Is it safe for me to do mommy makeover, lipo & fat transfer in the same surgery?

Technically both physicians are correct.
For a surgery of 4.5hrs, you are safe to proceed with a BMI of 33. The complication profile for that type of surgery does not increase substantially until you reach a BMI of 35. However, there is an increase in complication rate between the BMI class of 25-29 and 30-34. Furthermore, your best results will always be achieved after the maximum amount of weight loss.
In general, I would consider what the second surgeon is offering safe as long as your comorbidity (other illness) profile is acceptable. Due to the length of surgery, you may be required to take blood thinners after surgery depending, among other things, on your Caprini score.
Make sure that both surgeons you are consulting with are Board Certified Plastic Surgeons (not simply cosmetic surgeons) and that the facilities that they operate at are accredited facilities.

Medical history and BMI are very important on the evaluation prior to any surgery. A 30BMI or under is recommended to get a Mommy make over done so the aesthetic result is better and done on a safer way. My advice will be checking options to reach this 30BMI prior to consider doing a plastic surgery, this will help your Hypertension and will give you better results long term. Good Luck!

I am not really sure what an "amp" is however I have years of experience with combined surgery. I do believe you have to be careful and not spend more than 5 hours during any case. Next it is difficult to operate on the buttocks, breast and belly at the same surgery because it leaves you little area for you to rest on while healing. I think proceed but proceed with caution. Best Wishes!!

It is safe for you to do mommy makeover, lipo & fat transfer in the same surgery as long as you are healthy and there are no contraindications. Your plastic surgeon and anaesthetist will be able to assess you in view of your health conditions and advise you on whether it is safe for you to have all three procedures done at the same time. Recovery from mommy makeover, lipo & fat transfer surgery can be quite challenging, so make sure you have a good support system in place.
Take care!

Hello @KKKK11 thank you for your question. It is very important to be in good health and that all your levels are well when thinking about a surgical process, as well as the opinion of your doctor treating hypertension with respect to the surgical time. Generally it is better to perform the volume reduction first and wait a prudent time for the body to stabilize and then have the breast reduction because when a Lipo is done the body loses fat not only in the areas that are liposuctioned but also at a general level. that means that when you lose weight you also loose weight in your breast because part of the mamary tissue is fat. so what I see when the breast surgery is performed with lipo is the first few days you are perfect, with the results you want, but as the months go by, the breasts begin to fall and you begin to see that they become flaccid and smaller. The amount and type of mammary gland can help to perform a subsequent process in some cases without the need for fat transfer. best whishes! Alan Gonzalez MD, FACS.

Breast reduction/lift, tummy tuck, liposuction of flanks and chin and fat transfers will take more than 6 hours to perform. The safe operation time is 6 hours. If someone can do all those procedures in 4 1/2 hours then they are rushing and will have a poor result. With someone with a BMI of 33, I would begin with your breasts and see how you tolerate the surgery. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. After this has been completed, then I would recommend a tummy tuck. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. Liposuction can be done with fat transfers at the same time.

Best Wishes,

Gary Horndeski, M.D.

I'd definitely get medical clearance from your primary care physician. A lot will depend on your plastic surgeon. Surgical time should be less than 6 hours with minimal blood loss. Ideally your BMI should be less than 30.

Dear KKKK11,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

On blood pressure medication, I would advise against doing all those procedures at one time. I would suggest starting with the liposuction and perhaps the breast reduction. Once the excess fat is removed from the flanks, you may find you no longer have hip dips. Also, doing the liposuction first removes more fat from the abdomen. The tuck will look better if the fat can be removed first.

It is difficult to answer this without examining you and reviewing your complete medical history. Safety is the number one priority in surgery. The recommended BMI for elective plastic surgery is 30 or under. Those above this threshold may experience higher risk of complications such as poor wound healing, seroma, or infection in addition to sub-optimal results. This does not exclude you from the procedures, but must be taken into consideration. Having high blood pressure does not exclude you from having these procedures but it must be well controlled and depending on the situation, may require clearance from a specialist.