Double Chin Liposuction, Breast Lift with Implants & Tummy Tuck at the Same Time?

Thank you for your question. It is hard to provided with a valid medical opinion without photos.  I would suggest to be treated by board certificated plastic surgeon with experience in this procedure, to get the best desired results.
Kind Regards,Dr. Emmanuel Mallol Cotes.-

Thank you for your question. A tummy tuck and breast augmentation are great procedures to combine as they address some of big changes that happen after pregnancy or weight changes. It is often referred to as a mommy makeover. It is a bigger procedure and may often require a night in the hospital. Adding chin liposuction to the procedure does not add a great deal of time or stress to the body and should be feasible to do at the same time.I would consult with a board certified plastic surgeon in your area to discuss your options in more detail, review if there are any medical reasons to stage the procedure. If they deem you are healthy to have have the combined procedure, then you will only have one recovery.

Breast implants/Breast Lift and Tummy Tuck as well as smaller procedures like upper neck (chin) Lipo Often Performed Together.Different surgeons will recommend different procedures including doing more than one at a time. Some surgeons also differ in ability, time it takes to do the same procedure and general. It makes this a difficult choice for patients. Based on my own experience I would do all at once as long as it takes 4 or less hours. Surgeons should never perform elective operations that they are uncomfortable performing or feel unwise for them, nor should they be faulted for doing so. However, for me, I typically perform a tummy tuck and breast augmentation and lift (mastopexy) at the same time and usually takes about 3-4 hours so I recommend this be done in one surgery and this is what many refer to a Mommy Makeover.Not only that,if you did not need a breast lift, I usually place breast implants through the Tummy Tuck incision but I prefer this technique. Tummy Tuck and Breast Augmentation Combination makes sense and is safe. Contrary to some of the answers I have found that the recovery time is not delayed and is the same as the tummy tuck procedure by itself. That is because you are healing simultaneously and not sequentially - both heal at the same time. The procedure only takes me about a half hour to 45 minutes longer than the tummy tuck alone. Best of all, I usually put in the breast implants through the tummy tuck incision so that there are no scars on the breasts.I have performed many of these combination procedures over the past few decades and think it is a great idea without significant increased complications

Depending on the surgeon and techniques used, this can take a minimum of 4 hours and easily up to 7 hours. Discuss these options with at least 3 diffferent surgeons as to the optimal procedures and recommended approach.

The combined operation you described is achievable within one day. A tummy tuck (abdominoplasty) and breast lift (mastopexy) with implants (mastopexy augmentation) is considered a mommy-makeover which usually takes 6 hours. Chin liposuction can be performed in 40 minutes so your procedure may be over 7 hours. I would definitely observe you overnight  and you should be aware of the additional risk of combined operations. Combined operations can be related to an increased risk of wound infection and blood clots, however this may be lessened by maintaining your temperature during the operation and early ambulation after the case. Make sure you stop your birth control pills 3 weeks before to lessen the risk of blood clots. 

I would urge you to see a board certified plastic surgeon who can explain the risks of combined operations, and performs these routinely. Please let me know if you have questions.

Dr. Trussler

Dear Shaky

The truth is combining these various procedures without a doubt increases the risk of mortality.  The real questions is what is the marginal increased risk of death to me if my plastic surgeon combines all of these procedures at the same time?  The fact of the matter is that we simply do not know.  However, combination surgery has proven to increase at least marginally the rate of mortality.  

Hypothetically, if the risk of death from having breast implant surgery under general anesthesia is 1:50,000, what is the risk of adding a tummy tuck at the same time.  Is it 1:50,000 plus 1:50,000 which would be 1:25,000 cases or something else?  Most likely, the risk is higher than than simply adding the risk of death of the two procedures.  Is the risk of death worth taking if the risk more than doubles by having all these surgeries together?  That is a personal choice.  Remember, the risk of having neck liposuction awake in your dermatologists office is less than 1:300,000 cases.  

However, you can't have a tummy tuck and a breast surgery under local.  Is the convenience of having combined surgery worth the increased risk?  Most likely both you and your surgeon will be unable to really understand the choice.  The law of large numbers takes this out of the realm of every day experience.  Even your surgeon most likely has not experienced an operative death so it is difficult to them to weight these relative risks.  

Of course their equation is different.  They are concerned that if they don't combine all these surgeries at once for you, they face the risk that perhaps you will find a surgeon who will take this risk with you.  As the commander said in the movie Top Gun:" Son, your ego is writing checks your body can't cash."

Assuming you are in good health, I would definitely consider a one-stage procedure for this combination. There are a few things to consider. Most important is how long it would take to do all of them, and if it is less than 5 hours it should be ok. There are some plasitc surgeons who believe that breast lift + implants should be done in 2 stages but I believe most often one stage is best. There may be a higher probability of needing a touch-up revision but a planned 2-stage operation is automatically 2 operations.

Deciding to have a mommy makeover is a great decision because you only have one recovery.  These surgeries absolutely can be done on the same day in  healthy individuals.  It depends on your surgeon and on the shape of your current body, but 3-5 hours usually is the amount of time needed.  Hope this helps.  

You are thin and a tummy tuck, augmentation mastopexy, and neck liposuction should take around 4-5 hours.  Assuming you are otherwise healthy, I would be comfortable with this combination of procedures.

The combination you describe is perfectly safe and in properly selected patients can be performed on one operative session. HOwever, I am not in favor of chin/neck liposuction and strongly prefer an open technique through a small incision underneath the chin. Liposuction in this area frequently leads to contouring problems and excess scar tissue. If you ever desire a neck or facelift in the future, the scar tissue left behind can be problematic for the surgeon and you. Ask your surgeon about open cervicoplasty instead.