MULTIPLE procedures- can they be done safely during two procedures?

Based on your goals, it’s absolutely possible to safely perform these procedures in two stages, especially when working with a board-certified plastic surgeon experienced in post-weight loss body contouring. A common and safe approach would be to combine your extended tummy tuck, breast lift with augmentation, and mons lift in the first surgery. Depending on surgical time and positioning, a labiaplasty may also be included. The second stage could then focus on your butt lift (without fat transfer) and labiaplasty if not done earlier.
Because massive weight loss often involves significant skin removal and longer incisions, it’s essential to prioritize safety and recovery. Spacing the procedures allows for shorter anesthesia times, reduced complications, and better long-term aesthetic results. Be sure to schedule a full consultation and pre-op evaluation to create a surgical plan tailored to your anatomy and goals.

Hello, and thank you for your question about whether multiple procedures can be done safely during two surgeries. Experienced plastic surgeons can combine multiple body parts during one surgery. Sometimes restrictions are due to pulling vectors during the surgery. However, usually, many different plastic surgery procedures can be combined at the same time. You mention that you would like to have a tummy tuck (abdominoplasty), breast lift (mastopexy), breast augmentation, and mons lift in one surgery. Then, at a second surgery, you want a butt lift with no fat transfer and a labiaplasty in the second surgery. These surgical plans are safe combinations and can be performed during two separate surgeries. You also mention you would like a tummy tuck, breast lift, mons reduction, and labiaplasty during the first surgery, and then going for a butt lift during their second surgery, which is also another good option. First and foremost, you must consult with an experienced board-certified plastic surgeon who is comfortable performing these multiple procedures. A coordinated plastic surgery team is essential. Some plastic surgeons can perform these procedures in two surgeries. Still, if they are uncomfortable or cannot complete the surgeries due to time limits, then your surgeries should be rescheduled. However, in general, most experienced board-certified plastic surgeons can combine the tummy tuck, breast lift, and breast aug and mons reduction surgery in one. This is usually called a mommy makeover. If you decide to add the labiaplasty, it is not too much surgery at one time. Thank you for your question regarding whether are listed procedures can be done safely in two separate surgeries. Good luck. If you have any more questions regarding tummy tucks, abdominoplasties, or abdominal liposuction, contact an experienced plastic surgeon. Since the tummy tuck surgery is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience in performing tummy tucks. Do your research. If you cannot find an experienced tummy tuck plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS. (Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

if your general blood test is ok, starting buttlift and TT with mons lift. this can correct your lower body. if surgery goes well breast surgery can be done with experience hand. but if doctor thinks first surgery is enough , operation will be finished with labioplasty

Hi, thanks for your question. TT, mons lift and breast lift/aug are the most common operations that we perform together. But of course it’s depends on your current body sizes and your overall health. If you’re not an overweight person and you have a good health it would be good idea to divide your surgeries in to sessions.

Mommy makeovers involve various combinations of procedures to improve the breasts, abdomen, hips, back, arms, legs, buttocks, etc, after childbirth.

Combination procedures are safe and very effective in the right hands. The surgeon HAS to be an expert in EACH procedure and must have a lot of experience in performing combination procedures, and can minimize the operative time. For example, we work in a team and would take around 4-5 hours for the complete operation. This allows us to get better results with less surgical time and less trauma. Our patients are typically walking the same day and tapering off of pain medications by 4-5 days. Within a week, our international patients are generally touring around Cartagena, enjoying the sites of this UNESCO World Heritage City. Patients progress to unrestricted activities by 2 months, just as the final results are settling in.

Combination procedures can give powerful results, but SAFETY is KEY. You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety. Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Congratulations on your weight loss! It’s very common after major weight loss to need multiple procedures, and yes, it’s absolutely possible to safely split your surgical plan into two stages.Based on what you’ve listed, a safe and efficient approach would be: First Surgery: Extended tummy tuck, Breast lift with augmentation, Mons lift and Labiaplasty (trim)
Second Surgery: Buttock lift (without fat transfer)
This sequence makes sense as the first stage focuses on the **front of the body**, combining areas that often heal well together. Labiaplasty adds minimal surgical stress and can be safely included. The second surgery focuses on the **posterior**, allowing you to heal fully from the tummy tuck before lying on your back again comfortably.
As always, **your overall health, BMI, and lab results** will help determine the safest plan. A thorough consultation is advised in helping you finalize the best and safest combination for you.
Best wishes, Erman AK, MD. Plastic, Reconstructive & Aesthetic Surgeon

Decision about how many procedures can be safely done in one surgery depends on multiple factors like patient general health, surgeon’s experience and skill, facility, team, and many others. It is patient and surgeon who need to make this decision with some flexibility. Safety has priority above anything. Providing that above mentioned conditions are favorable it is quite reasonable to perform desired procedures in two separate surgeries. Good luck.

Combining procedures is common and considered safe within limits. An exam is needed to know for sure but you may be able to have a breast lift and augmentation combined with a circumferential tummy tuck. This type of tummy tuck could potentially incorporate a mons lift and lift the buttocks. You may be able to have a labiaplasty done in an office surgical procedure separately. Visit with a board certified plastic surgeon near you for an evaluation to learn what is recommended for you.