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

Question

Hello surgeons, I lost a ton of weight a few years ago. Looking to get an extended TT, possible mons lift, breast lift & aug, labiaplasty (just a trim), and a butt lift (no fat injection). Can I get these procedures safely in two surgeries? If so, can I get a TT, breast lift/aug, and mons in one surgery and then butt lift (no fat transfer) and labiaplasty in the second? Or, better yet, TT/breasts/mons/labia 1st surgery and butt lift second surgery? Or is all that too unsafe?

Danivel Cespedes, MD · Answer

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.

J. Timothy Katzen, MD, FACS · Answer

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.)

Cagdas Orman, MD · Answer

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

Gulcin Nujen Cardak, MD, FEBOPRAS · Answer

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.

Alex Campbell, MD · Answer

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.

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

Answers (8)

Answer: First TT-mons lift, breast lift/aug and possibly labiaplasty, then but lift

Answer: First TT-mons lift, breast lift/aug and possibly labiaplasty, then but lift

Answer: Multiple Procedure- Combination surgery

Answer: Multiple Procedure- Combination surgery

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Everything you need to know about Mommy Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (8)

Answer: First TT-mons lift, breast lift/aug and possibly labiaplasty, then but lift

Answer: First TT-mons lift, breast lift/aug and possibly labiaplasty, then but lift

Answer: Multiple Procedure- Combination surgery

Answer: Multiple Procedure- Combination surgery

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Recommended reading

Everything you need to know about Mommy Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.