Can a BL, Lipo 360 with arms and BBL be done in one session?

Hi, thank you for sharing your question.

A significant amount of the recovery after a BBL is with the patient laying on their stomach. If your breasts are done at the same time, this position may be challenging. If you are not getting fat grafting to your hips, you may be able to recover on your sides. Although it is safe to do (as long as your medical doctor and cardiologist clear you for surgery), I would consider staging these procedures into two. Consult with a board certified plastic surgeon to discuss your options after an evaluation. I hope this helps. Best of luck!

Having this combination of surgery would require an overnight stay at my center. This is to maximize your safety as a patient. It would be reasonable to split this into 2 surgeries with the breast lift separate from the lipo and BBL - having the surgeries separately would not mandate an overnight stay. Your surgeon should confirm with your other medical providers that you are indeed fit for surgery. As always, be sure to research who is doing your procedure to increase the chances of getting a desirable result.

I perform these procedures at the same time several times a month. If you are healthy, the three surgeries can be combined. Sleeping during recovery can be creatively managed without compromising the results of the BBL or the BL. The result is really a function of how aggressively the surgeon will liposuction and transfer. Most patients get an immense benefit with maximal liposuction of the abdomen, sides, and back to obtain the smallest waist possible and then maximal fat transfer to the buttocks and hips. I allow patients to sleep on their sides. My patient coordinator recommends a plastic inflatable with a hole in it (called a lilo), where instead of your tummy, you place your butt, so you can sleep on your back with pillows propping up your neck and head.

You can safely have all those procedures done in one setting. Personally I would skip the bbl. I don’t think the king term results are worthwhile at all.

I have done this combination several times so it is certainly possible. You would need to be evaluated in person by the surgeon who is going to do your case to make the final determination. Good luck.

Dear elizabethv89,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You may need a medical clearance to see if you should have all these procedures at one time. They can be done at one time in many women.

Hi Elizabeth,
This is a question you should ask your surgeon. Despite the fact that you've provided extensive information, without seeing you in person, it's quite difficult to gauge whether this would be safe. This depends on many different factors including how much time the surgeon needs for each of these procedures. Dr. Rapaport and most other plastic surgeons would agree that elective surgeries should not take longer than 6 hours. I recommend that you have an in person consult to determine what is best for you.

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