I am 45 in good health and plan on having a tummy tuck, bbl and breast aug all in same surgery. Is this a good idea?

Doctor Answers 13

If you full fill the whole requirements yes/ si no llenases los requisitos no es buena idea

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the principal requierements are the next one: a.- any cigarrete since 1 month before 2.- overweight no more than 14 lbs 3.-any big varicouse vein 4.- any cardiological , bleeding, or asthma problem 5.- any vit. e, aspirin,any estrogen or antipregnant tabs, pills or patch 6.-preop. lab tests  ok.

then go ahed with any certified by ASAPS  plastic aesthetic surgeon

los requisitos serian 1.- cero cigarrilos desde un mes antes de la operacion 2,.sobrepeso no mayor a 8 kgrs 3.-no venas varicosas grandes 4.-no problema  cardiologico, asmatico o de sangrado 5.-no vit.e.no aspirina ningun tratamiento antiembarazo, inyeccion, gel, parche tabs etc. 6.- analisis preop o.k

Mexico Plastic Surgeon

Including a Brazilian Butt Lift with a Mommy Makeover

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Many procedures can be combined during one surgery. Cosmetic procedures such as Brazilian Butt Lift (#BBL), Thigh Lift (#TL) and Mommy Makeover (#MMO), which usually concentrates on the breast and abdomen areas, may be combined together. However, I look at the risk factors such as surgery time greater than 6 hours, or #anesthesia time, increased risks of DVT, prolonged  #healing, #positioning after surgery to name a few, which are a lot to consider. These factors are relative to performing any variety of combinations.  

Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Asthma and TT

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If your asthma is optimally controlled the risk is very small and you can undergo major surgery without significant asthma complications. Most anesthesiologists I have worked with will recommend that you take your asthma medicine the prior to surgery with a sip of water and bring your inhalers to the surgery center. In addition, steroids are given just prior to anesthesia in most patients any way which helps prevent asthmatic complications.
On the other hand, if your asthma is poorly controlled, or you are steroid-dependent, you are at increased risk and therefore it is recommended that your asthma specialist provide any needed specific medical preparation prior to surgery including a written plan to give to your surgeon and anesthesiologist regarding asthma medication recommendations pre- and post-surgery. This will include a complete pre-surgical evaluation including pulmonary function test results, physical examination, and review of your medications and past medical problems. If your pulmonary function tests are not optimal your asthma doctor and/or anesthesiologist may choose to postpone surgery until your asthma is under optimal control prior to giving surgical clearance. In addition, it is advisable that you contact that anesthesiologist beforehand to discuss any issues that might arise and their management. . This is because surgery may cause an asthma flare or related bronchospasm during or immediately after surgery. Make sure you tell the anesthesiologist and your surgeon the amount and type of steroids you take so additional steroids can be given to prevent adrenal insufficiency which can result in a sudden blood pressure drop.

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Tummy Tuck BBL and Breast Augmentation

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   I perform many of these combination procedures in 4 hours or less and have not had any issues.  The patient should be healthy. Find the plastic surgeon with ELITE credentials who performs hundreds of mommy makeovers each year.  Kenneth Hughes, MD Los Angeles, CA 

Tummy tuck, bbl and breast aug all in same surgery

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BBL= Brazilian butt lift or bilateral breast lift??

Either way , if your health is good and none of these particular procedures are more complicated than average, these should be able to be done in about 4 hours or less, and that seems quite reasonable to do at the same setting. 

When you are ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S. Thank you for your question, best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Combining BBL, TT and breast augmentation

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You must be in good overall health before considering combining a tummy tuck, fat transfer to the buttock and a breast augmentation. Medical clearance from your primary care physician is important before surgery. If you decide to have this combination, positioning of your body will be quite challenging after surgery as you can't be on your back and your can't sleep on your stomach. You will be limited to you side only, which can be difficult. You will also have difficulty using your arms for positioning due to the breast augmentation. You may want to discuss with your plastic surgeon the possibility of separating these procedures over two different stages.

Best wishes,


William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 410 reviews

Combined Procedures

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Post operative positioning would not comfortabally allow for butt lift, tummy tuck and breast augmentation.  After a tummy tuck, I have my patients laying on their back in a beach chair postion, or sitting, when they are not standing.  Butt lift patients are laying on their stomachs, or standing.  Therefore, it would not make sense to do these at the same time

Michael Orseck, MD
Greenville Plastic Surgeon
5.0 out of 5 stars 141 reviews

Tummy tuck with breast augmentation and BBL

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Yes these procedures can be done together safely in someone that is healthy. However, doing the fat transfer to the buttocks at the same time as the tummy tuck I do not think is a great idea.  After surgery, you will want to remain off your back side for several weeks.  But with the tummy tuck, you will not be able to lie on your stomach, probably for weeks.  Thus, the recovery for these two procedures confilt somewhat.  You should discuss your concerns and goals and the safety of doing these procedures together with an American Board of Plastic Surgery certified plastic surgeon.  Todd C. Case,M.D., F.A.C.S., Tucson, AZ

Todd C. Case, MD
Tucson Plastic Surgeon

Safety of combined procedures

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Thank you for your question about combining a tummy tuck, breast augmentation and brazilian butt lift. (BBL). If you are healthy and slim -

  • Combine the tummy tuck and breast lift. Surgical position, time and length make this a common and safe combination for many patients.
  • BBL - do it separately. It takes time and requires a face-down position for at least part of the surgery. Discuss outcomes with your surgeon. Results vary.

Hope this helps. Best wishes!

Combination Plastic Surgery Procedures

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Your procedure will take about three hours to complete, which is an important factor in decreasing post-operative complications such as clots in the legs (DVT-Deep Vein Thrombosis).  As long as you are healthy without any medical problems, assuming all other obvious factors (i.e. non-smoker, acceptable BMI, no medications, normal preoperative labs, etc....) to be favorable there should be no problems to do these procedures together.  Besides finding a board certified plastic surgeon, for an added level of safety you may request that your procedure be done in a hospital setting, with possible one night of stay after your procedure.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.