It is technically possible to have a tummy tuck at the same time as a gastric sleeve, but most surgeons strongly discourage it. The main reason is that the gastric sleeve is a major procedure that affects digestion and nutrient absorption, and your body needs time to heal and adjust to your new way of eating. Combining it with a tummy tuck, which is also a significant surgery, increases the risk of complications, including infections, poor healing, and blood clots. Additionally, after significant weight loss following the sleeve, your body will continue to change, and doing a tummy tuck too early might not give you the best long-term results. Most plastic surgeons recommend waiting until your weight stabilizes, usually 12 to 18 months after surgery, to ensure the best outcome. If your excess skin is truly affecting your mobility and quality of life, you can discuss your concerns with both your bariatric and plastic surgeon to explore the safest approach.