Many plastic surgeons perform all of these procedures and the Dominican republic seems to be a hotbed for these procedures.Many plastic surgeons will perform the procedures at the same time.My preference is to do the liposuction with the BBL first, let the patient recover and do the abdominoplasty as a second stage procedure.I find the results are much better and the recovery is hard enough with either one of the procedures.Most plastic surgeons ask patients to avoid sleeping on their back after a BBL. This is virtually impossible after an abdominoplasty.