Thank you for your question regarding the best order for staging your mommy makeover procedures. When deciding whether to begin with a tummy tuck or a breast lift, most plastic surgeons recommend starting with the tummy tuck. During a tummy tuck, excess skin and fat from the abdomen are removed, the abdominal muscles are tightened, and the upper portion of the abdomen is pulled down. This process can also involve lifting and reducing the pubic region. These changes can affect the position of your torso and, consequently, the position of your breasts. Specifically, the infra-mammary fold (the fold where the breast meets the torso) can be pulled downward during a tummy tuck, potentially lowering the breasts. If you were to have a breast lift first, a subsequent tummy tuck could pull the breast tissue downward, compromising the results of your lift by lowering the breast mound. Therefore, by starting with the tummy tuck, you ensure that the results of your breast lift remain optimal and aligned with your overall aesthetic goals. Thank you for your question regarding the sequence of your mommy makeover procedures. Sincerely, Dr. Katzen