Breast lift, mesh, implants, lower body revision with skin removal, lipo & back lift - too much at once? (Photos)

Question

I'm 49 year old going in for a breast lift with mesh & implants, my lower body revision (thighs) with skin removal and lipo, arms & back lift is too much? My dr says 5 hours. I really want to get it all done at once.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question and for sharing your details. The combination of a breast lift with mesh and implants, lower body revision with skin removal and liposuction, arm lift, and back lift is a significant amount of surgery to undertake in a single session. While it may seem appealing to get everything done at once, this is too much for one procedure in terms of safety, recovery, and achieving optimal results.

Even though your surgeon estimated it would take about five hours, these types of surgeries often require more time when done together. Prolonged surgical time increases risks, including complications with anesthesia, wound healing, and blood clots. Additionally, combining too many procedures can lead to a prolonged and more challenging recovery, making it harder to focus on healing specific areas effectively.

I recommend breaking these surgeries into two stages:

First Stage: Start with your breast lift with mesh and implants combined with either the back lift or arm lift. These procedures focus on the upper body and allow you to heal thoroughly in this area before addressing the lower body.

Second Stage: Once fully healed, address your lower body revision with skin removal and liposuction. This area requires precise surgical work, and separating it ensures the best aesthetic and functional outcome.

This staged approach prioritizes your safety while ensuring excellent, long-lasting results. Each area of your body deserves focused attention, and recovery will be smoother and more manageable. I encourage you to discuss a staged plan with your surgeon and ensure they are board-certified and experienced with complex body contouring procedures.

Sincerely,
Dr. Katzen

Chet Mays, MD · Answer

Thank you for your inquiry!   We would love to sit down with you in person and discuss your concerns and your options. Schedule a consultation with a Board-Certified Plastic Surgeon to assist you in reaching your goals.

Arif Eroglu, MD · Answer

Hello; Back lift can be performed at the same time; as breast lift with prosthesis. However, realizing for both of them in a together way with thigh and arm liposuction; will greatly extend the duration and increase the possibility of complications.

Daniel Barrett, MD · Answer

Dear shosh1975,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Combining procedures is common and considered safe, but there is a limit.  Based on the number of procedures you are considering you may be better off breaking the procedures into two stages. This is both for your safety and to give your surgeon the opportunity to optimize your results.  If you are unsure it may be best to visit with a few board certified plastic surgeons near you for a second opinion.

Breast lift, mesh, implants, lower body revision with skin removal, lipo & back lift - too much at once? (Photos)

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