Loose skin removal surgery - is it feasible to undergo these procedures in a single surgical session?

While it may be technically possible to combine multiple body contouring procedures in one surgery, it’s rarely advisable — especially when considering four major operations like:
Arm lift (brachioplasty)Thigh liftTummy tuck (abdominoplasty)Buttock lift (lower body lift)Each of these is a significant procedure on its own, and combining them all at once would result in:
Excessive surgical time (well beyond the 6-hour safety threshold)Higher risk of complications like wound healing issues, blood clots, infection, and fluid accumulationGreater physical stress on your body during recoveryWhat’s usually recommended?Most surgeons stage body contouring surgeries in 2–3 sessions, based on your priorities, anatomy, and healing capacity. A common sequence might be:
Stage 1: Lower Body Lift (includes tummy tuck + buttock lift + lateral thigh tightening)Stage 2: Arm Lift + Breast or Chest Contouring (if needed)Stage 3: Medial Thigh Lift + Additional Liposuction or Refinements3 months minimum, 6 months optimal time for intervals
This approach allows for:
Safer anesthesia timeBetter healing between regionsMore predictable resultsLess risk of wound tension and delayed healingImportant considerations:Your BMI, metabolic health, and nutritional status (especially protein and hemoglobin levels) play a key role in how much can safely be done at once.Many post–massive weight loss patients also have unique scarring patterns, which need strategic planning.Combining complementary areas (like abdomen + buttocks or arms + breasts) is often preferred.

Thank you for your question and congratulations on your weight loss. Typically these procedures need to be broken up based on time restrictions. The proximity of your incisions also play apart for optimal healing. For example- an abdominoplasty and thigh lift ideally should be spaced out as the incisions are close together and may impact healing. Different providers have different opinions, though, as well as different time restraints. You may also want to think bout recovering from all of these procedures at once vs. separating into 2 different surgeries- especially if you have other medical conditions that may put you at increased risk. Hope this helps.

Often a significant weight loss involving an abdominal "apron", significant hip/flank skin, and loose buttock areas will benefit from a "lower body lift", started in the prone (face-down) position, after which the patient is repositioned supine, and the recontouring continues around the hips to address the abdomen as well. A concomitant upper arm lift would be reasonable if the surgeon and anesthesiologist believes it to be safe (generally these procedures alone would take at least 8 hours), but I would recommend against all 4 extremities being addressed in the same session, safety/time-wise, and in consideration of the limitations in mobility and self-care post-op.