Thank you for your question regarding whether it’s safe to undergo a thigh lift (thighplasty) and an arm lift (brachioplasty) at the same time. You are absolutely right—this can be done, and I have safely performed this combination many times for massive weight loss patients. In fact, I featured a patient case on my YouTube channel where we did exactly this: thighplasty and brachioplasty in one surgery. The results were transformative, and the patient recovered beautifully—but only with the right support system in place. Your second doctor gave you solid advice. Combining these two procedures means that both your upper and lower body will be healing at the same time. That makes even simple movements—like getting out of bed, going to the bathroom, reaching overhead, or pulling yourself up from a seated position—more challenging during the first two to three weeks. Because of this, it’s essential that you have someone with you regularly during that early recovery window. Even if they aren’t medically trained, they need to be able to help with basic daily needs like lifting, mobility, dressing, meal prep, and keeping you comfortable and safe. If you can arrange for support during those first few weeks, combining both surgeries can be an excellent way to reduce overall downtime, limit anesthesia exposure, and complete your body transformation more efficiently. However, if round-the-clock help isn't possible after the first week, it’s worth considering whether to stage the procedures. You could do the thigh lift first and follow up with the arms in December as you mentioned. That said, many of my patients are able to make it work with a strong recovery plan, a dedicated helper (or two), and the right mindset. If you do proceed with both surgeries at once, I strongly recommend you prep your space ahead of time: stock up on pillows, pre-made meals, step stools, slip-on clothes, and anything else that makes recovery easier. A hands-free bathroom setup, shower chair, and plenty of wound care supplies are also a must. Thank you again for your thoughtful question. Yes, you can absolutely have a thigh and arm lift at the same time—as long as you are medically healthy and prepared with the support needed for recovery. I hope I’ve helped clarify your options and what to expect. For more insight, be sure to look at before-and-after photos of patients who had both procedures and watch video case studies to see what recovery really looks like. Sincerely, Dr. Katzen (President of the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)