Why do Mexican and Dominican Republic doctors differ on combining BBL and tummy tucks? (Photo)

Question

Can you do a tummy tuck and BBL at the same time? The Mexico and DR doctors have told me they can do it together but then the US doctors say they rather do one procedure at a time

Martin Jugenburg, MD · Answer

Thanks for your question...Every surgeon varies. It may be easier for your recovery and survival of fat cells to do it separately.You cannot sleep on your stomach if you have a tummy tuck and you cannot sleep on your back if you have a BBL, therefore contradicting each other.Seek a board certified PS for another opinion.You can learn more on our social media (Instagram and Snapchat): @realdrsix.
  
Regards,

Ronald J. Edelson, MD · Answer

this difference exists among infividual  American surgeons as well so it’s not a national thing, it just varies from surgeon to surgeon wherever you go.  Personally I don’t perform bbl at all.  It’s a waste of money and complications can be serious.

Matthew J. Nykiel, MD · Answer

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.
1) They are not regulated by safety standards2)  Do Instagram/YouTube searches you will see the downsides3)  We do combine TT/BBL but only in certain people where the procedure can be performed safely in a safe amount of time.I would highly suggest that you truly think long and hard and do some research before traveling overseas for a procedure.  
I hope that helps!  Best of Luck!
Matthew J. Nykiel, MD
#CoreAesthetic
Butt Augmentation Specialist
Liposuction Specialist
Board Certified Plastic Surgeon

Ankur Mehta, MD · Answer

Hello and thank you for your question...Whether or not one can or will perform a TT and BBL at the same time depends on multiple factors but the most important factor is whether the patient is a good surgical candidate. If the patient is a good surgical candidate then it depends on the surgeons comfort level. I frequently perform 360 liposuction, tummy tuck and BBL in the same operation. It seems as though you are considering going to a different country to undergo surgery...Please think really long and hard before you decide to go to another country for plastic surgery. You may be trying to save money but in the end it could cost you a lot more financially and in regards to your health. I have attached before and afters of a patient I performed 360 liposuction, full tummy tuck and BBL on. I hope this helps and please make sure you are being evaluated by a board certified plastic surgeon.

Robert M. Tornambe, MD · Answer

Natalie. Most board-certified plastic surgeons in the U.S.  prefer to stage these 2 procedures. It is safer and better for your recovery. BBL and Tummytuck operations each carry a higher incidence of blood clot formation and possible harm or blockage of the lungs. Performing them simultaneously statistically increases the chances of this occurring. Also, recovery from BBL requires no pressure on your buttocks for two weeks after surgery to preserve fat take. You also cannot lie on your stomach after tummy tuck, so this limits the positions that you can recover.  Also, the maximum OR time for an ambulatory operation should be no more than 6 hours, BBL and Tummytuck can take longer.  It is best to perform the BBL first, to allow your surgeon to harvest as much fat as possible for transfer. 4 to 6 months later, mommy makeover surgery can then be performed. Have your surgery close to home as it is far safer than having  surgery in a Third World country. Be certain to consult with a board-certified plastic surgeon  to increase chances for the best possible results. Best of luck.

Daniel Barrett, MD · Answer

Dear natalievixen,some plastic surgeons may want to split this into two operations depending on the time needed. Its best to see a board-certified plastic surgeon to determine your options and whether it would take too long, more than 4 hours, to do all.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Raffi Hovsepian, MD, FACS · Answer

Thank you for your question.
In our practice we consider it as a staged procedure in-order to optimize both results and not hinder one result for the other for the sake of completing it all in one procedure. 
Meaning, liposuction to contour the body and buttock fat transfer at the same time and at a later date, when cleared by your surgeon,  a full tummy tuck.

Curtis Wong, MD · Answer

as BBL require fat grafting to the butt and tummy tucks often require you lay on your butt... and pressure on your fat grafts will kill them.  So ideally, they are not combined but they can be if you're not trying to maximize the survival of your fat grafts.  The DR and Mexican surgeons do not have to worry much about you since you will go home and disappear from their practices.  The American surgeons will have you around and if something goes poorly, will be held responsible so methinks surgeons here want to create the best chances for the best outcomes.

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
For safety and recovery reasons, it is not advisable to combine these procedures.l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Israel Manon, MD · Answer

Hello
Yes, you can combine them both,if your health condition allows it.  You can sit how you normally sit, if you want you can sit on a boppy pillow. When sleeping, you can sleep on your back if it makes you feel more comfortable, but the work the doctor did on you won't be affected by sleeping on your back.
Regards
Dr. Israel Mañon
Certified Plastic Surgeon

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