Thank you for your inquiry about the cost and feasibility of undergoing an extended arm lift, bra lift/upper back lift, and breast lift without implants in a single surgery. Yes, these procedures can be performed together, given that the surgeon is experienced and has the appropriate facilities and team to ensure a safe and efficient process. It's important to consider the following factors when assessing the cost and feasibility: Surgeon's Expertise: A surgeon's experience and track record can influence their fees. Typically, a more experienced surgeon might charge more, but they may also have reduced complication rates. Geographic Location: Prices can differ dramatically based on the city or country, as overhead costs and market rates vary. Surgeon's Qualification: Whether the surgeon is a board-certified plastic surgeon or has other qualifications can affect the price. Surgical Venue: Costs can differ based on whether the procedure is done in a private surgical center, a hospital, or an office setup. Inclusions: Some packages might include pre-operative labs, post-surgery garments, or medications in the price. Malpractice Insurance: Surgeons with malpractice insurance may have higher costs due to the premiums they pay. Location: Undergoing surgery overseas might be less expensive, but it's essential to consider factors like quality, safety, and post-operative care. Revisions: Some surgeons might include the price of potential revisions in their initial cost. Insurance: Determine if any part of your procedure might be covered by insurance. Complications: It's crucial to understand if the quoted cost covers potential complications from the surgery. It's essential to consult with multiple board-certified plastic surgeons to understand the range of costs and the pros and cons of undergoing multiple procedures simultaneously. This will help you make an informed decision. I wish you the best in your journey towards transformation. Sincerely, Dr. Katzen