Mommy makeover (TT/BL/flank lipo) or 360 lipo BBL first? (Photos)

Question

I am wanting a MMO & a BBL I was advised by a surgeon to do the BBL and TT first then doing the lift with implants 4 months later. I’m torn. Do I do the BBL? Or do I just do the MMO and no BBL at all? Help! I would rather have it all done at the exact same time, one recovery, one surgery. 26yo, 5’5”, 151lbs, 3 kids in 3.5 years (natural deliveries), will need muscle repair on stomach. Do not take medications, never had surgery before. Want to have my body back and even look better!

Gary M. Horndeski, MD · Answer

I would begin with your breasts and the technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  At the same time, a tummy tuck can be done.  If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement.  The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.  At the same time of the tummy tuck, fat can be harvested and transferred to your breasts if additional volume is desired.  After these are done, you can consider the Brazilian butt lift.  The safe time for cosmetic surgery is 6 hours so all the procedures cannot be done at the same time.Best Wishes,Gary Horndeski, M.D.

Drew Davis, MD · Answer

You are a perfect candidate for a mommy makeover!  The BBL is the most unpredictable surgery of the ones your are planning to have.  I think the tummy tuck and liposuction of the love handle areas will give you so much more waistline definition that your buttocks will look better even without the added fat transfer.  My advice is to do the BBL at the same time as the tummy tuck because the results will be very complimentary with subtracting at the waist and adding to the buttocks.  Then you can have the breast lift and implants in the near future.

Kenneth Hughes, MD · Answer

I would advise performing the liposuction of the abdomen, sides, and back with the fat transfer to the buttocks first. Then return 3 to 6 months later and perform the tummy tuck and breast implants/lift. This will produce better results and will add a measure of safety. The TT and BBL can be performed together, but you should be aware of a few things. If you are fat limited, the amount of fat harvested and transferred will be limited as you cannot aggressively suction the tummy tuck flap. In recovery, you will not be able to rest on your stomach or back comfortably. Also, resting on your back may compromise the fat grafting result. I do these two procedures hundreds of times each per year, but I am not sure whether I would recommend them at the same time for a mother of three young children.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and photographs.  It really depends on your desired goal result.  If you would like to improve your buttock size I would do your 360lipo and BBL in one stage followed 6-9 months later with your breast work and tummy tuck.  This will achieve more predictable results, allow for touch-ups, and will keep you safer.  Hope this helps.

Robert M. Tornambe, MD · Answer

Lh5kcMost board-certified plastic surgeons prefer to stage that many 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 MM certainly takes 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. Be certain to consult with a board-certified plastic surgeon  to increase chances for the best possible results. Best of luck.

Jonathan Amspacher, MD · Answer

I think you would be a great candidate for a mommy makeover mmo based on your photos. I would recommend liposuction on back and flanks and hips, tummy tuck and augmentation mastopexy. It is a longer surgery so there is a greater need for taking special precautions postop but it could be done in one case. If you are willing to accept a slightly higher risk with a longer surgery. I would not recommend a BBL as it currently has statistics of being one of the surgeries with the highest risk for serious complications. Best of luck on your journey.

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a great candidate for liposuction with BBL and a full tummy tuck with muscle repair, to give you a nice tight tummy and get rid of the extra skin. Six months later, a breast lift with implants (or without, depending on your size goal), for perkier, youthful breasts. 
Liposuction allows your plastic surgeon to transform your entire shape. You improve your abdomen, waist, back and of course your buttock to give you a beautiful heart shape.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
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 :)

Camille Cash, MD · Answer

Considering your comfort during recovery it is best if you begin with the BBL and liposuction.  By having this stage first it allows the surgeon the most fat to harvest.  The second stage would be the tummy tuck and breast work.  If you have them all done on the same surgical day you will have some challenges for recovery as you won't be able to be on your front or your back, leaving only your side.  I encourage you to meet with a board certified plastic surgeon in your area to learn more.

Johnson C. Lee, MD · Answer

Thank you for your photos. Your surgeon is correct that the best idea is to separate your surgeries due to safety from duration of surgery and for the best outcome. I generally recommend that the 360 lipo with BBL be done first. The reason for this is because it will allow your body time to shrink the left over skin and also for your BBL to heal and become permanent. When it is time for your Breast Lift and TT, your surgeon can then use the TT to really give your body the dramatic change you are looking for now that the fat is gone and the skin has tightened as much as possible. At the same time, any touch-up or extra liposuction can be done and even that fat can be added to the butt once again if you want a bit more to your BBL. The breasts with lifting can also be done for a true mommy makeover. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Ron Hazani, MD, FACS · Answer

Thank you for your photos and question. I would recommend having BBL first to make sure you have enough fat available for the transfer. But, it really depends on your desired goals. BBL will help you achieve a more contoured and hourglass shape. Later, a tummy tuck can be done to treat the loose skin and tighten the abdominal muscles , plus the breast work.Seek a board certified plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field.

Mommy makeover (TT/BL/flank lipo) or 360 lipo BBL first? (Photos)

Answers (13)

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