While these surgical procedures have been performed together, many experienced plastic surgeons feel that this is a bad combination of surgical procedures to undergo at the same time. There is an increased risk of bleeding, infection, deep venous thrombosis (DVT) and subsequent pulmonary embolism with this specific combination. If your plastic surgeon and your gynecologist decide to proceed with this combination, you should have a medical clearance prior to the procedures.Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California