Tummy tuck, BBL, fat transfer to butt and hips all in round 1. Is it safe?

Thank you very much for your question.Yes, you can combine a tummy tuck and fat transfer to your buttocks in one operation.  We do this frequently in my practice.  The amount of cc's that can be transferred depends on the amount of fat you have to "harvest" from your problem areas, and the ability of your buttocks and hips to receive the fat (you can't put too much in, otherwise the increased pressure in the area may cause the grafted fat to melt away).  I recommend visiting with a board certified plastic surgeon who can talk about your options.Regarding sleeping position, I typically recommend patients lay on their back with their head elevated (a reclining chair works very well), and place a pillow at their lower back and another under the thighs to create a "cradle" for the buttocks and float it off the mattress/chair to reduce the pressure on the buttocks.  Best of luck!

mommy makeover: abdominal surgery , breast lift and fat transfersUsually 150 -300 cc can be added without issues. More has been used on occasionSleeping on you sides is ok although i do let my patients sleep on their bach

Thank your for your question. A tummy tuck can address the skin and muscle laxity of the abdominal region as well as reducing the excess fatty tissue. A brazilian butt lift helps to shape the buttock by borrowing fat from one part (or several) and transferring this fat to another. They are both extremely rewarding procedures. The best approach for a patient who wants to have both procedures is to stage them and possibly start with the BBL. Here is why:1) A brazilian butt lift is transferring fat from one area to the buttock. One common donor area is the tummy. Once the fat is transferred, you need to keep pressure off the buttock as this allows new blood supply to develop to the newly grafted fat cells. Any stress such as pressure can reduce the efficacy of this process and hence you may lose some fat. Hence, no sitting or laying on your bottom for ~2 weeks.2) A tummy tuck is removing excess skin and tightening the muscle as well as remove extra fat. To make the skin removal efficient and protect the incision, you surgeon will often remove skin while your hips are flexed. You will need to maintain this position after surgery for about a week. This will required you to sleep in a recliner position for a good week. In addition, l often combine liposuction of the abdomen and flanks as part of this procedure and once this fat is removed, it cannot be stored for the brazilian buttock lift in the future.Since the recovery process for these two popular procedures compete, I would recommend staging them. If your surgeon is needing as much donor areas to recruit as much fat as possible, then I would start with the brazilian buttock lift so you can use the abdominal and flank regions as donor areas.

It’s possible to have all of these procedures done at the same time, but I don’t think it’s a good idea. Recovering from such an extensive procedure will be quite difficult for you because you’ll need to stay off your front to protect your tummy tuck, you can’t lie on your back because of your butt lift, and you won’t be able to stay on your side because of the transfer to your hips. So, what position will you be able to stay in for the hours you’ll be sleeping? I think you should talk to your surgeon about your recovery and what their advice is.

Yes, it is very common to have a lipoabdominoplasty combined with a BBL. Assuming that your surgeon will be removing enough fat to transfer, you avoid throwing the fat away. There are many considerations in such circumstances. Surgical position for the fat transfer may put tension on your recently closed abdominoplasty, if they do one position change, or on your recently enlarged fat transfer area if they change position twice. Your surgical risk may be increased depending on the amount of surgery performed as well as the time that it will take. Sleeping can be tough to avoid putting pressure on the butt or the abdomen. Some creative pillow placement helps, while you sleep on the side. The amount of fat that can be transferred depends on the amount that you have available and the amount that you need. As long as your surgeon is carefull and experienced, the result can be very gratifying. Just make sure thatyou know all the risks.

Thanks for the post.  The procedures you are inquiring about could safely be done together.  Positioning my indeed be a point of concern but not at the expense of your ability to proceed.  Most surgeons prefer a prone or lateral decubitus (i.e. laying on side) position postoperatively from a BBL to avoid stress to the transferred fat.  Following a tummy tuck,it is best to retain a slightly flexed position at the waist and ups (i.e. slightly bent over) to relieve tension on the incision.  For patients who undergo BBL and tummy tuck, therefore, lateral decubitus in the flexed position (i.e. similar to the "fetal position") is ideal.  Without an examination, it is impossible to tell you how much fat could be transferred or to tell you the ideal postoperative positioning for you.  Your candidacy for each of these procedures would of course first be assessed first.  Hope this helps!

It is certainly possible to do these operations all at once. Post operative care can be difficult, particularly with positioning. Patients often have to compromise one aspect of the operation– usually them BBL Because it is difficult to sleep in any position other than their side or on their back.It is imperative that you seek the advice of a plastic
surgeon who is certified by the American Board of Plastic Surgery and has
extensive experience in tummy tuck / abdominoplasty and BBL.



I wish you the best.



Dr. Gabbay.

Hello dear, thanks for question, is really common to combine plastic sugery, you need to make an appointment with a Board Certified Plastics Surgeon for a person evaluation, doing all in 1 round will depend in your health. 

Combining cosmetic
plastic surgery procedures is not uncommon. Whether you are a reasonable
candidate for those procedures depends on your anatomy, your medical history, the
extent of the procedures, realistic expectations of the outcome and an
understanding of the pros and cons of the various procedures.

Safety should always be the main concern. It is generally recommended that the
length of elective surgery be less than six hours. The procedures should be
performed in an ambulatory facility that is accredited by one of the
national organizations like the American Association for Accreditation of
Ambulatory Surgical Facilities (AAAASF) or in a licensed hospital. Many
surgeons would recommend an overnight stay at an appropriate facility where you
can be appropriately monitored. Most patients prefer undergoing one anesthesia
and one recovery period which is usually more cost effective.


Having said all of that, many ethical well trained plastic surgeons would feel
that the combination you are asking about is excessive and has significant
risks factors if performed in one stage.

Keep in mind that following the advice of any surgeon on this or any other web
site who proposes to tell you what to do without: examining you, physically
feeling the tissue, assessing your desired outcome, and taking a full medical
history, as well as discussing the pros and cons of each operative option would
not be in your best interest. I would suggest you find a Board Certified
Plastic Surgeon certified by The American Board of
Plastic Surgery who is ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are comfortable with, and discuss
your concerns with that surgeon in person. That way, you can have a better idea
what is safe and makes the most sense for you.

Before proceeding with a combination of these procedures, you should have
medical clearance from your primary care physician and a discussion between him
or her and your plastic surgeon.

Robert Singer, MD FACS

La Jolla, California

Generally speaking, combination surgical procedures are done routinely. However, you are wise in being concerned about the safety of combination surgery; risks/possible complications do increase with increased length of surgery…
It is best to evaluate each patient's suitability for combination surgery on an individualized basis. During the consultation process, after a complete history and physical, the SAFETY of combining these surgical procedures becomes of paramount importance. Plastic surgeon, anesthesia provider, duration of surgery, surgery facility all important considerations. Your best bet: choose your plastic surgeon very carefully; everything else including good judgment/advice/planning, anesthesia provider and safe surgery facility will follow. Best wishes.