I want Lipo 360/BBL, arm lipo, TT and breast lift. How should I split these surgeries? Or can they be done all together?

Typically I would stage the front procedures (breast, tummy, lipo) and the back procedures (BBL, lipo).I prefer for patients not to lie on their abdomen after a tummy tuck and to avoid pressure on the butt after a BBL (fat is sensitive to pressure and ischemia), so these could be staged.
When considering multiple cosmetic procedures, the process involves careful planning to ensure safety and optimal results. It's common to combine surgeries, but there are typically limits on the duration of each operation to ensure patient safety. The general guideline is that elective surgeries should not exceed six hours, though this can vary depending on your surgeon's approach and experience and your individual risk profile.
Ultimately, the most effective plan will depend on your specific goals, health status, and recovery time. It’s crucial to consult with an experienced plastic surgeon who can assess your case, determine the safest way to combine the procedures, and create a personalized plan based on your priorities and desired results.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Yes, it is great to split this into 2 stages.  The combination of procedures done at each stage is usually dependent on your desired priorities.  Certainly, it can be done in the order of procedures that you mentioned.  Go for a consultation with a board certified PS to make sure that you are medically healthy enough to do the surgery as you want to.  Best of luck!

 It is by far safer to stage your planned surgery for many reasons. I would recommend performing the BBL and Liposection of your arms first, as this will allow your surgeon to harvest as much fat as needed to transfer to your buttocks. 3 to 6 months later tummytuck and breast lift can then be performed. Be certain to consult with a board-certified plastic surgeon. Best of luck.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  I agree with your plan to split these procedures into two separate surgical dates.  The specific procedures to do each date will depend on your anatomy and goals.   I recommend separating the dates by 2-3 months.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Dear whyyesitznessa,some plastic surgeons may want to split this into two operations depending on the time needed. Its best to see a board-certified plastic surgeon to determine your options and whether it would take too long, more than 4 hours, to do all.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your comprehensive question.  The first and obvious answer to your question is, you are correct in that you cannot do all of these procedures at the same time.  Even if the surgeon and surgical team are able to keep their concentration for as long as these procedures require, there will be too many hours necessary to safely, both cosmetically and physiologically, accomplish this.A primary 360 liposuction does not lend itself to being combined with a tummy tuck safely.  360 injury to the soft tissue plus resultant blood loss is truly a procedure that needs to be done as an isolated procedure, and not combined with multiple other procedures.  Remember, Safety Safety Safety.  You do not want to lay on a 360 liposuctioned area for any extended length of time because when the tissue is injured from the inside, as in liposuction, and you lay of any given area for any protracted period, it can lead to the same situation one sees in a decubitus ulcer. i.e. the skin and subcutaneous tissue between lipo injury and a bed of any softness can lead to tissue necrosis (loss of blood supply).A breast lift, tummy tuck and liposuction of flanks can be combined depending on the speed and experience of a plastic surgeon and his or her surgical team. If you were my patient and had small love handles, I would do the breast lift, tummy tuck and liposuction of the flanks and lower abdomen as a first procedure, and then come back 90 days later to do a 360 liposuction and BBL plus any touch ups that became obvious after the first surgery.  The primary BBL can be done with first surgery if you don't do the breast lift.  You can harvest some fat from the lower abdomen (which would otherwise be discarded), and use that along with any flank fat to put that into the buttocks.  As you can see, the answer to your question "what procedures can be combined with what procedures", is much like those questions on a SAT test......you know the one with the foxes and chickens and canoe?  At this point, you need to discuss what combinations of what procedures can give you the safest and most aesthetic result.  The answer to each of the above questions depends on your height, weight, and health as well as the skill of the Board Certified plastic surgeon.  

It is appropriate and safest to split these up into two procedures as attempting them all in one operation could take an inordinate amount of surgical time, and would incur added risk. I would suggest splitting them up this way:Stage 1: Liposuction of all areas to be suctioned + BBLStage 2: Tummy tuck, breast liftThe rationale is this: in stage 1, you can have as aggressive a liposuction procedure as is appropriate, and have time for your tissues to settle, skin to retract and tighten and review any areas that might benefit from a touch-up or added work in the second stage. Additionally, at the second stage, your abdominal skin and muscle are addressed and the breasts are treated, leaving your arms free to provide you support when you get up out of bed, etc. It also may permit a more aggressive skin removal in the second stage.

Greetings. It would be wise to split these procedures into two separate surgeries. To patients, I recommend performing the liposuction and the BBL procedure first. Then wait 4 to 6 months minimum before considering a tummy tuck. Every surgeon has a different approach &/or sequence. The best option is to discuss this with a plastic surgeon during your consultation. Good luck!

Combining procedures is commonly done, but there is a limit.  Typically plastic surgeons will try to limit the surgery time to 6 hours or less.  Based on the procedures you mentioned it will be best if you break them into two stages.  I recommend having the liposuction and BBL together and then the tummy tuck and breast work together.  See a board certified plastic surgeon in your area to learn more.

Thank you for your question. Generally it is best to do the surgery based on what position you will be in after the surgery. When a BBL is performed we suggest sleeping on your stomach for 3-4 weeks if possible. Therefore it is not recommended to do the TT and breast at the same time. I would do full body lipo to harvest enough fat to be injected into the buttocks first. After 3-6 months then the breast and TT at the same time. Best of luck!