These two procedures can be done at the same time with favorable outcome, one recovery, and less expense. The one major drawback is that resting comfortably following the surgery is a challenge. I recommend that my patients sleep on their sides. Patients can also rest in other positions as long as the other areas do not receive pressure. There are creative ways to manage this. For example, my patient coordinator recommends a plastic inflatable with a hole in it (called a lilo), where instead of your tummy, you place your butt, so you can sleep on your back with pillows propping up your neck and head.I typically do liposuction of the front with the breast reduction and then liposuction of the back with the fat transfer. Special care is taken so that the breasts are not compressed during the BBL. Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA