Is it safer to be awake during a Tummy Tuck and BBL procedure?

The ideal abdominoplasty / BBL patient is at or near their ideal weight, is
stable at that weight for 6 months to year, is physically and nutritionally
healthy. Realistic expectations are important.The improvement in contour after a BBL and abdominoplasty depends on many
factors. These factors include the extent of skin tightening and plication
performed, the amount of pre-operative muscle laxity, the overall
thinness of the abdominal wall, the amount of intra-abdominal fat (fat
inside the belly), and the amount of subcutaneous fat (fat in the skin).See our link below for more information.Combining these two surgeries for otherwise healthly patients under general anesthesia is faster, easier, and safer than when attempted under local anesthesia. A detailed examination will help delineate the best surgical option.
Consultation with a surgeon certified by the American Board of Plastic Surgery
would be the next best step.

Mommyxx4.    First off I recommend Tummytuck and BBL be done separately because recovery from both simultaneously is extremely difficult because there can be no pressure on buttocks for 2 weeks postop. Hard to find comfortable position after both.  General anesthesia is very safe these days thanks to significant improvement in anesthesia monitoring equipment and medications.  For that reason, general anesthesia for both procedures is best option. Be sure to consult with a board certified plastic surgeon. Good luck!

Thanks for this question.I think that a BBL could be done under local anaesthesia as a sole procedure with an experienced surgeon, in a healthy patient with a high pain tolerance.Some surgeons perform TTs with a spinal ( regional ) anesthetic. There are some issues with doing it this way.I don't think it's safe to do a TT and a BBL at the same time.

Hello and thank you for your question.  In my practice, the safest way to preform this is with general anesthesia administered by a board-certified MD anesthesiologist who is present in the room at all times.  If you are an appropriate candidate for a tummy tuck, this can be done
through a low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
Your muscles can also be plicated resulting in a flat
abdomen.  A BBL can be performed at the same time for improved
buttock and waist contour.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.
 The most important aspect is to find a surgeon you are comfortable with.
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

Both operations are safe in the proper candidates with medical clearance. Both would be difficult awake, especially tummy tuck. Personally, I do not perform tummy tuck with liposuction and fat grafting as one surgery. Risks are higher and post op positioning is very difficult. To attempt both under local without IV and proper anesthesia monitoring is not safe.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations. 

Pain management and comfort must be a part of this consideration as these two surgeries are rather involved. 

the combination of tummy tuck and bbl is one of the the most popular combination undertaken in our practice - performing this several times each week.  we use general anesthesia (which means you are asleep) - with a certified anesthesiologist present for your safety and comfort - although some may utilize other types of anesthesia.  discuss this with your surgeon and ask them who is providing your anesthesia for your surgery.  here is a pic from my instagram page of a recent patient that underwent this combination of surgery - for your review.  good luck!

I would not advise you to undergo a tummy tuck and a bbl under local. I have  performed BBL's under local on occasion but not tummy tucks.