Is it safe to have arm and stomach liposuction with a breast fat transfer and a labiaplasty all done in one session?

Question

Is it okay to get arm and stomach liposuction with fat transfer to breast , and labiplasty procedure done at the same time or should the fat transfer to breast and labiplasty be done as 2 separate surgery's . Does getting multiple procedures in one surgery delay healing time or increase the chance of complications. ?

Alan Gonzalez, MD, FACS · Answer

Hello @sara anderson, thank you for your question. It is possible and depends really on the extent of the surgery. Personally, I do not perform surgeries that are longer than 5 hours, and I always prefer to divide the procedures. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Brian Bassiri-Tehrani, MD · Answer

This is an excellent question. Generally, the risk of complications like blood clots and anesthesia related complications go up the longer the surgery. This risks are further compounded if you have medical problems, family history of certain conditions, take certain medications and if you are a smoker. As such, your individual risk factors and how long it would take the operative surgeon to do the case factor into the right answer, also taking into account you and your surgeon's comfort level with doing all in one stage.
In terms of healing time, having multiple areas operated on will not significantly impact your healing abilities, but it will make recovery a little more uncomfortable. As long as you are healthy and your surgeon is comfortable to do both surgeries in on setting, this is a reasonable option. Make sure to discuss your personal risk factors with your surgeon to see if you are a safe candidate for this. Hope this helps.

Wayne I. Yamahata, MD · Answer

Many factors enter into the determination of patient safety for surgery. These include age, health status, current medications, habits such as smoking, and estimated length of the planned procedure. Your surgeon will make recommendations during a consultation, after obtaining information on your history and conducting a physical examination.

Daniel Barrett, MD · Answer

Dear sara anderson,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

I see no reason why you could not have these multiple procedures done in the same surgery setting. This is always best to discuss with your surgeon ahead of time. Good luck.

Peter D. Geldner, MD · Answer

Thank you for your question. The simple answer to your question is: it depends. Safety depends on your initial health. It depends on exactly what your surgeon is planning. Some procedures which you describe can take quite long, others are relatively brief. So, we know through considerable studies that performing multiple simultaneous procedures does not, in isolation, increase risk. I would share a your concerns with your surgeon and ultimately trust your gut.

Connie Hiers, MD, FACS · Answer

If your surgeon performs all these procedures and thinks that you are medically stable to do all these procedures at the same time, then they can be done together. Longer surgery time does increase risks, especially like blood clots and pneumonia.

Douglas Taranow, DO, FACOS · Answer

It all depends on your physical health and the length of your procedure.  With added time, the potential for complications rises, but just a little in most situations (until you get to the 5+ hour procedures).  It sounds like the procedures you are planning are safe to do in conjunction.
Best wishes,
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

What you describe sounds like a very reasonable number of procedures to do in a single session. The labia plasty is a fairly minor procedure. That can also easily be done as an office based procedure, at least in my opinion.
I would point out that there is significant discrepancy and differences in approach, skill and experience when it comes to body contouring procedures, like liposuction and fat transfer. Do not assume that because somebody’s board-certified and plastic surgery that they are good at either one of these procedures. Patient should be extremely selective when it comes to choosing providers especially for procedures, like liposuction and fat transfer. If done poorly, these procedures can leave people disfigured. Correcting poorly done. Liposuction is extremely difficult and often not possible.
To find the right provider, I suggest patient start the process by having multiple in person consultations. During each consultation as each provider and open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your owner. An experience provider should have no difficulty showing you with the before and after pictures of at least 50 previous patients. Always make sure breast fat transfer after pictures were taken at least 3 to 6 months from the date of surgery. Early fat transfer pictures can look very impressive but did not in anyway represent final results. Do not assume plastic surgeons are showing final , long-term results if results. Always confirm.
There’s no correct number of consultations needed to find the right providers. The more consultations your schedule, the more likely you are to find the best provider. Considering how much variation there is an skill and how a few plastic surgeons have actually mastered both Liposuction and fat transfer. I suggest patient start the process by having at least five in person consultations before scheduling any permanent irreversible body contouring procedure.
When, in doubt, slow down and schedule more consultations.
Best,
Mats Hagstrom, MD

Is it safe to have arm and stomach liposuction with a breast fat transfer and a labiaplasty all done in one session?

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