Is it safe to have an arm lift, thigh lift, and labiaplasty at once with a BMI of 20? Thank you for your question regarding whether it is safe to have an arm lift, thigh lift, and labiaplasty all at once with a BMI of 20. In my opinion, you can have these procedures all at once. Therefore, you can have the arm lift, thigh lift and labiaplasty all at once. However, I would not suggest that you have the arm lift and thigh lift together in one procedure, as the recovery is difficult. The logistics would be getting from the bed to the bathroom. You need to alter extremities to coordinate this activity. Therefore, I would do the thighs and labiaplasty during one surgery and then wait 1 to 2 months before embarking on the arm lift. I would do the thighs and the labiaplasty first because you will need your arms to change dressing for the thigh lift, thigh reduction or thighplasty. Once you are completely healed from the thighs, I would consider the arm lift. I hope this helps to answer your question of whether it Is safe to have the arm lift, thigh lift and labiaplasty all at once. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)