews

Combining Multiple Procedures With 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

Multiple, my preference

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Personally, I do not like to combine surgeries because the recovery time is longer and I think that it is not necessary 'cost effective' to push too many operations into a given time. My patients seem to be very happy with this approach. Best of luck.

Leland Deane, MD, FACS
Long Island Plastic Surgeon
5.0 out of 5 stars 47 reviews

One surgery or multiple?

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These can be done all at once if your surgeon says it's okay and it's safe for you. Factors that should be considered are your health, the amount of fat removed, your surgeon's experience, and what techniques will be applied.

Some procedures are routinely done together and others are separated by two different sessions.  In my practice I would do the breast lift, abdominoplasty, and liposuction of flanks at the same time.  The other areas for liposuction I would reserve for a different session.  A lot of times my patients are motivated to exercise and lose weight after the first surgery and they don't need the second session of liposuction.

If you do decide to do all procedures at once the recovery period may be a little more intense than if you were to have just one area treated.

Plastic surgery in one session or multiple?

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A Mommy Makeover is a term used to described the performance of multiple procedures done at the same time to correct some of the unwanted side effects of pregnancy and breast feeding. Normally some type of abdominal recontouring is a key component of this combination. If significant stretch marks are present a full abdominoplasty will likely be needed. Sometimes only liposuction of the abdomen or a mini tummy tuck is all that is needed. Typically a mommy makeover consists of some type of breast reshaping such as an augmentation to restore volume, a breast lift to tighten the breast skin or a combination of both. If the breast size is too large a breast reduction may be necessary. Most women also benefit from some liposuction in the area of the hips and thighs. These procedures can all be done safely at the same time in properly selected patient's. It is best if the patient is within ten pounds of their ideal body weight, are in good health, and have not experienced any lactation in the previous three months. You should make sure that your surgeon is Board certified by the American Board of plastic surgery and has significant experience in the performance of simultaneous multiple . It is also very important that the facility in which the operation is performed is properly certified.Performance of multiple procedures can be done safely by an experienced team in properly selected patient. It is normally safe to perform combination surgery if the operating time is kept under 5 hours.

John J. Edney, MD
Omaha Plastic Surgeon
4.8 out of 5 stars 128 reviews

Combination procedures

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The three procedures you describe are often referred to as a "mommy makeover" and can safely be combined in most patients. See a board certified plastic surgeon for specific recommendations for your body. Best wishes.

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Mommy Makeover

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A mommy makeover will restore the natural shape of a women after pregnancy. All mommy makeovers are individualized and can be quite a lengthy procedure. A six hour time frame is usually used as the maximum amount of time to spend in surgery. If the procedure would last longer, that it probably should be staged into two separate procedures.

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 81 reviews

Plastic surgery in one or multiple procedures

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When multiple areas of concern need to be addressed with surgery it is certainly appropriate to do as much as can be safely accomplished in one sitting. Most mommy makeovers involve a breast augment or lift with a tummy tuck. That amount of surgery generally takes 3-5 hours which is reasonable. A small amount of liposuction can be added, but when multiple areas need to be addressed then it is safer to do that at a second procedure. It allows the surgeon to focus on and perfect a few concerns and not have to deal with too much at one sitting.

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.