Would you all recommend a Tummy tuck, BBL, breast exchange be done at the same time or separate? Cost?

Hello and thank you for your question. Based on your
photograph, you are a great candidate for a tummy tuck with liposuction and BBL.
This can be done through a low and short incision, all completely below the
bikini line.Your muscles can also be
plicated resulting in a flat abdomen.  A BBL could give you improved contour of your buttocks.  With appropriate medical clearance and meticulous technique, it is safe to have the procedures at the same time. The most important aspect is to find
a surgeon you are comfortable with. With good surgical technique, you could
have an outstanding result. 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.
Harvard-trained plastic surgeon

I usually do all of these procedures at the same time unless there is a compelling reason not to. Using your tummy tuck incision is great to place saline and silicone implants. Not only is it possible to place your breast implants through your tummy tuck incision, it is my preferred method in that it does not take extra time and leaves no scars on your breasts. I have been using this approach for more than 25 years with great satisfaction from my patients. You might consider using the fat from your Lipo rather than buttock implants.

Thank you for your question. I do not think it is a good idea to have a tummy tuck and BBL at the same time. I believe you will have better results if you stage the procedures. First do liposuction to harvest fat from the hips, flanks, thighs, and abdomen. This fat can be used for the BBL. Once you have recovered from Stage 1, a full tummy tuck can be performed. Please see a board certified plastic surgeon who commonly performs these procedures. Ask to see a lot of before and after pictures of their work. Hope this helps and good luck.